Director of Revenue Cycle - Remote

Overview

The Director of Revenue Cycle will direct daily operations of the revenue cycle function, focusing on maximizing cash flow, ensuring accurate billing, and enhancing patient and provider satisfaction in an orthopedic practice setting.

In Short

• Oversees coding, billing, payment posting, accounts receivable follow-up, denial management, and reimbursement processes.
• Leads and manages onshore and offshore revenue cycle staff.
• Collaborates closely with the CEO and COO to streamline processes.
• Monitors and ensures departmental KPIs meet or exceed industry standards.
• Provides regular training and education to revenue cycle staff.
• Identifies and resolves issues impacting the revenue cycle.
• Manages timely and effective denial management and appeals processes.
• Ensures compliance with federal, state, and payer regulations.
• Coordinates internal and external audits related to billing practices.
• Leads strategic revenue initiatives, including negotiation of Managed Care Contracts.

Requirements

• Experience in revenue cycle management in a healthcare setting.
• Strong knowledge of medical billing and coding.
• Proven leadership skills in managing teams.
• Excellent communication and negotiation skills.
• Ability to analyze payer contracts and optimize reimbursement.
• Familiarity with HIPAA and OSHA standards.
• Experience in training and developing staff.
• Strong problem-solving skills.
• Ability to work collaboratively with executive leadership.
• Detail-oriented with strong organizational skills.

Benefits

• Competitive salary and benefits package.
• Opportunity to lead a dynamic team.
• Work in a supportive and innovative environment.
• Professional development opportunities.
• Flexible work arrangements.