Director Revenue Cycle

Salem Memorial District Hospital; Salem (MO); On-site; USD 120,000 - 180,000; Full time

Job summary

Salem Memorial District Hospital in Salem, Missouri, is seeking an experienced Director of Revenue Cycle to lead the hospital’s revenue cycle from patient access through final account resolution. The role reports to the Chief Financial Officer and is hands-on, driving accuracy in documentation, charging, coding, billing and collections.

The ideal candidate will improve cash collections, reduce denials, and optimize billing timeliness and reporting.

Qualifications

• Bachelor’s degree in healthcare administration, business administration, finance, accounting, health information management, or related field.
• Five+ years of progressive healthcare revenue cycle experience, including at least two years in leadership.
• Hospital revenue cycle experience preferred.
• CAH/RHC experience preferred.
• Strong knowledge of Medicare, Medicaid, and payer processes.
• HFMA/CRCR/CHFP certifications preferred.
• Proficient with revenue cycle reports, dashboards, and root-cause analysis.

Responsibilities

• Direct and monitor the full revenue cycle from patient access to final account resolution.
• Develop and maintain a revenue cycle performance dashboard and KPIs.
• Drive improvement in cash collections, A/R, and clean claim performance.
• Collaborate with IT and vendors to resolve system and workflow issues.
• Lead and develop revenue cycle staff and establish standards.

Skills

Healthcare revenue cycle

Leadership

Analytical skills

Denials management

Financial reporting

Medicare/Medicaid knowledge

CPSI/TruBridge knowledge

Healthcare certifications

Education

Bachelor’s degree in healthcare administration, business administration, finance, accounting, health information management, or related field

Tools

CPSI/TruBridge

Job description

Salem Memorial District Hospital is seeking an experienced Director of Revenue Cycle to lead the financial and operational performance of the hospital’s revenue cycle from patient access through final account resolution.

Reporting to the Chief Financial Officer, this is a hands-on leadership position responsible for ensuring services are accurately documented, charged, coded, billed, collected, and reported. The Director will be expected to drive measurable improvement in cash collections, accounts receivable, clean claim performance, denial prevention and recovery, billing timeliness, revenue integrity, and the patient financial experience.

Key Responsibilities

Director of Revenue Cycle

Salem Memorial District Hospital is seeking an experienced Director of Revenue Cycle to lead the financial and operational performance of the hospital’s revenue cycle from patient access through final account resolution.

Reporting to the Chief Financial Officer, this is a hands-on leadership position responsible for ensuring services are accurately documented, charged, coded, billed, collected, and reported. The Director will be expected to drive measurable improvement in cash collections, accounts receivable, clean claim performance, denial prevention and recovery, billing timeliness, revenue integrity, and the patient financial experience.

Revenue Cycle Leadership

• Direct and monitor the full revenue cycle, including patient access, registration, insurance verification, authorization, charge capture, coding/HIM coordination, claim submission, payment posting, denial management, A/R follow-up, patient financial services, and final account resolution.
• Establish clear performance expectations, work queues, accountability, escalation pathways, and follow-up processes.
• Coordinate internal staff and external revenue cycle partners to ensure responsibilities are clearly defined and issues are resolved timely.
• Serve as the primary revenue cycle escalation point for hospital leadership.

Billing, Accounts Receivable & Denials

• Ensure claims are submitted accurately and timely and that claim edits, rejections, billing holds, and other exceptions are actively managed.
• Monitor A/R by payer, age, balance, and responsible work team, with focused attention on high-dollar and aged accounts.
• Establish denial tracking by payer, reason, claim count, and dollars; identify preventable trends and implement corrective action.
• Monitor appeals, underpayments, credit balances, refunds, unapplied cash, and payment-posting accuracy.
• Monitor cash collections against expected reimbursement, budget, and historical trends.

Revenue Integrity & Reimbursement

• Maintain working knowledge of Critical Access Hospital (CAH) and Rural Health Clinic (RHC) billing and reimbursement requirements.
• Identify revenue leakage, missing or inaccurate charges, documentation deficiencies, and workflow failures affecting reimbursement.
• Monitor billing workflows across hospital and clinic service lines, including inpatient, observation, emergency department, RHC, laboratory, therapy, ambulance, and other services.
• Collaborate with Finance on reimbursement issues, Medicare bad debts, financial reconciliation, cost report support, cash forecasting, budgeting, and other financial reporting needs.

Performance & Process Improvement

• Develop and maintain a revenue cycle performance dashboard.
• Monitor key indicators including days in A/R, aging, clean claim rate, rejection and denial rates, denial recovery, DNFB/unbilled accounts, coding backlog, cash collections, net collection rate, underpayments, eligibility/authorization performance, and point-of-service collections.
• Use account-level, payer, trend, and root-cause analysis to identify systemic issues and develop corrective-action plans.
• Evaluate and optimize revenue cycle technology, work queues, claim-editing tools, reporting, analytics, and automation.
• Work with IT, CPSI/TruBridge, clearinghouses, and other vendors to resolve system and workflow issues.

Team Leadership

• Recruit, orient, train, coach, and evaluate revenue cycle staff.
• Establish productivity, quality, accuracy, and account-resolution standards.
• Use system and work-queue data to identify workload imbalances, training needs, and performance opportunities.
• Promote staff competency in payer requirements, system workflows, compliance, denial prevention, patient service, and account follow-up.

Compliance & Patient Experience

• Ensure compliance with applicable Medicare and Medicaid billing requirements, payer policies, HIPAA, medical necessity and ABN requirements, timely filing, credit balance/refund requirements, price transparency requirements, and hospital policies.
• Ensure patient financial interactions are respectful, accurate, understandable, and consistent with hospital financial assistance and collection policies.
• Collaborate across departments to improve documentation, charge capture, billing accuracy, reimbursement, patient communication, and cash realization.

Qualifications

• Bachelor’s degree in healthcare administration, business administration, finance, accounting, health information management, or a related field preferred. Significant directly relevant healthcare revenue cycle experience may be considered in lieu of a degree.
• Five or more years of progressive healthcare revenue cycle experience required, including at least two years in a supervisory, management, or leadership role.
• Hospital revenue cycle experience strongly preferred.
• Critical Access Hospital and/or Rural Health Clinic experience preferred.
• Demonstrated knowledge of Medicare, Medicare Advantage, Medicaid, commercial insurance, reimbursement, claims, denials, A/R, payment posting, charge capture, and patient financial services.
• Strong analytical skills with experience using revenue cycle reports, spreadsheets, dashboards, and root-cause analysis.
• CPSI/TruBridge or comparable hospital revenue cycle system experience preferred.
• HFMA, CRCR, CHFP, or other applicable healthcare revenue cycle certification preferred.

The Ideal Candidate

The ideal candidate is an experienced healthcare revenue cycle leader who combines strong financial and analytical skills with a hands-on, collaborative leadership approach. This individual understands the entire revenue cycle, is comfortable digging into account and claim-level details when necessary, and can translate findings into measurable operational and financial improvement.

Position Type: Full-Time

Shift: Day

Location: Salem Memorial District Hospital | Salem, Missouri