Job Title: Director, Revenue Cycle Management

Job Description

To lead all aspects of revenue cycle operations. This role oversees billing, coding, claims, accounts receivable, and reimbursement functions across home infusion, retail, and long-term care divisions. The position requires strong leadership, operational expertise, and a commitment to compliance and efficiency to support the organization’s mission of delivering exceptional healthcare.

Responsibilities

• Lead and oversee all revenue cycle operations including billing, coding, claims, accounts receivable, and reimbursement functions.
• Train, mentor, and manage revenue cycle staff to enhance productivity and performance, including leading a team of 3 managers.
• Supervise a staff of in-house, contracted, and temporary employees.
• Direct billing, eligibility, claims processing, payment reconciliation, and accounts receivable management.
• Establish clear workflows and performance goals for the team.
• Ensure all operations comply with federal, state, and payer-specific regulations.
• Prepare detailed reports and analyze performance metrics to identify opportunities for improvement.
• Keep up with regulatory updates and implement changes when necessary.

Essential Skills

• Accounting
• Revenue recognition
• Revenue cycle
• Accounts receivable
• Reporting
• Medical billing
• 2+ years of leadership in either a Supervisory or Managerial role
• 5+ years of experience within revenue cycle management
• Experience within medical insurance, healthcare billing, or in a medical practice or health system
• Finance
• Reconciliation
• Audit
• Revenue analysis

Additional Skills & Qualifications

• At least 5 years of experience in revenue cycle management at a manager or director level
• Experience in a medical setting, whether it's medical insurance, healthcare billing, medical practice, or a health system
• Bachelor's degree in Finance/Accounting, Healthcare management, or related field
• HFMA, CHFP, or CRCP certification
• Understanding of all relevant federal, state, medical billing rules and regulations specific to Medicare, Medicaid, private insurance, and payer regulations
• Comfortable navigating billing software
• Knowledge of FOCUS-PDCA process improvement model

Work Environment

In office at the Airport location.