Director of Revenue Cycle Burien, WA.

Pay Range: $ - $ - $

Northwest Kidney Centers seeks a Director of Revenue Cycle. To lead patient billing and finance. The position is a full-time, hybrid position based at Burien, WA.

Shift: Full-time, Monday-Friday, Hybrid.

The Revenue Cycle Director (RCD) reports to the Vice President of Finance/CFO and leads the patient billing and patient finance teams. The RCD oversees the revenue cycle process and ensures accurate and timely billing of patient services (In-clinic dialysis, Home Program dialysis, and Acutes) within the time constraints of the monthly accounting closing schedule. Includes oversight of patient intake, authorization, billing, cash posting and collection functions, the design of a revenue control environment and develops new and improved revenue processes and policies.

The RCD also ensures appropriate use and maintenance of the revenue cycle applications and interfaces with IT and application vendors for training and maintenance of these systems.

This position is responsible for ensuring that patient billing and processing of payment receipts are consistently completed in a timely fashion and in accordance with policy and regulations. The RCD will minimize bad debt, improve cash flow, and effectively manage accounts receivables, including timely appeals of denied or short paid accounts. The RCD will work closely with the Director of Payer Contracts to ensure contracts can be operationalized by the Billing staff and that contract performance is met.

As needed, the RCD will communicate with Payers and/or Legal to ensure full expected reimbursement is received.

Additional responsibilities include coordinating day-to-day activities with other NKC personnel; liaison with patients and insurances, Medicare/Medicaid, and other organizations; and performance of all billing and collection duties and responsibilities.

• Own end-to-end revenue cycle performance: patient registration and insurance verification, eligibility, authorization, charge capture, coding, claim submission, payment posting, denial management, AR follow-up, patient collections, refunds, and bad debt.
• Establish and manage KPIs including net collection rate, days in AR, aged AR >90/>120, clean claim rate, first-pass yield, denial rate by root cause, cost to collect, and unbilled/DNFB.
• Drive month-end close deliverables in partnership with Accounting: revenue recognition support, AR valuation and reserve analysis, contractual allowance modeling, and cash forecasting inputs.
• Lead root-cause analysis on denials and underpayments; build durable process and system fixes rather than recurring manual workarounds.
• Partner with clinical operations, admissions, social work, and the insurance/patient advocacy function to resolve front-end issues that drive back-end rework.

• Manage billing across Medicare (ESRD PPS), Medicare Advantage, Medicaid and Medicaid managed care, commercial, and self-pay populations.
• Oversee ESRD-specific requirements: CMS-2728/2746 workflows, Medicare entitlement and the 30-month coordination period, Medicare Secondary Payer and COB, in-center hemodialysis, home hemodialysis and peritoneal dialysis billing, AKI patients, separately billable drugs and HCPCS/J-code capture, condition and modifier usage, and monthly billing cycle integrity.
• Monitor CMS rule making (ESRD PPS proposed and final rules, TPNIES/TDAPA, quality incentive program) and translate reimbursement changes into revenue, system, and workflow impacts.
• Support payer contract analysis, rate modeling, underpayment recovery, and contract loading/verification in the billing system.
• Maintain compliance with HIPAA, payer requirements,…