Job Summary The Executive Director of Revenue Cycle leads the end-to-end revenue cycle across Nicklaus Children's Health System. Provides oversight of front-end, mid-cycle, and back-end revenue functions and is accountable for achieving performance targets. Partners closely with operational leaders, Managed Care, Finance, IT, and external vendors to drive sustainable financial performance, operational efficiency, and a high-quality patient experience aligned with the organization's mission to deliver exceptional pediatric care. Job Specific Duties • Lead and optimize all components of the revenue cycle, including: • Patient access (scheduling, registration, authorization, financial counseling) • Case Management, Social Work, Pastoral Services, and Transfer Center • Health information management (HIM), coding and CDI • Revenue integrity, Charge Description Master (CDM), charge capture, and billing • Patient financial services, A/R follow up, Appeals and Underpayments, Cash/Credit Management, and Customer Service • Ensure seamless coordination across all functions to achieve timely and accurate revenue capture and reimbursement. • Lead governance and performance management of the organization's outsourced revenue cycle vendor(s), inlcluding: • Establishing and enforcing SLAs tied to key KPIs (e.g., net collection rate, AR days, denial rate) • Conducting regular business and performance scorecard reviews • Driving continuous improvement and corrective action plans for underperformance • Partnering on optimization initiatives (automation, AI, workflow redesign) • Oversee contract performance, escalation management, and alignment of vendor operations with system goals. • Oversee key revenue cycle metrics, including, but not limited to: • Days in AR- • Denial rates- • Net collection rate, including complex large balance claims- • Bad debt performance- • Excess/Avoidable Days • Coding accuracy • Point of Service Collections • Call Center and Pre-Access Metrics: Speed to Answer, Accuracy, Authorization Days Out, etc. • Patient Financial Experience • Develop and maintain a structured performance reporting framework and accountability forums. • Analyze trends and implement targeted initiatives to improve financial outcomes. • Partner with leadership and vendor partners to define and execute a multi-year revenue cycle strategy: • Technology optimization (e.g., EMR revenue cycle platforms, automation, analytics tools) • Shared services and operating model design • Integration of vendor and internal workflows • Collaborate with IT teams and vendors to identify system enhancements and ensure alignment with business needs. • Ensure adherence to all regulatory, payer, and compliance requirements (IRS, OIG, CMS, HIPAA, payer contracts). • Mitigate financial risk through strong internal controls and processes. • Lead and develop a high-performing revenue cycle organization, including internal leaders and vendor teams. • Establish clear accountability structures, performance expectations, and training programs. • Foster a culture of continuous improvement, collaboration, and service excellence. • Demonstrate strong communication and collaboration skills across the enterprise. • Partner with clinical and operational leaders to enhance transparency and the overall patient financial experience. • Ensure patient-friendly billing practices and effective patient financial assistance programs. Minimum Job Requirements • Bachelor's Degree in Business or Healthcare Administration • 7-10 years of progressive experience in the healthcare revenue cycle • Healthcare industry financial statistical indicators experience Knowledge, Skills, and Abilities • Master's degree preferred. • HFMA, AAHAM, or similar professional certification preferred. • Epic experience preferred. • Florida Medicaid experience preferred. • Proven ability to lead large-scale operational and transformation initiatives. • Deep understanding of end-to-end revenue cycle processes, including, billing, coding, reimbursement, and denial management. • Strong leadership and communication skills. • Experience in negotiating contracts and resolving vendor/service issues. • Demonstrated experience managing outsourced revenue cycle vendors or shared services models. • Knowledge of healthcare regulatory requirements and payer dynamics.