Director, Revenue Cycle

Job Title: Director, Revenue Cycle

Job Description:

Join our amazing team and be an integral part of a cutting-edge organization known for excellence in healthcare operations. We are seeking a highly skilled Revenue Cycle Director to oversee our billing, coding, collections, and denial management processes. This position requires a strong understanding of revenue cycle management, compliance regulations, and the ability to collaborate effectively with third-party administrators, insurance companies, and internal physician groups.

This is an on-site role, with the expectation that the candidate will be on-site for 80%-100% of workdays, contributing to our seamless revenue cycle operations across the organization.

Responsibilities:

• Manage all aspects of revenue cycle operations, including billing, coding, collections, and denial management.
• Work closely with third-party administrators, insurance companies, and internal physician groups to streamline and improve revenue cycle processes.
• Monitor reimbursement activity and provide trend reports to management.
• Perform detailed reviews of aged accounts, conduct risk analysis, and identify trends.
• Build strong relationships with physicians and regularly share RCM data with the finance team.
• Stay updated on legislative and regulatory changes impacting medical billing and ensure compliance.
• Research and resolve claim denials, pre-bill edits, and errors.
• Act as a liaison between the organization and third-party administrators.
• Continuously seek opportunities to add value to the patient experience and practice operations.

Qualifications:

• Bachelor's degree in Accounting, Healthcare Administration, or equivalent preferred.
• 5-7 years of experience in revenue cycle management and healthcare billing required.
• Experience using an EHR system required.
• Strong knowledge of third-party physician specialty billing, compliance regulations, and automated claims submission processes.
• Orthopaedic billing and coding experience is highly preferred.
• Medical coding certification such as CCS is preferred.
• Excellent knowledge of medical office operations, reimbursement, third-party payer regulations, and medical terminology.
• Strong problem-solving skills and the ability to make timely decisions in a fast-paced environment.
• Proven ability to work independently and collaborate effectively with leadership and physicians.

Benefits:

• Health Insurance (medical, dental, vision)
• Company 401k Contribution
• Paid Time Off & Sick Time
• FMLA Leave
• Paid Holidays
• Life Insurance
• Short and Long Term Disability Insurance; AD&D; Hospital Indemnity
• Referral Program Incentive
• Parking available
• Discretionary Bonus Program and Ski Pass Benefit
• And more!

If you are passionate about healthcare and possess the expertise to manage a dynamic revenue cycle team, we encourage you to apply. This position offers an opportunity to make a meaningful impact while enjoying a comprehensive benefits package and a healthy work-life balance.

Applications will be accepted until the position is filled.

Medix is acting as an Employment Agency in relation to this vacancy.