Hospice Revenue Cycle Director | Remote/Hybrid

Luminary Hospice; Kansas City (MO); Hybrid; USD 130,000 - 180,000; Full time

Job summary

Luminary Hospice is seeking a Director of Revenue Cycle to own the full revenue cycle for our multi-state organization. This hands-on leader will manage the third-party billing vendor, partner with agencies, and scale revenue cycle operations as we expand locations and payers.

The ideal candidate has hospice-revenue cycle expertise, NOEs, CTI, ADRs, and strong analytical skills to drive performance and accelerate timely payments across sites.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or a related field, or equivalent experience.
• 10+ years of healthcare revenue cycle experience, including 5+ years in leadership; hospice revenue cycle experience required.
• Experience leading the full revenue cycle for a multi-site hospice organization, preferably across multiple states.
• Expert knowledge of Medicare Hospice Benefit and hospice billing from eligibility through payment, denials, and final resolution.
• Experience managing a third-party RCM or billing vendor through SLAs, scorecards, and audits.

Responsibilities

• Own the full hospice revenue cycle across all sites and states, including KPI: cash, DSO, unbilled days, NOE timeliness, claim holds, denials, aging, and write-offs.
• Set revenue cycle strategy, policies, staffing, and goals; report performance and risks to executives.
• Lead front-end functions: eligibility and benefit verification, authorizations, and financial clearance for room and board and Medicaid pending patients.
• Own pre-billing audit and revenue integrity across levels of care, SIA, and rate maintenance.
• Oversee NOE/NOTR filing, monthly claim submission, RTP correction, timely filing, payer follow-up, denials, and appeals for ADR/TPE.
• Drive timely resolution of claim holds, unsigned orders, missing CTIs or face-to-face encounters, NOE issues, and eligibility gaps.
• Oversee payment posting, adjustments, recoupments, credit balances, refunds, and reconciliation of cash to bank deposits, remittances, and GL.
• Own Medicare and Medicaid enrollment for provider numbers, Hospice Cap monitoring and readiness for new sites.

Skills

Revenue cycle leadership

Cross-functional leadership

Strategic planning

Analytics

Vendor management

Education

Bachelor's degree in healthcare administration

Master's degree in healthcare administration

Tools

HCHB

WellSky

Axxess

MatrixCare

Job description

Luminary Hospice is seeking a Director of Revenue Cycle to own the full revenue cycle for our multi-state organization. This hands-on leader will manage the third-party billing vendor, partner with agencies, and scale revenue cycle operations as we expand locations and payers.

The ideal candidate has hospice-revenue cycle expertise, NOEs, CTI, ADRs, and strong analytical skills to drive performance and accelerate timely payments across sites.