Full-time Director of Revenue Cycle

Lexington Regional Health Center•Lexington, NE

62d•Onsite

About The Position

Lexington Regional Health Center is seeking a full-time Director of Revenue Cycle to provide leadership across all revenue cycle operations. This role is responsible for developing and implementing strategies to improve reimbursement, cash flow, and operational performance, while monitoring key performance indicators and leading initiatives to enhance revenue capture and reduce cycle time. The Director will oversee registration, insurance verification, financial clearance, point-of-service collections, and front-end accuracy. They will ensure accurate data capture, timely and accurate billing, claims submission, AR follow-up, denial management, and collections. This position also involves analyzing denial trends, evaluating collection agency effectiveness, ensuring compliance with CMS, HIPAA, and payer regulations, and overseeing chargemaster integrity and billing compliance. The Director will coordinate audits, maintain internal controls, oversee medical records, and ensure the integrity and confidentiality of patient information. A key responsibility includes serving as the HIPAA privacy officer, developing and implementing a privacy program for Protected Health Information (PHI). The role requires analyzing revenue cycle data, collaborating with finance on budgeting and forecasting, providing executive reporting, and leading, coaching, and developing revenue cycle staff. Establishing departmental goals, supporting staff training, leading process improvement, and collaborating with IT on system improvements are also essential. The Director will drive standardization and efficiency, ensure adherence to infection control guidelines, and maintain compliance with governing body standards. Duties may involve exposure to bloodborne pathogens, and maintaining patient and staff safety through standard precaution protocols and safety tools is paramount. Regular attendance at the assigned work location is required.

Requirements

Knowledge of financial healthcare reimbursement analysis, including an understanding of diagnosis and procedure coding, billing practices, and payment methodologies; ability to use computer and office equipment and carry out duties as is typically acquired through the completion of a Bachelor’s degree in healthcare administration, business, finance, or related field.
Minimum of five (5) years of revenue cycle leadership experience.
Strong knowledge of billing, coding, and reimbursement methodologies.
Experience with Electronic Health Record systems and revenue cycle technology.
Ability to lead, coordinate, and organize tasks and projects through various complex and challenging situations to completion under time-sensitive deadlines.
Ability to maintain attention to detail and concentration for long periods of time.
Ability to synthesize, coordinate, and analyze data to identify opportunities to automate simple and repetitive tasks.
Ability to maintain a work pace appropriate to given workload, to perform complex and varied tasks, and to understand and remember detailed instructions.
Ability to make independent decisions and/or exercise judgment based on appropriate information.
Ability to recommend operational and management decisions in response to changing conditions.
Ability to communicate effectively both verbally and in writing.
Ability to establish and maintain effective working relationships with all levels of personnel.
Ability to maintain confidentiality relevant to sensitive information.
Ability to complete reports and correspondence at a professional level.
Ability to immediately respond to common inquiries and complaints from patients, employees, vendors, and regulatory agencies.
Ability to effectively communicate with individuals from diverse backgrounds.
Successful completion of required knowledge and training on standard precaution protocols and when to apply them during principle duties and responsibilities.

Responsibilities

Provide leadership across all revenue cycle operations including patient access, billing, coding coordination, Accounts Receivable (AR), and collections.
Develop and implement strategies to improve reimbursement, cash flow, and operational performance.
Monitor key performance indicators such as AR days, denial rates, and net collections.
Lead initiatives to improve revenue capture and reduce cycle time.
Oversee registration, insurance verification, and financial clearance processes.
Improve point-of-service collections and front-end accuracy.
Ensure accurate capture of patient demographic and insurance data.
Direct timely and accurate billing and claims submission.
Oversee AR follow-up, denial management, and collections processes.
Analyze denial trends and implement corrective actions.
Evaluate third-party collection agency effectiveness.
Ensure compliance with Centers for Medicare & Medicaid Services (CMS), Health Insurance Portability and Accountability Act (HIPAA), and payer regulations.
Oversee chargemaster integrity and billing compliance.
Coordinate audits and implement corrective actions.
Maintain internal controls and audit readiness.
Oversee medical records, chart completion, and release of information.
Ensure integrity and confidentiality of patient information.
Partner with clinical leadership to improve documentation.
Responsible for HIPAA privacy officer duties including developing, implementing, and overseeing an organization's privacy program to protect Protected Health Information (PHI).
Analyze revenue cycle data and identify trends and opportunities.
Collaborate with finance on budgeting and forecasting.
Provide reporting to executive leadership.
Lead, coach, and develop revenue cycle staff.
Establish departmental goals and performance expectations.
Support staff training and professional development.
Lead process improvement initiatives and workflow optimization.
Collaborate with Information Technology on system improvements and reporting.
Drive standardization and efficiency across departments.
Ensure patients and visitors follow current infection control guidelines.
Responsible for ensuring the environment meets appropriate governing body standards.
Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.)
Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
Regular attendance at the assigned work location is required.
Performs all other duties as assigned.