Sr. Director, Revenue Cycle
New
J
JobgetherHealthcare revenue cycle
Based in the United StatesFull-TimeDirector
Salary not disclosed
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Job Details
- Experience
- At least seven years of experience in business operations; at least three years of management experience; at least five years of experience in operational data analytics and reporting.
- Required Skills
- Project ManagementMicrosoft Office
Requirements
- At least seven years of business operations experience, such as call center management, enrollment, billing, or payment processing; healthcare experience is preferred.
- At least three years of management experience, including operational oversight, strategic planning, performance management, and team development.
- At least five years of experience in operational data analytics and reporting.
- Experience in strategic planning, business planning, and budget development and management.
- Knowledge of healthcare reimbursement, claims management, billing, accounts receivable, denials, collections, and revenue cycle performance optimization.
- Ability to understand and monitor healthcare reimbursement regulations, payer requirements, and compliance obligations.
- Ability to lead complex projects, coordinate cross-functional stakeholders, and manage competing priorities.
- Proficiency in Microsoft Office applications used for reporting, analysis, and presentations.
- Ability to investigate operational challenges, identify root causes, interpret trends, and develop financial models.
- Strong written, verbal, and presentation skills for communicating complex information to varied audiences.
- Experience in health insurance and project management is preferred; database management experience is an advantage.
Responsibilities
- Lead revenue cycle strategy and align departmental priorities with financial and operational goals.
- Oversee patient eligibility and demographics, billing, accounts receivable, claims management, collections, and reporting.
- Develop and monitor KPIs, dashboards, and operational reports.
- Document processes, identify bottlenecks, conduct root cause analyses, and implement workflow improvements.
- Analyze claims, denial patterns, reimbursement trends, and collections to forecast revenue and recommend corrective actions.
- Develop financial models to assess returns and guide resource allocation and revenue recovery.
- Use workforce reporting to assess staffing costs, productivity, capacity, and resource utilization.
- Identify opportunities to use technology, automation, and data-driven solutions to improve operations.
- Monitor CMS requirements, payer regulations, and reimbursement policies, and oversee departmental policies and controls.
- Lead cross-functional collaboration and develop teams through coaching, mentoring, and performance management.
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