We're seeking an experienced Director of Revenue Cycle to join our team. This is a full-time, exempt position, Mondays-Fridays and works under the direction of the Chief Operating Officer.JOB FUNCTION:Onsite leadership role overseeing the revenue cycle for a large, multi-location private orthopedic practice, including its orthopedic surgery, rehabilitation (physical and occupational therapy), durable medical equipment (DME), and radiology/imaging service lines. This role manages the accounts receivable department responsible for billing and collections across all clinic locations, and creates, generates, and maintains reporting dashboards on clinic and service-line financial performance for physician partners and key stakeholders.
ESSENTIAL FUNCTIONS:- Demonstrate strong leadership skills through training, supervision, coaching, and mentoring of billing and collections staff across multiple clinic locations and service lines.
- Develop and implement standardized billing procedures across all clinic locations, working with clinic managers and service-line leaders (orthopedics, rehab/therapy, and radiology) to ensure proper collection of demographic, insurance, and billing information.
- Delegate and assign work to revenue cycle staff for billing across orthopedic, rehab/therapy, DME, and radiology service lines.
- Establish and maintain internal controls related to billing and collections, working closely with the Director of Finance.
- Maintain compliance with all federal, state, and local billing and coding guidelines, including payer-specific requirements for orthopedic surgery, physical/occupational therapy (e.g., therapy caps, modifiers), DME, and diagnostic imaging/radiology services.
- Be proficient in practice management and EHR billing software systems used across clinic locations; learn and utilize the practice's EMR revenue cycle management system to optimize billing, claims submission, and reporting workflows.
- Work with the accounting department to reconcile accounts receivable and contractual write-offs on a monthly basis across all locations and service lines.
- Establish and maintain best-practice benchmark metrics (e.g., days in AR, clean claim rate, denial rate, net collection rate) to demonstrate departmental performance across the practice.
- Oversee insurance verification, prior authorization, and denial management processes for surgical procedures, imaging studies, and therapy services.
- Represent the department and the organization at cross-departmental and physician leadership meetings.
- Recruit, train, and retain revenue cycle staff across all clinic locations.
ADDITIONAL RESPONSIBILITIES:- Resolve patient problems related to their account balances across all clinic locations.
- Create and maintain standardized policies and procedures for the billing department across the practice.
- Ensure cross-training across all areas of revenue cycle operations, including orthopedic, rehab, DME, and radiology billing workflows.
- Maintain monthly and quarterly key performance indicators by clinic location and service line.
- Compile financial reports as requested by practice leadership and physician partners.
- Manage relationships with clearinghouses, payers, and outside collection agencies as needed.
