Director of Revenue Cycle
These are the duties that define this job and are required to be performed by the incumbent. Other essential duties may be assigned.
- 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.
- 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.
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