Director of Revenue Cycle
- Oversee and maintain a robust revenue cycle management infrastructure, including charge capture, billing, collections, posting, and payer engagement, to support the financial health of the practice.
- Build, manage, and maintain payer relationships; lead payer contracting, negotiations, compliance, and analysis of financial impact related to managed care contracts and fee schedules.
- Monitor, interpret, and ensure compliance with Medicare, Medicaid, and all other payer regulations, billing policies, credentialing standards, and legislative changes; develop action plans, audits, education, and process improvements as needed.
- Utilize practice management systems and reporting tools to monitor performance, define KPIs, prepare financial and operational reports, and support budgeting, forecasting, and strategic planning initiatives.
- Provide leadership, oversight, and direction to revenue cycle and patient services teams, including patient registration, benefit verification, estimates, financial assistance, and customer service functions.
- Manage staff performance and operations by assigning workloads, setting priorities, conducting evaluations, providing coaching and orientation, supporting morale, and ensuring adequate coverage during absences or high patient volume.
- Serve as a key liaison with executive leadership, physicians, managers, and staff to ensure effective communication, operational alignment, and accurate handling of billing and payment activities.
- Own the end-to-end build of new initiatives within the revenue cycle team— from validating team needs, providing input into the business case, overseeing implementation, and defining what success looks like.
- Promote and model patient-centered customer service, addressing complex patient concerns and ensuring staff engagement in service excellence.
- Develop and maintain the revenue cycle budget and operating plan; analyze trends and adverse impacts to support financial planning and sustainability.
- Actively participate in practice leadership, strategic initiatives, and long-term planning to support quality care delivery, regulatory compliance, and private practice viability.
- Uphold professional ethics, workplace safety standards, and organizational policies at all times.
- Perform other related duties as required.
- ESSENTIAL EDUCATION AND/OR EXPERIENCE:
- Bachelor’s degree required, preferably in healthcare administration, healthcare economics, business administration or related field.
- Minimum of 10 years of progressive leadership experience within revenue cycle, revenue integrity, or middle revenue cycle disciplines.
- Working knowledge of medical billing and coding standards including ICD, CPT, HCPCS, CMS regulations, credentialing, contracting, and NPI requirements.
- Knowledge of healthcare regulatory requirements, payer rules, and compliance standards, including HIPAA.
- ADDITIONAL DESIRABLE EDUCATION AND/OR EXPERIENCE:
- MBA or equivalent experience – especially if paired with exposure to P&L ownership or business unit ownership.
- Significant experience working in or around oncology fee-for-service and prior authorizations for in-office infusions.
Columbus Oncology Associates is an Equal Opportunity Employer and proudly a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
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