Director - Revenue Cycle Management
About The Position
Essential Job Functions Oversee RCM and HIM functions to ensure all activities align with organizational policies, procedures, and client contract requirements. Manage workloads and identify priorities to ensure all daily, weekly, and monthly revenue and cash production goals are achieved. Analyze and monitor operational KPI metrics by client; proactively identify trends and implement corrective actions for performance variances. Continually assess staff workflows and systems to streamline processes, improve performance, and create a cost-effective use of resources. Implement operational improvements and collaborate with senior leadership to adjust processes for enhanced efficiency. Establish and adjust staffing levels based on account volume and revenue to maintain optimal production levels. Lead monthly and quarterly meetings with clients; serve as a Revenue Cycle subject matter expert (SME) to advise clients on industry best practices. Serve as the primary point of contact for escalated operational issues, ensuring timely and effective resolution. Oversee the compilation and review of comprehensive Revenue Cycle performance reports for internal and external stakeholders. Direct management activity related to hiring, training, coaching, and performance appraisals for the RCM and HIM management teams. Effectively manage and coordinate with global resources (offshore teams) to ensure seamless delivery. Ensure all operations comply with Federal, State, and Local laws, including HIPAA and specific client audit requirements.
Requirements
- Bachelor’s degree in business, HIM or a related field (or equivalent experience).
- Minimum 7–10 years of experience in Revenue Cycle and HIM leadership roles.
- At least 5 years of experience in a management capacity, including oversight of multiple functional areas (Patient Access, Coding, CDI, and/or Billing).
- Hands-on experience with scheduling, coding, billing, and Practice Management Systems (PMS).
- Ability to prioritize and multi-task in a fast paced, changing environment.
- Demonstrate strong organizational skills and be detail oriented.
- Ability to self-motivate and self-direct.
- Ability to achieve set goals and deadlines.
- Demonstrate strong time management skills.
- Demonstrate excellent leadership, mentoring, and interpersonal skills.
- Demonstrate the ability to analyze and problem solve.
- Demonstrate strong commitment to team environment.
- Proficient handling difficult situations and human relations issues with professionalism and respect.
- Ability to maintain professionalism when interacting with internal and external customers.
Nice To Haves
- Master’s degree.
- Experience in second-line leadership.
- Experience in staffing preferred.
Responsibilities
- Oversee RCM and HIM functions to ensure all activities align with organizational policies, procedures, and client contract requirements.
- Manage workloads and identify priorities to ensure all daily, weekly, and monthly revenue and cash production goals are achieved.
- Analyze and monitor operational KPI metrics by client; proactively identify trends and implement corrective actions for performance variances.
- Continually assess staff workflows and systems to streamline processes, improve performance, and create a cost-effective use of resources.
- Implement operational improvements and collaborate with senior leadership to adjust processes for enhanced efficiency.
- Establish and adjust staffing levels based on account volume and revenue to maintain optimal production levels.
- Lead monthly and quarterly meetings with clients; serve as a Revenue Cycle subject matter expert (SME) to advise clients on industry best practices.
- Serve as the primary point of contact for escalated operational issues, ensuring timely and effective resolution.
- Oversee the compilation and review of comprehensive Revenue Cycle performance reports for internal and external stakeholders.
- Direct management activity related to hiring, training, coaching, and performance appraisals for the RCM and HIM management teams.
- Effectively manage and coordinate with global resources (offshore teams) to ensure seamless delivery.
- Ensure all operations comply with Federal, State, and Local laws, including HIPAA and specific client audit requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Director
