Executive Director of Revenue Cycle

Jordan Valley Community Health Center • Springfield, MO

397d

About The Position

The Executive Director of Revenue Cycle at Jordan Valley Community Health Center is a senior leadership role responsible for overseeing and optimizing the revenue cycle management process. This position is crucial for ensuring the financial sustainability of the organization by driving efficiencies, maximizing reimbursement, and maintaining compliance with regulatory requirements. The Executive Director will lead a multidisciplinary team, collaborate with other leaders, and develop strategies to align revenue cycle functions with the organization's mission and strategic goals.

Requirements

• Bachelor's degree in healthcare administration, finance, or a related field (Master's degree strongly preferred).
• At least 10 years of progressively responsible experience in revenue cycle management, with at least 5 years in a leadership role.
• 3+ years EPIC system use/experience including financial, billing and clinical documentation (EHR) functionalities preferred.
• Deep understanding of the healthcare revenue cycle, including patient registration, insurance verification, billing, coding, collections, denials management, and payer reimbursement processes to minimize write-offs.
• Strong knowledge of traditional and managed Medicaid and Medicare as well as Commercial payors.
• Skills in developing financial models, revenue forecasting, and scenario planning to ensure long-term economic health.
• Proven ability to lead and manage teams, drive organizational change, and achieve measurable results.

Nice To Haves

• Experience with Federally Qualified Health Centers (FQHC) preferred.
• Preferred experience with State of Missouri.

Responsibilities

• Develop and implement strategic plans to improve revenue cycle performance, ensuring alignment with the organization's goals and objectives.
• Provide visionary leadership and direction to the revenue cycle team, promoting a culture of continuous improvement, accountability, and high performance.
• Collaborate with senior leadership to set short-term and long-term goals for revenue cycle operations, ensuring these goals are measurable and achievable.
• Oversee all aspects of the revenue cycle, including billing, coding, insurance and self-pay collections, denial management, and accounts receivable.
• Monitor and analyze revenue cycle metrics and key performance indicators (KPIs) to identify trends, issues, and opportunities for improvement.
• Ensure compliance with all federal, state, and local billing, coding, and revenue collection regulations, maintaining up-to-date knowledge of changes in legislation and regulations.
• Implement robust denial management processes to minimize write-offs and improve collection rates.
• Develop and enforce policies and procedures to ensure accurate and timely billing and coding practices.
• Identify and implement best practices and process improvements to enhance efficiency and effectiveness across all revenue cycle functions.
• Utilize technology, data analytics, and automation tools to streamline revenue cycle processes and reduce manual interventions.
• Lead continuous process improvement initiatives, leveraging Lean, Six Sigma, or other methodologies to drive operational excellence.
• Collaborate with IT and other departments to ensure the integration and optimization of revenue cycle management software and electronic health records (EHR) system.
• Monitor financial performance indicators, such as days in accounts receivable, net collection, and denial rates, to ensure revenue cycle goals are met or exceeded.
• Prepare and present regular reports on revenue cycle performance to senior leadership, highlighting achievements, challenges, and action plans.
• Develop and manage the revenue cycle budget, ensuring resources are allocated effectively to support strategic initiatives.
• Conduct financial analysis to identify opportunities for revenue enhancement and cost reduction.
• Recruit, train, and mentor revenue cycle staff, promoting professional growth and development within the team.
• Conduct regular performance evaluations and provide ongoing feedback and coaching to team members, setting clear expectations and goals.
• Foster a collaborative and inclusive team environment, encouraging open communication and knowledge sharing.
• Develop and implement training programs to ensure staff know about billing, coding, and compliance requirements.
• Work closely with other departments, including finance, clinical operations, compliance, and IT and clients, to ensure seamless integration of revenue cycle processes and support organizational objectives.
• Serve as a liaison between the revenue cycle team and external stakeholders, such as clients, insurance companies, regulatory agencies, and vendors, to resolve issues and enhance relationships.
• Participate in cross-functional teams and committees to drive organizational initiatives and promote a holistic approach to revenue cycle management.
• Ensure all revenue cycle activities comply with applicable laws, regulations, and accreditation standards.
• Implement and monitor internal controls to mitigate risk and prevent fraud, waste, and abuse.
• Stay informed about industry trends, regulatory changes, and best practices, and ensure the organization adapts to these changes proactively.

Benefits

• Health savings account
• AD&D insurance
• Paid holidays
• Disability insurance
• Health insurance
• Dental insurance
• Flexible spending account
• Employee assistance program
• Vision insurance
• 403(b)
• Prescription drug insurance
• Pet insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree