Executive Director of Revenue Cycle EMS

Medical Express Ambulance Service

$110K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Minimum 5 years of revenue cycle experience, with 3+ years in leadership or management.
  • Extensive knowledge of ambulance claims processing and Medicaid billing.
  • Strong grasp of HIPAA regulations and federal/state healthcare billing laws.
  • Proven ability to lead and develop teams effectively.
  • Excellent written and verbal communication and problem-solving skills.
  • Bachelor's degree in Business, Healthcare Administration, or related field (or equivalent experience).
  • Demonstrated ability to build strong relationships with stakeholders.

Responsibilities

  • Lead and manage the billing and collections team for optimal performance.
  • Oversee all aspects of the revenue cycle, including claims processing and denial management.
  • Ensure compliance with CMS regulations and Medicaid billing procedures.
  • Monitor key revenue cycle metrics to identify trends and opportunities for improvement.
  • Manage month-end closing activities to maintain financial integrity.
  • Establish performance benchmarks for accounts receivable and provide coaching.
  • Build relationships with internal departments and external partners.

Benefits

  • Be part of a mission-driven organization focused on quality patient care.
  • Lead a high-performing team and influence revenue cycle operations.
  • Inclusive, supportive, and collaborative workplace culture.
  • Sign on Bonus for new team members.
  • Relocation Bonus available for candidates moving to the area.
Full Job Description
Position Summary:
The Director of Revenue Cycle leads and optimizes all aspects of the revenue cycle for emergency and non-emergency ambulance services. This role provides strategic oversight and day-to-day management of billing and collections operations, ensuring timely, accurate, and compliant claims processing. The Director leads a team of 15 employees, fosters professional development, and drives performance metrics to maximize financial outcomes and operational efficiency.

Key Responsibilities:
  • Lead, mentor, and manage the billing and collections team, ensuring high performance and professional growth.
  • Oversee the end-to-end revenue cycle, including claims processing, denial management, account resolution, payment posting, coding, credentialing, and auditing.
  • Ensure compliance with CMS regulations, federal and state laws, HIPAA, and Medicaid billing procedures (IL preferred).
  • Monitor and analyze key revenue cycle metrics daily, weekly, monthly, and annually to identify trends and opportunities for process improvement.
  • Manage month-end closing activities, adjustments, write-offs, and reporting to ensure accuracy and integrity of financial records.
  • Establish benchmarks and performance goals for accounts receivable and staff, providing regular feedback and coaching.
  • Build and maintain strong relationships with internal departments, external partners, and patients, addressing issues with professionalism and diplomacy.
  • Drive initiatives to improve operational efficiency, customer satisfaction, and revenue integrity.

Qualifications:
  • Minimum 5 years of revenue cycle experience with at least 3 years in a leadership or management role.
  • Extensive knowledge of ambulance claims processing, Medicaid billing procedures, and CMS compliance.
  • Strong understanding of HIPAA regulations, federal and state laws governing healthcare billing.
  • Proven ability to lead teams, manage performance, and develop staff professionally.
  • Excellent written and verbal communication skills, with strong problem-solving and conflict-resolution abilities.
  • Bachelor's degree in Business, Healthcare Administration, or related field (or equivalent experience).
  • Demonstrated track record of building strong relationships with internal and external stakeholders.
  • Collaborative mindset with a commitment to continuous improvement and team success.

Why Join Us:
  • Be part of a mission-driven organization committed to quality patient care.
  • Lead a high-performing team and shape the future of revenue cycle operations.
  • Competitive compensation and benefits package.
  • Inclusive, supportive, and collaborative work environment.
  • Sign on Bonus
  • Relocation Bonus

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