Director Professional Billing Revenue Cycle

POSITION SUMMARY

Under the direction of the Senior Director Professional Billing and Revenue Integrity, the Professional Billing Revenue Cycle Director provides strategic and operational leadership for physician billing and revenue cycle activities across the Physician Organization. This role oversees charging and billing processes, work queue management, and ensures timely and effective follow-up of outstanding claims through the third-party billing vendor. The Director is responsible for establishing organizational priorities, developing and executing operational strategies, and driving optimal performance across the physician revenue cycle.

Serving as a key liaison among clinical operations leadership, third-party billing partners, vendor leadership, and internal departments, the Director fosters collaboration to enhance revenue cycle outcomes. Additionally, the Director provides leadership and direction to the Billing Senior Manager supporting physician practices, ensuring the development, implementation, and achievement of quality, performance, and compliance measures.

Director, Professional Billing Revenue Cycle

SS - Revenue Cycle

Full Time

• Strategic Leadership & Supervisory Oversight: Provide strategic leadership and oversight of Billing Operations, establishing departmental priorities, performance expectations, and operational strategies while directing their Billing Senior Manager and their team to achieve short- and long-term organizational, service quality, and compliance objectives.

• Vendor & Partner
  
  Collaboration:
  
  Partner with Revenue Cycle leadership, Vendor Operations, and third-party billing vendors to optimize billing performance, maximize revenue capture, and ensure timely, accurate reimbursement.

• Process Transformation: Lead the transformation and continuous improvement of physician revenue cycle processes, driving operational efficiency, financial performance, and organizational effectiveness.

• Performance Monitoring & Analytics: Monitor revenue cycle performance through Epic dashboards, reports, and key performance indicators to proactively identify risks, barriers, and opportunities for improvement.

• Stakeholder Liaison: Serve as the primary operational liaison among physician practices, clinical leaders, third-party vendors, and Revenue Cycle departments to ensure service levels, communication, and performance objectives are met.

• Technology Governance: Oversee the implementation, optimization, and governance of revenue cycle technologies, business processes, and workflow enhancements to improve productivity, quality, and compliance.

• Financial & Trend Analysis: Develop and communicate performance metrics and financial indicators to leadership, conducting trend analysis, root cause investigations, and corrective action planning to improve financial outcomes.

• Automation & Standardization: Champion automation, system enhancements, and process standardization initiatives that streamline operations, reduce manual effort, and improve revenue cycle performance and collections.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

• Bachelor’s Degree in Business, Finance, Financial Management, Healthcare Administration, or a related field with a minimum of 10 years of related experience in healthcare revenue cycle operations; or an equivalent combination of education and experience.

• Master’s Degree in Business or Healthcare Administration with experience utilizing Epic system software.

• Physician Revenue Cycle Expertise: Comprehensive knowledge of physician revenue cycle operations, including billing, claims management, payer reimbursement methodologies, denial management, regulatory requirements, and payment policies.

• Coding & Regulatory Knowledge: Strong understanding of CPT coding principles, payer reimbursement…