Director of Revenue Cycle
About The Position
Working under the general supervision of the Chief Financial Officer, the Director of Revenue Cycle provides strategic and operational leadership for InterMed’s end-to-end revenue cycle, from patient access and charge capture through billing, denials, accounts receivable, and patient financial services. The Director is accountable for accurate, compliant, and timely billing and collections that maximize net patient revenue and cash flow, and partners closely with Finance, Operations, Clinical Leadership, Compliance, IT, and Payor Contracting. The role oversees revenue cycle strategy, performance analytics, accounts receivable and cash performance, revenue integrity and compliance, denial management, payor performance, and the patient financial experience. It also manages revenue cycle technology, budgets, staffing models, vendor relationships, and special projects, while supporting the Controller on monthly close and revenue-related financial matters. The Director has overall accountability for department colleagues, including coaching, development, staffing and labor efficiency, payroll approval, and performance management. The role leads continuous improvement initiatives, encourages collaboration and communication across sites and departments, and ensures effective planning, policy adherence, and confidentiality of patient and colleague information. The Director also supports InterMed’s patient-centered mission and values.
Requirements
- Bachelor’s degree in healthcare administration, business, finance, or a related field.
- At least 7 years of progressive healthcare revenue cycle experience, including at least 5 years in leadership.
- Experience in a physician practice, multispecialty medical group, or ambulatory setting.
- Strong working knowledge of professional billing, coding workflows, denial management, and Medicare, Medicaid, commercial payor, and HIPAA requirements.
- Demonstrated success improving revenue cycle metrics and cash collections using data analytics.
- Ability to manage multiple projects in a fast-paced environment.
- Effective written and verbal communication skills with people at all levels, including physicians and executive leadership.
- Proficiency in Microsoft Office; advanced Excel skills are essential.
- Ability to handle sensitive information and maintain confidentiality.
Nice To Haves
- Master’s degree in a related field.
- Revenue cycle certification, such as HFMA CRCR or CHFP, or AAPC CPC.
- Experience with eClinicalWorks or a comparable practice management system.
Responsibilities
- Develop and execute revenue cycle strategy, annual goals, policies, and performance standards in support of organizational goals; address recurring problems at their root cause.
- Monitor and report key performance indicators, including clean claim rate, denial rate, and charge and payment lag; present performance, risks, and recommendations to the CFO, executive leadership, and Board committees as requested.
- Oversee cash collections, days in accounts receivable, net collection rate, bad debt, credit balances, refunds, and unapplied cash; direct action plans by payor, specialty, and location.
- Govern charge capture, claim edits, and the Charge Description Master, including timely CPT, HCPCS, and ICD updates; ensure regulatory compliance and audit-ready internal controls.
- Lead denial prevention and resolution, root-cause analysis, and appeal strategy; identify underpayments and monitor contract performance with Payor Contracting; work with the Medical Staff Office on provider enrollment and credentialing.
- Oversee eligibility, authorizations, patient estimates, statements, payment plans, financial assistance, and patient billing customer service; partner with Operations to improve point-of-service collections.
- Optimize the practice management system, clearinghouse, and work queues; lead system implementations and workflow redesign.
- Manage the revenue cycle budget, staffing models, and relationships with billing, clearinghouse, collection, and technology vendors.
- Support the Controller on monthly close, net patient revenue, contractual allowances, and accounts receivable reserves.
- Assess revenue cycle readiness for new services, sites, and providers; perform special projects as assigned.
- Manage and develop colleagues, assess development opportunities, coach and mentor staff, monitor staffing and labor efficiency, approve biweekly payroll, and initiate performance improvement plans as appropriate.
- Work with Compliance and Human Resources to ensure colleague compliance with State, Federal, and OSHA requirements.
- Model service excellence and patient-focused behavior; lead Lean Six Sigma initiatives and continuous improvement; foster collaboration across departments and sites.
- Maintain effective communication and working relationships with clinical teams, practice leadership, senior leadership, and colleagues throughout the organization.
- Assess departmental status against InterMed goals; develop proactive plans aligned with company KPIs, monitor budgets and variances, recommend corrective actions, champion interdepartmental problem solving, and ensure departmental policies are developed and followed.
- Protect patient and colleague confidentiality, follow HIPAA privacy requirements, and access identifiable patient information only as necessary and for authorized purposes.
- Support InterMed’s mission, vision, and values and perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Director
