Revenue Cycle CBO Director - Remote​/Nationwide

This is a remote based position. Applicants can be located nationwide

You are someone who is passionate about bringing end-to-end Revenue Cycle Central Business Office services together to improve financial performance, operational excellence, the patient financial experience. We need someone who can lead and develop high-performing teams and use data and operational insights to drive results. In the role of Revenue Cycle CBO Director, you will help shape an evolving CBO model and make a meaningful impact on the financial strength and long-term sustainability of rural healthcare.

• Tell us about your experience in End-to-End Revenue Cycle Leadership.
• Are you a team player and a self-motivator?
• What is your experience with conducting business in a way that is credit to a company?
• We are counting on you to manage multiple projects using your problem-solving skills.
• We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

• Lead end-to-end revenue cycle performance across Patient Access, Coding/CDI, Revenue Integrity, and PFS within the TRC CBO.
• Identify upstream and downstream drivers of revenue leakage, denials, payment delays, and patient financial friction and drive cross-functional improvement.
• Establish standardized workflows, controls, service levels, escalation pathways, and performance accountability across participating hospitals.
• Serve as the accountable CBO operational leader while developing functional Managers as owners of domain performance and execution.
• Serve as an executive-facing leader, translating complex revenue cycle performance into clear, compelling narratives, insights, and recommendations for Monthly Operating Reviews, Hospital Boards, C-Suite executives, and other internal and external executive stakeholders.

• Apply strong knowledge of CAH reimbursement, including cost-based reimbursement and requirements across inpatient, swing bed, outpatient, emergency, observation, and other in-scope services.
• Anticipate payer, regulatory, reimbursement, and operational changes affecting rural hospitals and translate impacts into effective operational response.

• Provide leadership and oversight for in-scope Patient Access functions, including registration, eligibility and benefits verification, prior authorization, medical necessity, financial clearance, patient estimates, financial counseling, and point-of-service collections.
• Drive front-end accuracy and timely financial clearance to support clean claims, reduce avoidable denials, accelerate cash, and improve the patient financial experience.
• Establish performance standards and root-cause processes for authorization, eligibility, registration accuracy, medical necessity, and point-of-service collection performance.
• Partner with hospital-retained and clinical teams when upstream workflows affect CBO outcomes.

• Lead Coding and CDI across participating CAHs, including inpatient, swing bed, outpatient, emergency, observation, clinic, and professional coding as applicable to scope.
• Ensure timely, accurate, and compliant coding and documentation through effective quality, productivity, audit, education, provider query, and CDI practices.
• Drive coding- and documentation-related DNFB reduction, claim edit resolution, denial prevention, and root-cause improvement in partnership with providers, clinical leadership, Case Management, and hospital-retained HIM.
• Oversee revenue integrity, including charge capture and reconciliation, charging controls, revenue-related edits, and identification and prevention of revenue leakage.
• Partner across Patient Access, Coding/CDI, PFS, clinical departments, Finance, and hospital leadership to identify systemic issues and implement sustainable corrective action.

• Lead billing, insurance follow-up, AR, denials and appeals, underpayments, payment posting, credit balances, refunds, and self-pay operations.
• Drive payer-specific account resolution and escalation strategies to improve cash, reduce aging and avoidable write-offs, and maximize appropriate reimbursement.
• Monitor denial trends, payment variances, payer behavior, and reimbursement…