Director of Revenue Cycle - Specialty Services

Integrative Emergency Services•Dallas, TX

1d•Hybrid

About The Position

Integrative Emergency Services, LLC (“IES”) is seeking a Director of Revenue Cycle - Specialty Services who will be responsible for the general supervision and management of the billing and revenue cycle functions for physician practices supporting complex specialty service lines. This role is responsible for the strategic oversight and operational management of specialty services revenue cycle operations, including but not limited to S urgical and Critical Care . This role serves as a subject-matter expert in specialty services revenue cycle operations, partnering closely with service line leadership and physicians to optimize reimbursement, ensure compliance, and support scalable revenue growth across specialty divisions. IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and supporting patients, employees, clients, providers, and physicians in pursuit of the highest quality health care. ESSENTIAL DUTIES AND RESPONSIBILITIES The responsibilities listed here represent the majority of the role but are not all-inclusive; other duties may be assigned.

Requirements

In-depth understanding of revenue cycle operations across specialty services, including patient access, billing, collections, and compliance
Strong knowledge of healthcare regulations, payer requirements, reimbursement methodologies, and industry best practices.
Expertise in financial reporting, budgeting, and performance metrics related to revenue cycle management.
Exceptional leadership and strategic planning skills to drive operational efficiency and revenue optimization.
Advanced analytical and problem-solving skills with the ability to interpret complex data and develop actionable insights.
Superior communication and presentation skills for engaging executive leadership, physicians, and cross-functional teams.
Proficiency in revenue cycle technology platforms, EHR systems, and data analytics tools.
Ability to develop and implement long-term strategies that align with organizational goals and regulatory requirements.
Ability to lead large teams, foster collaboration, and manage change in a dynamic healthcare environment.
Ability to influence stakeholders and negotiate effectively to achieve financial and operational objectives.
Ability to prioritize initiatives, allocate resources, and manage multiple projects at an enterprise level.
1-2 years leadership experience and/or operations management experience
Minimum five (5) years of Hospital or Physician Practice Revenue Cycle management required.
Bachelor’s degree in Business Administration, Accounting, Healthcare Administration, Finance, or related field.
Minimum of 10 years of experience in professional services and hospital coding, billing and collecting.
Strong knowledge of various EMR systems including but not limited to: EPIC, eClinicalWorks (eCW), MedHost, Cerner, and Allscripts.
Certification in one of the following: Certified Coding Specialist ( CCS ), Certified Professional Coder ( CPC ), Clinical Documentation Specialist ( CCDS ), and/or Certified Professional Medical Auditor ( CPMA ).
Advanced computer skills required
Strong knowledge of health plan requirements
Previous supervisory experience

Nice To Haves

MBA, Master's degree in Health Systems Management, or related field
Prior experience with revenue cycle vendor management
Prior experience with Surgical & ICU service line billing
Proficient understanding of data mining, statistical predictive modeling and financial modeling practices.

Responsibilities

Develop and implement the strategic vision and goals for the service lines with division leadership aligning with the overall organizational mission.
Collaborate with executive leadership to define priorities and drive initiatives that enhance the quality of client management and practice support.
Partner with service line leaders to scope and onboard new business within specialty services, including assessing systems and applications , tracking and communications, and operational outcomes specific to specialty workflows and reimbursement models .
Oversee and manage the performance and development of all RCM processes related to specialty service lines , including but not limited to change capture, coding, billing, collections, denials, and appeals.
Serve as a liaison between specialty services and other departments, fostering collaboration and communication across the organization to support specialty-specific revenue cycle needs.
Plan, develop, organize, implement, direct and evaluate systems, processes and payor specific reimbursement mechanisms and billing requirements, contributing in the proactive identification of opportunities for revenue cycle improvement and enhancement.
Engage with physicians and other stakeholders to gather feedback and address concerns related to specialty services’ revenue cycle performance, documentation, and reimbursement outcomes.
Oversee coding auditing and education related to specialty-specific documentation, coding accuracy, and compliance requirements.
Reviews, analyzes and interprets financial data to monitor progress towards established goals, identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results within specialty service lines.
Provides direction and coordination for the development and implementation of performance and quality improvement processes for the specialty services physician revenue cycle.
Oversees resolution of escalated issues with third party payors specific to specialty services, including underpayments, appeals, and contractual discrepancies.
Stays current on payor regulations including managed care, Medicare, Medicaid, and other payor regulations that impact billing activities for specialty and procedure-based services.
Manage revenue cycle operational team members assigned to specialty service line portfolios, ensuring expertise aligned to specialty complexity.