Enterprise Director, Revenue Cycle

USHP; Rockville (MD); On-site; USD 90,000 - 150,000; Full time

Job summary

An established industry player in healthcare is seeking an Enterprise Director of Revenue Cycle to lead the revenue management process. This pivotal role involves overseeing billing, coding, and claims management while ensuring compliance and operational efficiency. The ideal candidate will possess strong leadership and analytical skills, driving initiatives that enhance financial performance and streamline processes. Join a forward-thinking organization dedicated to redefining specialty care and making a significant impact on patient outcomes. If you are passionate about healthcare and have a proven track record in revenue cycle management, this opportunity is perfect for you.

Qualifications

• 7-9 years in Revenue Cycle leadership required.
• Proven experience in managing complex revenue cycle operations.
• Strong understanding of healthcare billing and coding.

Responsibilities

• Lead and manage the entire revenue cycle process for the enterprise.
• Develop strategies to improve financial performance and cash flow.
• Collaborate with teams to address billing-related issues and denials.

Skills

Leadership

Communication

Interpersonal Skills

Revenue Cycle Management Software

Financial Reporting

Regulatory Compliance

Analytical Skills

Education

Bachelor’s degree in Healthcare Administration

Bachelor’s degree in Business Administration

Bachelor’s degree in Finance

Tools

Enterprise Resource Planning (ERP) Systems

Electronic Health Records (EHR) Platforms

Job description

4 days ago Be among the first 25 applicants

US Health Partners (“USHP”) seeks to redefine high-quality specialty care in the United States and establish a high-performing, technology-enabled care delivery platform. USHP is partnering with the country’s leading physicians to build a comprehensive, out-patient focused specialty care network targeting the nation’s cardiovascular concerns. Our physician-led organization is passionate about supporting exceptional care and enriching the lives of patients across the United States. We envision the opportunity to create a scaled, cutting-edge, technology-enabled healthcare services platform that leverages a value-based delivery model.

Position Summary:

The Enterprise Director of Revenue Cycle will oversee the end-to-end revenue cycle management process for the enterprise, ensuring the maximization of revenue, reduction of operational inefficiencies, and compliance with regulations. The Director will collaborate with practice leadership to coordinate all aspects of revenue cycle operations throughout the organization, including billing, coding, claims management, insurance follow-up, patient accounts, and customer service. This role will involve strategic planning, process optimization, and collaboration across departments to ensure seamless financial operations across our multiple practices.

Key Responsibilities:

Leadership and Strategy:

• Lead and manage the entire revenue cycle process for the enterprise, including patient registration, insurance verification, coding, billing, collections, and accounts receivable.
• Develop and implement revenue cycle strategies to improve financial performance, cash flow, and revenue capture.
• Drive initiatives for operational efficiency, reduce claim denials, and optimize billing processes.
• Collaborate with executive leadership to align revenue cycle objectives with the organization’s financial goals and business strategies.

Operational Oversight:

• Oversee all aspects of the revenue cycle, ensuring accurate and timely billing and coding practices.
• Ensure compliance with industry regulations, payer requirements, and organizational policies.
• Develop and analyze key performance indicators (KPIs) to monitor and improve revenue cycle performance, identifying areas for improvement.
• Develop and implement best practices, policies, and procedures to maintain a high level of operational effectiveness.

Team Management:

• Collaborate across the organization with practice level revenue cycle professionals to ensure process excellence and consistent outcomes.
• Provide training and development opportunities to ensure the team is up-to-date with changes in coding regulations, payer requirements, and industry trends.
• Foster a collaborative and efficient work environment focused on meeting goals and enhancing productivity.

Collaboration and Communication:

• Work closely with clinical, financial, and operational teams to address billing-related issues, denials, and payment delays.
• Collaborate with IT and data management teams to ensure seamless integration of revenue cycle technologies and data reporting systems.
• Serve as the primary point of contact for revenue cycle-related inquiries from internal stakeholders and external partners, such as insurance payers and vendors.
• Identify and implement process improvements to enhance the patient experience and increase revenue capture.
• Evaluate and deploy new technologies, tools, and systems to optimize revenue cycle operations.
• Lead regular audits and assessments to ensure billing and coding accuracy, regulatory compliance, and process efficiency.

Financial Analysis and Reporting:

• Provide regular updates and reports to senior leadership on revenue cycle performance, identifying trends, challenges, and opportunities.
• Develop forecasts, budgets, and operational metrics to track the financial health of the organization.
• Lead efforts to improve cash flow and reduce the aging of accounts receivable.

Minimum Qualifications:

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field or relevant revenue cycle leadership experience required.
• 7-9 years in Revenue Cycle leadership.
• Proven experience in managing large, complex revenue cycle operations across multiple locations.
• Strong understanding of healthcare billing, coding, payer requirements, and insurance reimbursement processes.

Skills:

• Exceptional leadership, communication, and interpersonal skills.
• Expertise in revenue cycle management software, enterprise resource planning (ERP) systems, and electronic health records (EHR) platforms.
• Strong analytical skills and experience in financial reporting, forecasting, and budgeting.
• Deep knowledge of regulatory compliance, including HIPAA, ICD-10, CPT coding, and payer guidelines.

Physical Demands and Work Environment:

While performing the duties of this job, the employee is regularly required to sit, use hands and fingers to handle or feel, as well as talk and hear. The employee is regularly required to reach with hands and arms. The employee is required to stand and walk. The employee may lift and/or move up to 10 pounds.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EEO Statement:

US Health Partners is an equal opportunity employer. Employment and processes, including decisions to hire, promote, discipline, or discharge, are based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job described, and may be amended at any time at the sole discretion of the Employer.

Seniority level

• Director

Employment type

• Full-time

Job function

• Finance and Sales
• Industries
• Hospitals and Health Care