Director of Revenue Cycle
Job Description
Our client, a leading healthcare organization dedicated to providing exceptional services and promoting health equity, is hiring a highly strategic and experienced Director of Revenue Cycle to lead and optimize their revenue cycle functions across multiple sites. This senior leadership role offers a unique opportunity to influence organizational financial health, partner with executive teams, and drive impactful improvements in reimbursement and revenue integrity.
Responsibilities
- Provide strategic oversight of the full revenue cycle, including billing, coding, collections, and payer relations, with a focus on maximizing reimbursement and reducing revenue leakage.
- Analyze reimbursement trends, identify opportunities to improve revenue capture, and develop initiatives to proactively minimize denials and optimize collections.
- Lead efforts to evaluate and enhance billing processes, ensuring compliance with federal, state, and payer-specific regulations such as FQHC, Article 28, and Article 31 standards.
- Collaborate closely with clinical, operational, IT, and finance leadership to improve documentation workflows, revenue integrity, and overall financial performance.
- Oversee a team of 8–9 billing professionals, providing mentorship, strategic direction, and ongoing performance management; empower the Billing Manager to oversee daily operations effectively.
- Utilize data analytics and reporting tools to monitor key revenue metrics, develop reports on accounts receivable and performance indicators, and communicate findings to leadership.
- Establish annual goals aligned with organizational objectives, monitor progress, and implement process improvements based on trend analysis.
- Maintain up-to-date knowledge of coding updates, payer policies, and reimbursement methodologies, serving as a strategic resource for leadership.
- Ensure adherence to all regulatory and compliance standards, including HIPAA, OSHA, and accreditation requirements.
- Represent the revenue cycle team in leadership meetings, fostering collaborative relationships with external payers and internal stakeholders.
Requirements
- Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field; relevant experience may substitute academic credentials.
- Minimum of 10 years of progressive healthcare revenue cycle management experience, with at least 5 years in a leadership capacity.
- Demonstrated expertise in revenue cycle processes, including billing, coding, collections, and denial management.
- Strong knowledge of payer contracting, reimbursement methodologies, and regulatory compliance, especially within FQHC settings.
- Proficiency with healthcare billing systems (e.g., eCW, Epic) and data analytics tools.
- Deep understanding of HIPAA, CMS guidelines, and state-specific reimbursement structures, particularly in New York.
- Proven leadership skills with experience developing and leading high-performance teams.
- Excellent interpersonal, communication, and presentation skills, capable of working effectively with clinical, operational, and executive teams.
- Strategic thinker with a track record of implementing initiatives that improve financial performance and reduce denials.
- Ability to analyze KPIs, develop action plans, and manage vendor relations and contract negotiations.
Some of the Benefits
- Competitive salary.
- Comprehensive health benefits, retirement plans, and paid time off.
- Opportunities for professional development and leadership growth.
- Collaborative and mission-driven organizational culture.
- Flexible work schedule with a standard Monday–Friday, 9 am–5 pm work week.
This is a remarkable opportunity for a seasoned revenue cycle leader eager to make a significant impact within a dynamic healthcare organization. If you possess the qualifications and are ready to lead transformative financial strategies, we encourage you to apply now and join a team committed to excellence and innovation.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
#LI-CC1
Meet Your Recruiter
Carmela Cannavo
Director, Healthcare Recruitment
Carmela Cannavo is a proven Executive Search Leader with extensive experience in the field of direct hire and contract placement in the New York Metro area and beyond, including New York, New Jersey, Connecticut, Florida, Boston, and Washington.
Learn more about Carmela, Tal Healthcare Employee Biography
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Director of Revenue Cycle
Job Description
Our client, a leading healthcare organization dedicated to providing exceptional services and promoting health equity, is hiring a highly strategic and experienced Director of Revenue Cycle to lead and optimize their revenue cycle functions across multiple sites. This senior leadership role offers a unique opportunity to influence organizational financial health, partner with executive teams, and drive impactful improvements in reimbursement and revenue integrity.
Responsibilities
- Provide strategic oversight of the full revenue cycle, including billing, coding, collections, and payer relations, with a focus on maximizing reimbursement and reducing revenue leakage.
- Analyze reimbursement trends, identify opportunities to improve revenue capture, and develop initiatives to proactively minimize denials and optimize collections.
- Lead efforts to evaluate and enhance billing processes, ensuring compliance with federal, state, and payer-specific regulations such as FQHC, Article 28, and Article 31 standards.
- Collaborate closely with clinical, operational, IT, and finance leadership to improve documentation workflows, revenue integrity, and overall financial performance.
- Oversee a team of 8–9 billing professionals, providing mentorship, strategic direction, and ongoing performance management; empower the Billing Manager to oversee daily operations effectively.
- Utilize data analytics and reporting tools to monitor key revenue metrics, develop reports on accounts receivable and performance indicators, and communicate findings to leadership.
- Establish annual goals aligned with organizational objectives, monitor progress, and implement process improvements based on trend analysis.
- Maintain up-to-date knowledge of coding updates, payer policies, and reimbursement methodologies, serving as a strategic resource for leadership.
- Ensure adherence to all regulatory and compliance standards, including HIPAA, OSHA, and accreditation requirements.
- Represent the revenue cycle team in leadership meetings, fostering collaborative relationships with external payers and internal stakeholders.
Requirements
- Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field; relevant experience may substitute academic credentials.
- Minimum of 10 years of progressive healthcare revenue cycle management experience, with at least 5 years in a leadership capacity.
- Demonstrated expertise in revenue cycle processes, including billing, coding, collections, and denial management.
- Strong knowledge of payer contracting, reimbursement methodologies, and regulatory compliance, especially within FQHC settings.
- Proficiency with healthcare billing systems (e.g., eCW, Epic) and data analytics tools.
- Deep understanding of HIPAA, CMS guidelines, and state-specific reimbursement structures, particularly in New York.
- Proven leadership skills with experience developing and leading high-performance teams.
- Excellent interpersonal, communication, and presentation skills, capable of working effectively with clinical, operational, and executive teams.
- Strategic thinker with a track record of implementing initiatives that improve financial performance and reduce denials.
- Ability to analyze KPIs, develop action plans, and manage vendor relations and contract negotiations.
Some of the Benefits
- Competitive salary.
- Comprehensive health benefits, retirement plans, and paid time off.
- Opportunities for professional development and leadership growth.
- Collaborative and mission-driven organizational culture.
- Flexible work schedule with a standard Monday–Friday, 9 am–5 pm work week.
This is a remarkable opportunity for a seasoned revenue cycle leader eager to make a significant impact within a dynamic healthcare organization. If you possess the qualifications and are ready to lead transformative financial strategies, we encourage you to apply now and join a team committed to excellence and innovation.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
#LI-CC1
Meet Your Recruiter
Carmela Cannavo
Director, Healthcare Recruitment
Carmela Cannavo is a proven Executive Search Leader with extensive experience in the field of direct hire and contract placement in the New York Metro area and beyond, including New York, New Jersey, Connecticut, Florida, Boston, and Washington.
Learn more about Carmela, Tal Healthcare Employee Biography