Director, Revenue Cycle Management

FastMed • Durham, NC

5d

About The Position

The Director, Revenue Cycle Management is responsible for day-to-day revenue cycle operations and for planning, developing, and implementing policies, objectives, and initiatives at FastMed. The role provides analytical analysis, creates written processes, and leads the revenue cycle team. The Director engages internal and external stakeholders and sets process and workflow priorities to achieve high-quality outcomes.

The position oversees the full revenue cycle, including patient access, billing, coding, collections, and denial management. It develops strategies to improve revenue cycle performance, reduce denials, and improve cash flow; tracks provider revenue cycle metrics and shares data with the executive leadership team; ensures compliance with billing and coding rules; and leads payer contract negotiations. The role also manages team hiring, training, coaching, performance evaluation, compensation allocation, employee relations, and terminations.

Requirements

• Bachelor's degree in business administration, finance, and/or accounting.
• At least 8 years of experience in healthcare billing and/or coding management.
• At least 5 years of prior leadership experience in a similar role.
• Experience tracking and reporting productivity.
• Strong data analysis and process improvement skills.
• Strong attention to detail and problem-solving abilities.
• Excellent communication and leadership skills.
• Knowledge or skills in managing processes, financial software, developing standards, auditing, accounting, corporate finance, tracking budget expenses, financial analysis, and developing budgets.

Nice To Haves

• Master's degree, preferably an MHA or MBA.
• Revenue Cycle Management certification.

Responsibilities

• Provide strategic direction for the organization's revenue cycle function, communicate priorities, monitor and adjust work assignments, and implement process changes.
• Oversee patient access, billing, coding, collections, and denial management.
• Develop and implement strategies to optimize revenue cycle performance, reduce denials, and improve cash flow.
• Recommend and implement operational changes to improve service, productivity, quality, and financial performance.
• Develop, track, and analyze provider revenue cycle performance metrics and share data with the executive leadership team.
• Ensure compliance with applicable federal and state billing and coding regulations and industry standards; monitor regulatory changes and update billing practices as needed.
• Analyze revenue cycle metrics to identify trends and opportunities; implement processes and training to reduce denials and monitor performance through resolution.
• Lead contract negotiations with payer sources, including federal healthcare programs and third-party payers.
• Hire, train, coach, evaluate, and manage team performance; allocate compensation; handle employee relations issues; and manage terminations.
• Contribute to team efforts and embody FastMed's STAT values and Compassionate Hospitality philosophy.

What This Job Offers

• Job Type: Full-time
• Career Level: Director