About the Opportunity
Our client is committed to excellence in healthcare delivery and are seeking a highly experienced Revenue Cycle Director to join their team in Northern New Jersey. This pivotal role will oversee all aspects of the revenue cycle process, with a focus on outpatient billing operations. The Revenue Cycle Director is responsible for the strategic direction and operational management of the revenue cycle function, with a specific emphasis on outpatient billing operations. The Director will lead a team of billing professionals to ensure accurate, timely, and compliant billing practices that maximize revenue capture and optimize cash flow.
The annual base salary range is $120,000 to $185,000. Actual compensation offered to the successful candidate may vary from posted hiring range based upon geographic location, work experience, education, and/or skill level, among other things. Details about eligibility for bonus compensation (if applicable) will be finalized at the time of offer.
Job Responsibilities
- Develop and implement strategic initiatives to enhance revenue cycle performance, reduce accounts receivable (AR) days, and minimize denials and write-offs
- Oversee the day-to-day operations of the outpatient billing department, including charge capture, claims submission, payment posting, and accounts receivable management
- Monitor key performance indicators (KPIs) and financial metrics to track revenue cycle performance and identify opportunities for improvement.
- Collaborate with cross-functional teams, including revenue integrity, coding, compliance, and finance, to ensure alignment of billing practices with regulatory requirements and industry best practices
- Provide leadership and direction to billing staff, including recruitment, training, performance management, and professional development.
- Conduct regular audits and reviews of billing processes, documentation, and coding practices to ensure accuracy and compliance with payer guidelines and contractual obligations
- Stay abreast of changes in healthcare regulations, reimbursement policies, and industry trends impacting revenue cycle operations, and proactively implement necessary adjustments
- Serve as a liaison between the revenue cycle department and internal stakeholders, external auditors, and third-party payers to resolve billing-related inquiries and disputes
- Prepare and present reports and analyses to senior leadership, highlighting trends, variances, and opportunities for revenue enhancement and cost containment
Job Requirements
- Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field required (Master’s degree preferred)
- Minimum of 8 years of progressive experience in medical billing, with a focus on outpatient billing operations
- Previous leadership experience in revenue cycle management, including oversight of billing staff and operations
- Strong understanding of revenue cycle processes, including charge capture, claims processing, payment posting, and accounts receivable management
- Excellent analytical skills with the ability to interpret complex financial data and identify trends and opportunities for improvement.
- Knowledge of healthcare billing regulations, compliance requirements, and reimbursement methodologies for Medicare, Medicaid, and commercial payers
- Effective communication and interpersonal skills, with the ability to build collaborative relationships with internal and external stakeholders
- Demonstrated leadership abilities, including strategic thinking, decision-making, and problem-solving skills
