Director, Revenue Cycle

Orthopaedic Hospital•Los Angeles, CA
•$110,000 - $160,000•Onsite

About The Position

The Revenue Cycle Director manages the Patient Accounts Department and works with colleagues across the revenue cycle to maximize cash flow, optimize billing, follow-up and collections, and minimize denials. The role covers a medical group, an ambulatory surgery center, and a hemophilia treatment center, including billing of blood factors under the 340B program. As an affiliate of UCLA, we use Epic (CareConnect) for our EMR and Athena for billing.

Requirements

  • Bachelor's degree in business or a related field
  • 5 years of progressive healthcare billing experience, including management and supervisory experience
  • Knowledge of healthcare billing operations, Medi-Cal, and other government programs
  • Proficiency in Microsoft Word and Excel
  • Strong communication and managerial skills, and attention to detail

Nice To Haves

  • Master's degree preferred
  • Epic and/or Athena experience strongly preferred

Responsibilities

  • Run day-to-day Patient Accounts operations and serve as the authorized contact with our billing software vendor
  • Audit ASC and Factor charges, manage CareConnect work queues, and support clean claims
  • Maintain charge masters and lead remittance review, denials, and appeals
  • Approve large-dollar write-offs and bad debt after appropriate follow-up
  • Manage A/R, departmental budget, and reporting for providers and leadership
  • Oversee Factor billing and medical coding and compliance for surgical procedures
  • Develop department policies, recruit and supervise staff, and ensure regulatory compliance
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