Position SummaryThe Director of Revenue Cycle is responsible for optimizing revenue cycle performance, ensuring all financial transactions are accurately recorded and reported, and maintaining compliance with all applicable regulatory requirements. This position will lead the development and implementation of policies and procedures related to patient financial services, while driving operational efficiencies and supporting organizational financial goals. Additional responsibilities include staff leadership and development, budget preparation, and detailed financial analysis to support strategic decision-making.
Key Duties and ResponsibilitiesEssential Duties- Comprehensive knowledge of Patient Financial Services (PFS) operations, including billing, collections, cash posting, and reimbursement processes. General understanding of patient registration, finance functions, data processing, and daily cash reconciliation activities.
- Demonstrated ability to monitor, analyze, and achieve key performance indicators (KPIs), while developing and implementing corrective action plans to address performance gaps and drive operational improvement.
- Strong knowledge of regulatory requirements related to patient accounting, including Medicare, Medicaid, Managed Care, and other third-party payer guidelines, regulations, and reimbursement methodologies.
- Exceptional interpersonal and communication skills, with the ability to effectively collaborate with executive leadership, department managers, physicians, staff, patients, and members of the public.
- Ability to analyze, interpret, and apply information from financial reports, contracts, policies, regulatory guidance, and legal documents to support informed decision-making.
- Proven ability to work independently and exercise sound judgment in resolving complex issues. Demonstrates initiative, resourcefulness, and innovation in developing solutions where limited precedent or guidance exists.
- Strong organizational and time management skills, with the ability to effectively prioritize competing responsibilities, manage multiple projects simultaneously, and maintain productivity in a fast-paced environment.
- Results-oriented leader with a demonstrated ability to drive operational excellence, improve revenue cycle performance, and support organizational financial objectives.
- Ability to identify process improvement opportunities, implement best practices, and foster a culture of continuous improvement within the revenue cycle function.
- Strong problem-solving and critical-thinking skills, with the ability to assess data, identify trends, and develop strategic recommendations to enhance departmental performance.
- Maintain confidentiality of patient, employee, and organizational information in accordance with HIPAA and organizational policies.
- Perform other duties as assigned to support organizational goals and operational needs.
Qualifications, Education, Experience and Ability- Bachelor's degree in healthcare administration, Business, Accounting, Finance, or a related field required.
- Minimum of three (3) years of management-level experience and five (5) years of hospital revenue cycle experience, with demonstrated expertise in billing and collections
- Comprehensive knowledge of Patient Financial Services (PFS) operations, including billing, collections, and cash posting processes.
- Working knowledge of patient registration, financial systems, and daily cash reconciliation practices
- Proven ability to manage and perform against key performance indicators (KPIs), including development and execution of action plans.
- Strong understanding of regulatory requirements related to patient accounting, including Medicare, Medicaid, and Managed Care processes.
- Excellent interpersonal and communication skills, with the ability to collaborate effectively with leadership, physicians, staff, patients, and the public.
- Ability to read, analyze, and interpret financial reports, contracts, and legal documents.
- Demonstrated ability to work independently, think critically, and develop innovative solutions in complex or undefined situations.
- Strong organizational skills with the ability to prioritize effectively in a fast-paced environment with competing demands.
- Advanced analytical and problem-solving capabilities
- Commitment to staff development, with a passion for coaching and mentoring team members
- Strong customer service orientation
- Advanced computer proficiency, including Microsoft Office Suite, advanced Excel skills, data analysis, and template development.
- Meditech experience a plus.
Environmental and Physical Requirements- The employee works in a temperature-controlled environment.
- Sitting frequently. Walking and/or standing occasionally. Must be able to bend and stoop.
- Reaches over the head less.
- Candidate must be able to read, write and speak English fluently, have cognitive skills for math, reading, filing and sterile technique skills.
- Vision for near, mid-range, far and accommodation.
- Communication skills to deal well with employees, patients, families and physicians. Hearing for low, medium, and high pitch.
- There is potential for contact with chemicals, blood borne pathogens, and exposure to infectious disease.
- Employees should be able to lift 25 pounds using proper lifting technique several times during their shift.
