Director, Revenue Cycle

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The leader of the Revenue Cycle, Central Scheduling, and Patient Access team is responsible for maximization of revenue and cash flow and compliant and efficient scheduling and patient registration while maintaining the highest levels of patient, physician/provider, and team member satisfaction and relations. This includes oversight of all business-related functions of the patient visit from point‑of‑entry to accurate adjudication of the patient’s account.

Specific areas of responsibility include coding, billing and collection, patient insurance data processing, denial management, integrity of patient accounts, and accounts receivable management. The Director is responsible for the direction of these efforts to ensure the accuracy and timeliness of charge capture, coding, claims submission, follow‑up, denial, and underpayment management.

• Lead, manage, and direct patient insurance, billing, collection, and data processing service areas.
• Lead, manage, and direct Central Scheduling and Patient Access and their respective managers.
• Oversight and direction of patient account status ensuring identification and resolution of billing and processing problems in a timely manner; an efficient system for the collection of delinquent accounts; daily operating activity of departments; effective billing and accounts receivable system or software.
• Supervises leaders, including hiring, scheduling and assigning work, training, orientation, mentoring/coaching, evaluating and reviewing performance, and recommending salary increases, promotions, transfers, demotions, or terminations.
• Maintains knowledge of and complies with established policies and procedures including government, insurance, and third‑party payer regulations.
• Serves as subject matter expert for questions relating to patient accounts. Creates policies as needed.
• Provide the CFO and executive team with weekly, monthly, and ad‑hoc reports as requested.
• Establish and maintain internal controls to safeguard assets, ensure accurate and reliable accounting records, promote efficiency of operation, and maintain compliance with system policies and procedures.
• Maintain professional and technical knowledge through continuing education opportunities including internal and external educational offerings.
• Must adhere to, and promote, safety protocols at all times.
• Per DRH policy, all required conditions of employment must be met and maintained including required vaccinations.
• Implement DRH Standards of Behavior and exhibit behaviors consistent with DRH core values.
• Performs other related duties as assigned.

Minimum Qualifications
:
Proven leadership and management experience is essential. Strong interpersonal skills to successfully represent the department and organization at all levels;
Ability to engage with team members at all levels of the organization and exercise sound judgement. Computer skills with the information technology associated with the position;
Ability to adapt procedures, processes, tools, equipment, and techniques to accomplish the requirements of the position.

Bachelor’s degree in business or related field preferred. Three (3) to five (5) years of management experience demonstrating team building, team member coaching, and counselling required. A minimum of five (5) years of hospital revenue cycle required. Experience in home care/hospice and/or physician billing/collections experience preferred. Must have proven experience leading a high performing team as well as the capacity to set and deliver outcomes in a fast‑paced environment.

Demonstrated knowledge of patient insurance, billing, collections, data processing, and related systems. Demonstrated knowledge of: business management and basic accounting principles; computer accounting programs, spreadsheets, and applications; medical terminology and coding; third‑party/insurance company operating procedures, regulations, and billing requirements and government reimbursement programs; provider and facility…