Director Revenue Cycle

Jefferson Health Plans • Philadelphia, PA

20h • Onsite

About The Position

The Director of Revenue Cycle – HB Receivables is responsible for providing strategic leadership, operational oversight, and performance management of the organization’s hospital-based accounts receivable operations, ensuring alignment with financial goals and regulatory requirements. This role drives enterprise-wide initiatives to optimize and accelerate cash flow, improve net revenue realization, and minimize avoidable write-offs through effective denial prevention, cash collections, and A/R management strategies. The Director monitors KPIs, benchmarks, and dashboards to ensure billing accuracy and receivables performance, while overseeing all follow-up functions including claim submission, payment posting, denial management, and collections. This position partners closely with Revenue Integrity, Managed Care, Health Information Management, Utilization Management, Finance, Compliance, and operational leaders to resolve systemic issues and advocate for timely, accurate reimbursement. In addition, the Director is accountable for managing vendor relationships that support A/R operations, ensuring contractual compliance, service quality, and cost-effectiveness. This includes negotiating agreements, monitoring vendor performance, and driving accountability for results. By leading root-cause analysis of controllable write-offs, rejections, and denials, and implementing sustainable process improvements, this leader ensures operational excellence while maintaining compliance with federal, state, and payer requirements. Through strategic vision, operational rigor, and strong vendor partnerships, the Director plays a critical role in achieving optimal financial performance and fostering a culture of continuous improvement.

Requirements

• Proficient in Hospital and Physician Revenue Cycle.
• Demonstrated effective critical thinking, problem-solving and decision making skills.
• Exceptional writing and verbal communication skills.
• Proficient in Microsoft Office Suite.
• Experience and knowledge of Epic.
• Bachelor's Degree in Accounting, Business Administration, Finance, Health Administration or a related field.
• Minimum of 5 years revenue cycle leadership.

Nice To Haves

• Master's Degree in Business Administration, Health Administration, or Information Management is preferred.

Responsibilities

• Interacts coworkers, visitors, and other staff consistent with the values of Jefferson.
• Manages all aspects of change management as it relates to operational processes, driving process metrics, staffing and employee relations.
• Maintain full knowledge of departmental operations and act as a resident expert on issues to enhance proficiency within the Revenue Cycle operations.
• Conducts revenue cycle analysis, trending, support executive level reporting and analysis of department performance including key performance indicators, annual goals, and other operational metrics making continual assessments of operations performance and progress.
• Prepares operating budgets to meet organizational goals and objectives; Approving and monitoring department expenses and monthly budget reports
• Is responsible to assume a leadership role in committees, task forces and projects as appropriate.
• Mentors, guides and provides professional development opportunities to key team members
• Participate in Revenue Cycle leadership activities, including facilitating the implementation of systems, processes, and procedures to insure regulatory compliance, and maintaining an awareness of changes in healthcare matters that directly or indirectly affect the revenue of the hospitals/physician practices.

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
• For more benefits information, please click here
• In keeping with Jefferson's Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees.
• Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees