Director of Revenue Cycle

Avenue 360 Health and Wellness•Houston, TX

About The Position

Avenue 360 Health & Wellness, an FQHC/Community Health Center serving Houston and Harris County, is seeking an experienced Director of Revenue Cycle and Billing to support the organization’s mission and vision. This full-time leadership position reports to the Executive Vice President of Finance and is responsible for the overall performance of revenue cycle and billing operations. The role provides leadership, staff development, and budgeting in accordance with organizational policies, procedures, and applicable regulations. Experience and subject matter expertise in FQHC billing and HRSA and Ryan White policies and procedures are strongly preferred. The Director coordinates revenue cycle activities across the organization, including front desk operations, billing, collections, patient financial counseling, and staff training. The position oversees staffing and team development; improves revenue collection, cash flow, and accounts receivable management; leads grant-related revenue cycle audits; supports reporting and compliance activities; and identifies process improvements and strategic growth opportunities. The role works with clinicians, administrators, practice managers, and internal and external business partners to maintain effective, consistent operations. The job involves computer and EMR use, extended periods of sitting, and moderate physical activity, including walking and traveling. Physical tasks may include bending, reaching, and occasionally climbing, kneeling, crouching, or lifting and moving 25 pounds or more. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Bachelor’s degree.
Five years of experience in nonprofit billing and revenue cycle; preferably in an FQHC setting.
Five years of healthcare supervisory and/or leadership experience.
Strong leadership skills with subordinates and coworkers.
Ability to prioritize mission-critical activities.
Ability to embrace the team concept and encourage and model healthy, productive team behavior.
High-energy, organized, persistent approach, with strong communication, interpersonal, and systems-thinking skills.
Ability to maintain confidentiality.
Ability to work effectively, independently, and efficiently in a stressful, dynamic environment; take initiative; and manage high volume and multiple tasks.
Ability to communicate effectively with personnel at all levels and internal and external customers, and to develop and maintain collaborative, positive, effective, and professional relationships.
Ability to read and interpret documents; write reports, correspondence, and policies; and present ideas effectively.
Ability to organize complex information and electronic and paper systems; highly organized and detail-oriented.
Ability to recognize and analyze problems and trends, make difficult choices under uncertain conditions, and exercise good judgment.
Strong computer skills, including typing and use of EMR and Microsoft Office, particularly Word, Excel, and Outlook; ability to learn new software quickly.
Reliable attendance.
Ability to meet the physical and mental demands of the job, with reasonable accommodations available to enable individuals with disabilities to perform essential functions.
Physical ability to stoop, kneel, bend, use a computer keyboard, perform light lifting, sit for long periods, and engage in moderate activity such as walking and traveling; regularly talk, hear, stand, walk, balance, reach, and handle objects or controls; occasionally climb, kneel, crouch, and lift or move 25 pounds or more.
Vision abilities including close, distance, and color vision, peripheral vision, depth perception, and the ability to adjust focus.
Mental abilities including concentration, attention to detail, self-direction, learning and adapting to change, discretion, sound judgment, professional behavior, handling stressful situations, and adherence to company policies and procedures.

Nice To Haves

FQHC billing experience and subject matter expertise in HRSA and Ryan White policies and procedures are strongly preferred.
Experience in an FQHC setting is preferred.
Database management and systems development experience is a plus.

Responsibilities

Serve as the primary point of contact and provide leadership to clinicians and organizational leadership regarding centralized patient and billing operations.
Liaise with administrators, providers, and outside organizations to coordinate practice business, carry out directives, and resolve problems.
Ensure appropriate billing, coding, and patient financial services staffing within budget; recruit, hire, coach, train, and develop the billing team.
Establish schedules, task assignments, and allocation of personnel, space, and equipment to support effective revenue cycle operations.
Conduct performance reviews, manage performance issues, and develop accurate job descriptions for training and evaluation.
Address staff and patient complaints or concerns in a timely manner.
Assist with developing and implementing written policies and procedures governing clinic operations.
Evaluate, develop, and implement solutions for strategic growth and improved revenue collections.
Develop and implement data-driven action plans for efficient, ethical, and productive business practices that support patient, employee, and physician satisfaction.
Lead revenue cycle audits related to grants and programs, including 330e, 340b, UDS, and Ryan White.
Ensure patient billing and payment receipt processing are completed promptly and in accordance with policy.
Reduce bad debt, improve cash flow, and manage accounts receivable effectively.
Coordinate revenue cycle activities across the organization, including front desk operations, billing, collections, patient financial counseling, and staff training.
Ensure the accuracy of deposits and of demographic and other information entered into the patient billing system.
Participate in program and service evaluations and facilitate service changes based on Continuous Quality Improvement results.
Compile and prepare management status reports to analyze trends and make recommendations.
Participate in preparation of annual UDS and Medicare Cost reports.
Coordinate with Practice Managers to stay current on credentialing, especially for new providers, and emphasize scheduling self-pay patients until new providers are credentialed with third-party organizations.
Monitor monthly charge and collection posting volumes to ensure Billing Specialists keep pace with patient encounter volume.
Recommend or implement work-schedule changes when the Billing Department workflow falls significantly behind.
Investigate and analyze issues, root causes, patterns, and trends; identify and implement revenue cycle process improvements where appropriate.
Develop short- and long-term objectives and goals to prepare for regulatory and industry changes.
Develop and maintain written operational policies and procedures for consistent revenue operations.
Communicate with and manage relationships with internal and external business partners.
Assist in identifying, recommending, and implementing operational changes that improve service, productivity, quality, or financial performance.
Perform other duties as assigned.