Director of Revenue Cycle Management

St. Croix Hospice•Mendota Heights, MN

2d•$115,000 - $130,000

About The Position

The Director of Revenue Cycle Management is responsible for overseeing all aspects of the Medicare, Medicaid and Commercial billing, collections, and reimbursement processes for St Croix Hospice. This role ensures accurate and timely billing, maximizes timely cash collections, maintains compliance with Medicare & Medicaid regulations, and drives the overall financial performance of the organization’s revenue cycle operations. The Director will lead a team of billing and collections professionals, establish and monitor key performance indicators (KPIs), and implement best practices to ensure efficient, compliant, and optimized revenue and collection operations.

Requirements

Bachelor’s degree in finance, Healthcare Administration, Business or related field.
7+ years of experience managing a revenue cycle or billing team in a healthcare setting, preferably hospice or home health.
10+ years of hands-on experience with Medicare billing, claims processing, and collections.
Strong knowledge of Medicare hospice reimbursement rules, eligibility, and compliance standards, preferred.
Proven track record of managing and improving Key Performance Indicators (KPIs) and monthly cash collections
Advanced Excel skills.
Ability to pass DHS background study
Strong leadership and team development skills
Excellent organizational and problem-solving skills, with proven ability to multi-task and work with a sense of urgency under deadlines required
Analytical mindset with the ability to interpret data and drive actionable results
Demonstrate executive presence, with solid communication skills and the ability to work collaboratively with other teams and departments, including finance, operations, and clinical teams
Proficiency with EMR and billing systems (e.g., HCHB, Netsmart, or similar hospice/home health billing software)

Responsibilities

Provide strategic leadership and operational oversight of all Medicare, Medicaid and Commercial billing, collections, and revenue cycle activities within St Croix Hospice.
Manage, mentor, and develop a high-performing revenue cycle team focused on accuracy, compliance, and efficiency.
Monitor and report on key revenue cycle metrics, including Days Sales Outstanding (DSO), cash collections, denial and appeal rates, billing accuracy, and AR aging.
Establish and manage Key Performance Indicators (KPIs) and monthly collection goals to ensure optimal cash flow and financial performance.
Ensure compliance with all federal and state regulations governing Medicare and Medicaid billing for hospice care, including timely submission and correction of claims.
Collaborate with clinical, financial, and operational leadership to address revenue cycle barriers and streamline processes.
Identify and implement process improvements, automation tools, and system enhancements to increase efficiency and reduce errors.
Engage and communicate with long-term care and skilled nursing facilities to understand and resolve any billing discrepancies in accordance with contractual payment terms.
Oversee reconciliation and audit processes to ensure accurate and complete revenue capture.
Develop and present monthly and quarterly revenue cycle performance reports to executive leadership.
Stay current with Medicare and Medicaid hospice billing regulations, CMS updates, and payer trends to proactively adjust processes and maintain compliance.
Performs other duties as assigned.