Executive Revenue Cycle Leader: Billing & Credentialing

HealthPoint Family Care; Florence (KY); On-site; USD 110,000 - 130,000; Full time

Job summary

HealthPoint Family Care in Florence, KY seeks an Executive Revenue Cycle Leader to oversee billing, credentialing, and denial management. The role leads by doing, resolving queue issues alongside staff, and driving efficiencies across the revenue cycle.

Ideal candidate has 10+ years in ambulatory revenue cycle with 5+ years in leadership, plus deep CPT/HCPCS/ICD-10-CM knowledge and strong Excel/reporting skills.

Qualifications

• 10+ years of ambulatory revenue cycle experience.
• 5+ years in leadership.
• Hands-on in denials, appeals, A/R follow-up and payment posting.
• Deep knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits and payer rules.
• Advanced skill with Excel and reporting

Responsibilities

• Lead revenue cycle teams and drive process improvements.
• Oversee Credentialing and Billing teams.
• Work the queue alongside staff and solve root causes.
• Ensure compliance with payer rules and timelines.

Skills

Revenue cycle leadership

Denials & appeals

A/R follow-up

Payment posting

CPT/HCPCS/ICD-10

Medicare/Medicaid payer rules

Excel & reporting

Education

Bachelor's degree in healthcare administration, business or finance

MBA or MHA preferred

Tools

Practice management systems

Clearinghouses

Payer portals

Job description

HealthPoint Family Care in Florence, KY seeks an Executive Revenue Cycle Leader to oversee billing, credentialing, and denial management. The role leads by doing, resolving queue issues alongside staff, and driving efficiencies across the revenue cycle.

Ideal candidate has 10+ years in ambulatory revenue cycle with 5+ years in leadership, plus deep CPT/HCPCS/ICD-10-CM knowledge and strong Excel/reporting skills.