Director of RCM Operations

• Leadership & Team Management:
  • Lead and manage a remote team of revenue cycle associates across various functions (billing, coding, collections, denials, etc.).
  • Set clear performance expectations and provide regular coaching and development to ensure the team meets or exceeds goals.
  • Ensure seamless coordination across remote teams to drive efficiency and resolve operational challenges.
• Operational Oversight & Optimization:
  • Oversee all aspects of the revenue cycle, including billing, coding, payment posting, and AR and Denial Management.
  • Analyze operational data to identify inefficiencies and implement corrective actions to enhance performance
  • Manage Revenue Cycle teams both onshore and offshore 
  • Develop and maintain best practices for revenue cycle operations to ensure timely and accurate billing and collection processes.
  • Stay current with industry trends, regulatory changes, and new technologies to ensure continued operational excellence.
• Customer & Stakeholder Relationship Management:
  • Act as the primary point of contact for customer escalations, issues, and expectations, ensuring prompt and effective resolution.
  • Foster strong, trust-based relationships with key clients and stakeholders, consistently managing their expectations and delivering value.
  • Communicate revenue cycle performance and initiatives clearly and effectively to both internal and external audiences.
• Technology & Systems Proficiency:
  • Leverage experience with major EMR (Electronic Medical Records) and billing systems (e.g., Epic, Cerner, Meditech) to guide system optimization efforts.
  • Collaborate with IT and system administrators to address system-related issues and ensure the efficient operation of billing and reporting systems.
• Analytics & Performance Improvement:
  • Utilize strong analytical skills to review and interpret operational metrics, KPIs, and financial data to drive continuous process improvements.
  • Direct teams to implement actionable insights that optimize revenue cycle workflows, reduce denials, and improve cash flow.
  • Ensure the revenue cycle team remains compliant with all relevant healthcare regulations and payer guidelines.

• Minimum 15 years of experience in revenue cycle operations within a healthcare provider or outsourced vendor organization.
• Proven experience managing revenue cycle teams and driving operational performance.
• Demonstrated experience with customer success management.
• Proven experience managing offshore revenue cycle teams.
• Ability to manage a revenue cycle team in a remote setting.
• Strong familiarity with EMR systems and billing platforms, including Epic, Cerner, and/or Meditech.
• Demonstrated ability to use data and analytics to guide decision-making and performance improvement initiatives.
• Excellent leadership and team management skills, with a track record of developing high-performing teams.
• Outstanding communication skills, with the ability to manage customer relationships, handle escalations, and align stakeholder expectations.
• A strong understanding of healthcare regulations, billing practices, and reimbursement processes.
• Bachelor’s degree in business, healthcare administration, or a related field (Master’s preferred).

Last updated on Oct 16, 2024