Director of Revenue Cycle
$100,000–$135,000 year
On-siteOrleans, Massachusetts, United States
Job Summary
Oversee the full revenue cycle from provider enrollment and credentialing to final payment collection, aligning data collection, billing, coding, and insurance claim processes with compliance and stakeholder needs. Manage the contracted billing vendor as the primary point of contact, reviewing invoices, maintaining the charge master, and ensuring timely, accurate performance. Liaise with clinical, operational, and finance leadership to support strategic planning, staff training, and resolution of financial issues such as unapplied payments and patient bill inquiries. Ensure proper provider rostering with payers including commercial, Medicaid, and Medicare, while staying informed on regulatory and billing/coding changes. Assess current processes to identify roadblocks and propose solutions, preparing executive summaries on key revenue cycle metrics for leadership.
Required Qualifications
- At least 5 years of experience as a Revenue Cycle Manager or in a similar position
- At least 2 years of experience as a supervisor or manager
- Strong familiarity with medical coding and healthcare billing
- Knowledge of HIPAA regulations
Desired Qualifications
- Bachelor's degree in healthcare administration, business or finance preferred
- Experience managing remote staff preferred
- Being a certified coder is a plus
- Experience working with a federally qualified health center (FQHC) or other primary or ambulatory care organization a plus
- Experience with the Epic EMR a plus
- Experience communicating with diverse stakeholders (i.e. medical providers; front desk staff; patients; insurance providers; c-suite leaders, etc.)
- Experience managing a vendor's performance and serving as a liaison between internal stakeholders and an external vendor
- Experience interacting with patients and families, particularly related to researching and resolving questions or issues related to patient charges and bills
- Strong analytical and problem-solving skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy
- Proficiency in computer skills including Epic, Outlook, Microsoft Office, OneDrive, etc.
- Excellent judgment and ability to solve problems in a timely manner
- Demonstrated ability to work in a culturally diverse and inclusive environment
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