Revenue Cycle Director

Gentiva HospiceMooresville, NC
Remote

About The Position

We are seeking a strategic and experienced Revenue Cycle Director to lead and evolve our multi-state billing operations. In this role, you will oversee the entire revenue cycle process, drive financial outcomes, implement scalable policies, and ensure excellence in claims submission and collections across all payers. This is a high-impact leadership position, responsible for staff across various time zones, managing performance by metrics, and identifying opportunities for process improvement in a fast-growing healthcare organization.

Requirements

  • Bachelor’s degree in Accounting, Finance, Business, or Healthcare Administration.
  • Minimum 5 years of healthcare reimbursement experience with increasing leadership responsibilities.
  • Deep understanding of medical billing codes, payer contracts, and reimbursement rules.
  • Proven success managing metrics-driven teams in a multi-site or remote billing environment.
  • Strong leadership, analytical, communication, and project management skills.
  • Ability to identify, plan, and execute on process improvement initiatives.
  • Experience with HIPAA regulations, CPT/ICD-9/10 coding, and medical necessity policies.
  • Proficient in Microsoft Office, particularly Excel.
  • Experience with EHRs and automated billing platforms.
  • Comfortable managing large data sets and generating performance reports.

Nice To Haves

  • Hospice billing experience preferred.
  • Experience with Homecare Homebase billing system preferred.

Responsibilities

  • Direct billing management and ensure accurate claim submission and timely collections for Medicare, managed care, commercial insurance, and private pay.
  • Maximize cash collections through diligent monitoring of accounts receivable.
  • Design and maintain comprehensive billing policies and procedures; ensure departmental compliance.
  • Analyze billing and A/R activity including performance metrics, bad debt expense, and days in A/R.
  • Drive continuous process improvement initiatives across the revenue cycle.
  • Lead the billing team through month-end closing, special billing programs, and system integrations.
  • Support implementation of new billing systems for acquired companies.
  • Collaborate cross-functionally with Operations, Sales, and Compliance teams.
  • Manage payer data, medical billing code tables, and rate schedules.
  • Monitor and improve reimbursement performance, denials management, and carrier exception reporting.
  • Hire, train, develop, and coach billing team members across multiple locations.

Benefits

  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund
  • Medical, Dental, Vision Insurance
  • Mileage Reimbursement or Fleet Vehicle Program
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
  • Free Continuing Education Units (CEUs)
  • Company-paid Life & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
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