Director, Revenue Cycle

Monogram Health • Nashville, TN

3d

About The Position

The Monogram Health Director, Revenue Cycle will have the opportunity to build and lead standard processes and a cross-functional team to optimize financial results and improve the patient experience. He or she will partner with coding, clinical, finance, compliance, and operations leadership to align the revenue cycle function with organizational goals around growth, quality, compliance, and member experience. The Director, Revenue Cycle will provide strategic leadership over revenue cycle reporting, denial management, self-pay billing and other related processes through data analysis and establishing scalable processes, policies, and controls. As a member of this team, this individual has exposure to all aspects of Monogram’s business model and is immersed in the rapidly growing value-based care vertical of the healthcare industry.

Requirements

• Bachelor’s degree in finance or accounting required
• 7+ years of experience in claims operations management and revenue cycle
• Demonstrated experience managing and scaling a revenue cycle team in a complex healthcare environment (multi-specialty care, value-based or risk-based care models preferred).
• Excellent verbal communication skills both in person and over the phone
• Analytical skills, financial acumen, and proficiency with revenue cycle management systems / EHR / billing platforms
• Working knowledge of ICD-10, HCPCS, and CPT coding
• Understanding of Medicare, Medicaid, and third-party billing/coding guidelines and clinical documentation requirements
• Highest standards of accuracy and precision; highly organized

Responsibilities

• Oversee revenue cycle operations, including insurance verification, partnering with the coding team around charge capture/medical coding, billing/claims submission, payment posting, collections, denial management, self-pay billing, reporting, and patient billing inquiries.
• Develop and implement scalable operating procedures and policies, internal controls, and compliance frameworks.
• Ensure all revenue cycle operations meet federal/state regulations, payer requirements, coding and documentation standards (ICD-10, CPT, HCPCS, etc.), and privacy/HIPAA compliance; stay abreast of payer requirements and changes in the industry and communicate those changes to team members and leadership.
• Define and analyze revenue cycle KPIs (e.g., Days in A/R, denial rates, claim turnaround time, clean claim rate, cash collections, write-offs); monitor and report on KPIs to senior leadership, while identifying opportunities for process improvement.
• Lead, mentor, and manage staff across revenue cycle team — including performance management, training, documentation standards, and ongoing education on coding/payer regulations.
• Support Monogram Health as necessary with any tasks or projects required to deliver excellent personalized care
• Uphold the mission and values of Monogram Health in all aspects of your role and activities

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

What This Job Offers

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