Hospice Revenue Cycle Director (Remote/Travel)

Luminary Hospice; Dallas (TX); A distancia; USD 150.000 - 190.000; Jornada completa

Descripción de la vacante

Luminary Hospice seeks a Director of Revenue Cycle to own the entire revenue cycle for a growing multi-state organization. The role leads eligibility, verification, authorizations, and financial clearance, and manages a third-party billing vendor to ensure accurate and timely payments.

The ideal candidate has deep hospice reimbursement knowledge, NOEs, CTIs, ADRs, and room-and-board requirements, with the ability to optimize processes and ensure compliance across sites.

Formación

• 10+ years healthcare revenue cycle experience, including 5+ years in leadership. Hospice revenue cycle experience is required.
• Experience leading the full revenue cycle for a multi-site hospice organization, preferably across multiple states
• Expert knowledge of the Medicare Hospice Benefit and hospice billing, from eligibility and NOE through payment, denials, and final resolution
• Experience managing a third-party RCM or billing vendor through SLAs, scorecards, and audits
• Proven ability to build or turn around revenue cycle operations, with strong analytical skills and a track record of leading teams through change and growth

Responsabilidades

• Own the full hospice revenue cycle across all sites and states, along with every revenue cycle KPI: cash, DSO, unbilled days, NOE timeliness, claim holds, denials, aging, and write-offs
• Set revenue cycle strategy, policies, staffing, and goals, and report performance and risks to executive leadership
• 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, and other medical reviews
• Drive timely resolution of claim holds, such as unsigned orders, missing CTIs or face-to-face encounters, NOE issues, and eligibility gaps, so claims go out on schedule every billing cycle
• Oversee payment posting, adjustments, recoupments, credit balances, refunds, and reconciliation of cash to bank deposits, remittances, and the general ledger
• Own Medicare and Medicaid enrollment for all provider numbers, Hospice Cap monitoring and reporting, and revenue cycle readiness for new sites and acquisitions

Conocimientos

Leadership

Healthcare finance

Revenue cycle expertise

Multi-site / multi-state experience

Analytical skills

Change management

Team development

Regulatory compliance

Educación

Bachelor's degree in healthcare administration, business, finance, or related field

Master's degree

Equivalent experience

Herramientas

HCHB

WellSky

Axxess

MatrixCare

Descripción del empleo

Luminary Hospice seeks a Director of Revenue Cycle to own the entire revenue cycle for a growing multi-state organization. The role leads eligibility, verification, authorizations, and financial clearance, and manages a third-party billing vendor to ensure accurate and timely payments.

The ideal candidate has deep hospice reimbursement knowledge, NOEs, CTIs, ADRs, and room-and-board requirements, with the ability to optimize processes and ensure compliance across sites.