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US Specialists Management (USSM)Posted 1 month ago

Revenue Cycle Director

On-siteArlington, Texas, United States

Full TimeSenior LevelBachelors Degree

Job Summary

Oversee all aspects of the revenue cycle, including billing, coding, insurance verification, patient registration, charge capture, collections, and denials management. Maximize financial performance by ensuring accurate, efficient capture and leading revenue cycle staff to ensure accuracy and accountability. Coordinate vendor relationships and MSA clinical groups to ensure compliance with Federal, State, and local regulations. Collaborate with financial managers to monitor claims submission, payment posting, appeals, and A/R follow-up while developing policies that ensure efficient and compliant operations. Establish and monitor key performance indicators to track performance and identify areas for improvement. Conduct regular audits and risk assessments to ensure revenue integrity and mitigate compliance exposure, ensuring adherence to HIPAA, Medicare/Medicaid, and commercial payer requirements. Manage payer relationships and credentialing processes to support timely reimbursement. Partner with clinical and administrative leadership to ensure appropriate documentation and coding practices. Coordinate with Compliance, IT, and Finance departments to maintain accurate financial reporting. Travel 20–50% of the time.

Required Qualifications

  • Bachelor's degree in Healthcare Administration, Business, Finance, or related field
  • Minimum of 7–10 years of progressive experience in healthcare revenue cycle management
  • At least 3 years in a leadership or director-level role
  • Proficient in Microsoft Excel and Word
  • Familiarity with EMR and revenue cycle software
  • Travel required (20–50%)

Desired Qualifications

  • Master's degree
  • Experience in surgical or multi-specialty physician practices
  • Certification in Healthcare Financial Management (e.g., CRCR, CHFP, HFMA)

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