Revenue Cycle Director Healthcare Overview • The Revenue Cycle Director Healthcare oversees all aspects of revenue cycle management, ensuring efficiency and compliance across billing, coding, and collections processes. • Develops and implements strategies to optimize revenue cycle operations and improve profitability through innovative programs and technologies. • Analyzes data to provide actionable insights, enhance efficiency, and implement best practices in claims management and denial prevention. • Maintains department dashboards and reports on KPIs, staff productivity, and quality metrics to drive informed decision-making. • Collaborates with cross-functional teams to align revenue cycle strategies with organizational objectives and compliance requirements. • Leads and develops high-performing teams, ensuring effective training, recruitment, and retention of revenue cycle personnel. • Manages annual budgets and works closely with leadership to implement financial strategies and optimize cash flow. • Acts as a liaison between clinical and non-clinical departments to ensure seamless integration of initiatives and contracts. • Ensures compliance with federal and state regulations, maintaining robust internal controls within the revenue cycle operations. Revenue Cycle Director Healthcare Key Responsibilities & Duties • Oversee coding, eligibility, prior-authorization, payment posting, and external collections activities within the revenue cycle process. • Develop and implement strategies to continuously improve revenue cycle operations and increase profitability. • Analyze data from various sources to identify trends, insights, and actionable improvements. • Create and maintain dashboards and reports for departmental KPIs, executive insights, and staff productivity metrics. • Lead initiatives to prevent denials, optimize claims management, and improve cash flow efficiency. • Develop policies and procedures to ensure goals and objectives are clearly defined and achieved. • Collaborate with IT to optimize technology usage for automating revenue cycle functions. • Hire, train, and develop revenue cycle personnel, fostering a culture of continuous improvement. • Act as a liaison to ensure accurate implementation and monitoring of new initiatives and contracts. Revenue Cycle Director Healthcare Job Requirements • Bachelor’s degree in healthcare administration, business, or related field; Master’s degree preferred. • 5-7 years of experience in healthcare revenue cycle management, overseeing billing, collections, and denials processes. • Strong knowledge of federal and state healthcare management laws and regulations. • Proven success in achieving revenue cycle efficiencies and improving cash flow. • Extensive experience with Medicare, Medicaid, VA/Government plans, and commercial insurance billing. • Proficiency in computer software and hardware, including data processing in medical environments. • Demonstrated leadership and team development capabilities. • Experience in financial management and budgeting within healthcare organizations. • Ability to collaborate effectively with cross-functional teams to achieve organizational goals.