Revenue Cycle Director

Shoshone Medical CenterKellogg, ID
26d

About The Position

Shoshone Medical Center is seeking an experienced Revenue Cycle Director to oversee all revenue-generating operations for the hospital and affiliated physician practices. This leadership role ensures efficient revenue capture, optimal reimbursement, regulatory compliance, and a positive patient financial experience. Key Responsibilities Lead and oversee billing, collections, pre-authorization, patient engagement, and medical records (HIM). Manage day-to-day revenue cycle operations to ensure timely, accurate billing and collections. Oversee provider credentialing, charge master maintenance, and overall revenue integrity. Partner with clinical and administrative leaders to ensure accurate charge capture and documentation. Maintain strong payer relationships and ensure contract and regulatory compliance. Monitor performance metrics and report revenue cycle outcomes to leadership. Shoshone Medical Center offers a collaborative environment and the opportunity to lead critical financial operations that support high-quality patient care.

Requirements

  • Demonstrated leadership experience managing healthcare revenue cycle operations.
  • Strong knowledge of medical billing, coding, and third-party reimbursement.
  • Experience with EHR and revenue cycle management systems.
  • Understanding of HIPAA, Medicare/Medicaid, and healthcare compliance requirements.
  • Strong analytical, communication, and organizational skills.

Responsibilities

  • Lead and oversee billing, collections, pre-authorization, patient engagement, and medical records (HIM).
  • Manage day-to-day revenue cycle operations to ensure timely, accurate billing and collections.
  • Oversee provider credentialing, charge master maintenance, and overall revenue integrity.
  • Partner with clinical and administrative leaders to ensure accurate charge capture and documentation.
  • Maintain strong payer relationships and ensure contract and regulatory compliance.
  • Monitor performance metrics and report revenue cycle outcomes to leadership.
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