Senior Director, Revenue Cycle Management
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Job Description
Senior Director of Revenue Cycle providing strategic oversight for healthcare revenue operations. Leading teams and driving policies for financial performance in the healthcare sector.
Responsibilities:
- Provide strategic oversight and leadership across the full spectrum of revenue operations
- Design and drive scalable workflows in authorizations, billing, accounts receivable, and collections to drive sustainable financial performance
- Leverage data-driven insights to steer organizational policy and ensure company-wide compliance
- Lead a high-performing team to ensure operational goals align with broader corporate financial objectives and regulatory requirements
- Implement company-wide strategies to reduce Days in A/R, improve cash flow, and maximize net collection rates
- Ensure the accuracy of payment postings, adjustments, and general ledger reconciliations
- Design and oversee robust ABA-specific authorization workflows
- Lead collaborative initiatives between clinical, finance, and compliance departments
- Manage the strategy for private-pay invoicing and collections
- Act as the primary escalation point and negotiator for high-level payer disputes
- Govern the institutional application of CPT codes, modifiers, and payer-specific billing rules
- Develop proactive systems to detect and recover underpayments
- Establish and monitor executive KPIs to evaluate departmental health
- Leverage RCM data and EHR reporting tools to identify macro-trends in payer behavior
- Direct structured, trend-based denial prevention and appeals workflows
- Lead the continuous improvement of the RCM tech stack
- Drive the implementation of new payer mandates and system upgrades
- Mentor and lead the billing and authorization teams
Requirements:
- High school diploma / GED equivalent required
- Bachelor’s degree in business administration, health-related discipline, or equivalent professional experience preferred
- Minimum of five years of healthcare, hospital, billing, and collection experience in a supervisory capacity
- Extensive knowledge of technologies, specifically spreadsheet and word processing software and hospital and physician billing software
- ABA experience preferred
- Experience with CentralReach preferred
- Experience with Medicaid billing for primary and secondary reimbursement
- Experience with physician billing
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