Director, Revenue Cycle

Tulea Health•Pittsburgh, PA

16h

About The Position

Our Revenue Cycle Director will lead the strategy and execution of our revenue cycle function across our growing portfolio of infusion services sites, partnering closely with local site teams to drive financial performance for our customers. You will own the integrity of our revenue management processes and technology infrastructure enterprise-wide, building the people, processes, and controls needed to deliver accurate and appropriate reimbursement for our services. You will build, lead, and develop a team of revenue cycle professionals, and integrate with our customer and clinical operations teams as well as with our health system partners to build and sustain the ongoing financial health of our infusion center operations. This role will set the vision for, and continuously and measurably improve, the efficiency and effectiveness of our client-focused revenue cycle processes across the portfolio.

Requirements

5+ years of experience leading, managing, and executing the revenue cycle for an ambulatory or outpatient infusion center, home infusion, specialty pharmacy, or specialty physician practice with infusion services.
5+ years of experience building, leading, and mentoring a team including performance management.
Demonstrate how you have driven accurate and efficient revenue cycle performance across multiple sites or a growing portfolio of locations for ambulatory infusion services or an allied domain with a high degree of integrity, efficiency, and collaboration.
Have a track record of creating, executing, and leading highly productive revenue cycle processes and teams that support consistent and effective reimbursement for the services for which you and your team are accountable.
Communicate effectively and confidently with executive and health system leadership, translating complex revenue cycle data into clear, actionable insights.
Understand and have utilized industry-standard provider revenue cycle management technology tools.
Have utilized continuous process improvement methodologies and techniques in previous roles.
Have a background of working in a cross-functional environment where collaboration with your colleagues, particularly those in patient-facing clinical roles, is an essential part of your ongoing success.
Are comfortable stepping outside your role and respectfully challenging your peers and senior leaders across functions to ensure effective overall performance based on a high degree of trust.

Nice To Haves

Experience with infusion-specific solutions is a significant plus.
Relish the opportunity to work in a collaborative, team-based environment where your work has an immediate and direct impact on the mission of our organization - creating a superior patient experience.
Show a propensity to innovate and overcome obstacles and solve problems to eliminate barriers to success.
Thrive in a rapidly evolving environment with a diverse group of stakeholders who welcome innovative ideas and solutions with a common goal.
Embrace being part of a fast-paced, dynamic team in a high-growth environment; this includes having excellent interpersonal and listening skills, as well as a desire to remove barriers to growth through innovation and creativity.

Responsibilities

Lead and oversee the day-to-day activities associated with accurate and efficient revenue cycle processes for our Ambulatory Infusion Centers including claims management, payment posting and reconciliation, denial management, insurance follow-up, and other related tasks, building and leading a team of revenue cycle professionals accountable for this work.
Partner with our clinical team members to integrate revenue integrity appropriately and effectively into our patient-facing processes and engagement strategies especially for patient co-payment, prior authorization management, and accurate and compliant documentation.
Integrate with our customers’ patient financial assistance infrastructure to help facilitate access to care and support our patient navigators and clinical team members.
Own the selection, development, implementation and ongoing utilization of technology to support our revenue cycle performance, in partnership with our clinical and IT stakeholders.
Establish and actively manage the key performance indicators that lead to continued overachievement of customer-specific service level standards and financial performance targets across our portfolio of sites.
Serve as a strategic partner to senior customer operations and health system leadership, shaping payor engagement and collaboration strategies in conjunction with our health system partners.
Partner with our corporate finance and executive leadership teams to deliver accurate and timely reporting, financial forecasting, and customer management, translating site-level performance into enterprise-wide insights.
Recruit, lead, mentor, and develop a high-performing team of revenue cycle professionals, fostering a culture of accountability, continuous improvement, and professional growth.
Develop and implement standardized revenue cycle policies, procedures, and best practices across our growing portfolio of Ambulatory Infusion Centers to ensure consistency, scalability, and compliance as we grow.
Serve as a subject matter expert and thought partner to executive leadership on revenue cycle performance, trends, and opportunities, presenting findings and recommendations to senior stakeholders.