Executive Director, Business Services (Revenue Cycle)

University of North Texas System•Fort Worth, TX

5d•Onsite

About The Position

The Executive Director provides leadership and oversight for revenue cycle operations, patient financial services, electronic health record operations, and related business applications. This position drives financial performance, reimbursement, regulatory compliance, technology optimization, and improvements in the patient financial experience. The role collaborates with clinical, operational, finance, compliance, and technology leaders to establish performance standards, lead process improvement initiatives, manage vendor relationships, and support the long-term goals of the Clinical Practice Group. This position serves as a member of the Clinical Practice Leadership Team and reports to the Senior Vice President/Chief Operating Officer.

Requirements

Bachelor's degree in Business Administration or Public Administration and seven (7) years related experience; or any equivalent combination of education and experience.
Knowledge of healthcare revenue cycle, reimbursement, billing compliance, and electronic health record systems.
Skill in strategic planning, financial and operational analysis, process improvement, and vendor management.
Strong leadership, communication, collaboration, and change-management skills.
Ability to interpret performance data, establish priorities, manage complex initiatives, and drive accountability and results.

Nice To Haves

Master's degree and/or professional certification such as CHFP, CRCR, or FHFMA.
Equivalent combinations of education and relevant experience may be considered.

Responsibilities

Provides executive leadership, direction, and oversight of revenue cycle operations through the Directors and Managers responsible for these functions, including charge capture, coding, claims submission, payment posting, denial management, accounts receivable, patient billing, collections, and resolution of patient balances.
Collaborates with clinic operations and clinical leaders to improve front-end revenue cycle processes, including registration, eligibility verification, point-of-service collections, encounter closure, and other workflows that affect reimbursement and the patient financial experience.
Develops and executes a comprehensive revenue cycle and revenue integrity strategy aligned with organizational financial, clinical, access, compliance, and patient experience goals.
Establishes long-range plans, operational priorities, and performance expectations that support sustainable net revenue, cash acceleration, regulatory compliance, and patient-centered financial services.
Ensures accounts receivable and patient financial records are maintained confidentially and in accordance with applicable accounting, privacy, billing, and regulatory requirements.
Establishes and delegates implementation of goals, objectives, policies, procedures, workflows, internal controls, and systems for assigned revenue cycle functions within UNT Health Clinical Practice Group.
Consults with Directors and Managers and evaluates departmental goals, performance trends, operational barriers, staffing needs, funding limitations, timelines, and resource allocation to accomplish organizational objectives.
Establishes, monitors, analyzes, and reports key revenue cycle performance indicators to assess operational effectiveness, identify trends, prioritize improvement opportunities, and support executive decision-making.
Works with clinic operations leaders to address front-end performance measures.
Oversees revenue integrity and reimbursement optimization activities to support accurate charge capture, compliant documentation and coding, appropriate reimbursement, and timely identification and resolution of revenue leakage.
Leads denial prevention and management initiatives through root-cause analysis, payer trend monitoring, corrective action planning, and collaboration with operational, clinical, compliance, and finance leaders to reduce avoidable denials and improve reimbursement outcomes.
Provides executive oversight of electronic health record operations, business applications, and revenue cycle technology platforms.
Directs the strategic planning, governance, optimization, implementation, and ongoing support of the UNT Health Clinical Practice Group’s electronic health record and practice management systems, clearinghouse tools, billing platforms, reporting dashboards, automation, and related business applications.
Ensures system integrity, data quality, user adoption, workflow optimization, reporting capabilities, and alignment with clinical, operational, financial, and compliance objectives.
Oversees system performance, configuration priorities, vendor relationships, technology contracts, and related investment recommendations in coordination with information technology leadership.
Partners with managed care, finance, legal, compliance, and operational leaders on third-party payer negotiations, reimbursement methodologies, contract implementation, and payer performance management.
Coordinates payer contract provisions, reimbursement terms, and operational requirements with billing, collections, finance, and clinical operations.
Partners with the teams responsible for credentialing, payer enrollment, and clinic operations to support timely provider enrollment, effective dates, and reimbursement readiness for new providers, services, and payer relationships.
Drives cash acceleration, appropriate net revenue performance, and long-range revenue cycle planning by improving assigned mid-cycle and back-end functions and partnering with clinic operations on front-end processes.
Identifies opportunities to improve reimbursement, reduce avoidable accounts receivable, prevent denials, strengthen appeals, improve collections, reduce write-offs, and resolve patient balances in a timely and compliant manner.
Implements and maintains standardized revenue cycle policies, controls, and procedures consistent with federal and state regulations, payer requirements, CMS guidance, HIPAA, coding and billing standards, price transparency requirements, patient financial protection regulations, and applicable audit standards.
Partners with compliance, legal, finance, clinical operations, and provider leadership on audits, investigations, corrective action plans, policy updates, documentation improvement, coding integrity, charge capture accuracy, and patient financial communication standards.
Establishes quality assurance, audit readiness, and internal monitoring processes to support accurate billing, compliant documentation, appropriate reimbursement, data integrity, and adherence to payer and regulatory requirements.
Provides executive-level reporting, analysis, and strategic recommendations to senior leadership regarding revenue cycle performance, net revenue trends, payer performance, operational risks, compliance matters, technology priorities, workforce needs, vendor effectiveness, improvement initiatives, and progress toward organizational goals.
Manages third-party vendors, including billing partners, clearinghouses, collection agencies, payment processors, and revenue cycle technology vendors, and monitors service expectations, compliance, contract outcomes, and performance.
Serves as the executive business owner for revenue cycle, patient financial services, electronic health record operations, and related business applications.
Provides governance and strategic oversight for technology enhancements, system implementations, workflow redesign, data analytics, and operational transformation efforts that support clinical, financial, compliance, and patient experience objectives.