Revenue Cycle Director

Southwestern And Affiliates; Evansville (IN); On-site; USD 110,000 - 165,000; Full time

Benefits offered by this job

Affordable Health Insurance including:

401K Employer Contribution & Match

Paid Time Off

Job summary

Southwestern Healthcare, Evansville, IN, seeks a Revenue Cycle Director to lead front-end revenue cycle operations within Patient Financial Services. You will drive operational excellence, optimize reimbursement, and oversee credentialing, enrollment, and denials management.

Requires a bachelor’s degree in Accounting/Finance or related field and 5+ years in healthcare patient accounting with at least 5 years in a supervisory role. Excellent leadership and communication skills are essential.

Qualifications

• Knowledge of revenue cycle models and financial leadership.
• Strong analytical and problem-solving skills; able to analyze financial data.
• Excellent communication and presentation skills for multiple stakeholders.

Responsibilities

• Develop, implement, and monitor front-end revenue cycle strategies to optimize reimbursement and cash flow.
• Establish and monitor goals, KPIs, and productivity benchmarks with corrective actions as needed.
• Ensure providers are credentialed, enrolled, and revalidated with payers and compliant with requirements.
• Oversee eligibility verification and authorization processes to maximize reimbursement and minimize denials.
• Lead denial prevention and revenue integrity initiatives through process improvements and education.
• Collaborate with clinical and operational leaders to improve front-end revenue cycle processes and patient experience.
• Monitor and report key performance metrics to leadership; support system enhancements to EHR and revenue cycle tools.

Skills

Revenue cycle knowledge

Financial leadership

Analytical skills

Communication skills

Education

Bachelor's degree in Accounting/Finance or related field

Tools

Electronic Health Records (EHR)

Payer enrollment systems

Billing/coding systems

Job description

Job Details: Job Location: Spear - Healthcare - Evansville, IN 47713, Position Type: Full Time, Education Level: 4 Year Degree, Job Category: Management, Southwestern Healthcare is seeking a strategic and detail-oriented Revenue Cycle Director to lead the effective operation of our front-end revenue cycle within Patient Financial Services. This role is responsible for driving operational excellence, evaluating processes, and identifying opportunities for continuous improvement to support efficient and effective revenue cycle operations.

WHY WORK FOR SOUTHWESTERN?

• AFFORDABLE Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment!
• 401K Employer Contribution & Match
• Student Loan Assistance Program
• Physical & Financial Wellness Programs
• Generous Paid Time Off Plan
• Competitive Total Compensation Program
• On-site training available for qualified candidates
• We are GROWING!!!

WHAT IS THIS POSITION RESPONSIBLE FOR?

• Develop, implement, and monitor front-end revenue cycle strategies that optimize reimbursement, improve cash flow, and support organizational financial goals.
• Establish and monitor front-end revenue cycle departmental goals, performance standards, key performance indicators (KPIs), and productivity benchmarks and initiate corrective action plans as needed.
• Ensure providers are appropriately credentialed, enrolled, and revalidated with governmental and commercial payers and maintain compliance with all credentialing requirements.
• Oversee insurance eligibility verification and authorization processes to maximize reimbursement and minimize claim denials.
• Lead denial prevention and management efforts through root cause analysis, staff education, workflow redesign, and payer collaboration.
• Collaborate with clinical and operational leaders to improve front-end revenue cycle processes and patient financial experience.
• Direct provider credentialing, payer enrollment, revalidation, and maintenance activities.
• Monitor payer contracts and reimbursement methodologies and identify opportunities for reimbursement optimization.
• Collaborate with leadership in the development and implementation of new programs, service lines, and provider onboarding processes.
• Analyze front-end revenue cycle data, identify trends, and develop strategies to improve financial outcomes.
• Monitor key performance metrics, such as authorization success rate, eligibility accuracy, registration accuracy, front-end denial rate, point-of-service collections, provider enrollment turnaround time, credentialing timeliness, and revenue leakage identified/prevented.
• Lead denial prevention and revenue integrity initiatives through process improvement, education, and workflow optimization
• Ensure compliance with CMS, Medicare, Medicaid, HIPAA, commercial payer requirements, and applicable federal and state regulations
• Develop, implement, and maintain front-end revenue cycle departmental policies, procedures, and internal controls that ensure compliance with federal, state, payer, and organizational requirements.
• Partner with the Patient Accounts Director to coordinate audits and reviews related to billing, credentialing, documentation, coding support, reimbursement, and regulatory compliance.
• Monitor industry changes and implement necessary operational updates.
• Collaborate with Information Technology and operational leadership in evaluating, implementing, and optimizing electronic health record (EHR) and revenue cycle technologies to improve efficiency and reporting capabilities.
• Prioritize, evaluate, and support system enhancements and workflow improvements impacting revenue cycle operations
• Collaborate with clinical, operational, finance, and information technology stakeholders to ensure new services, providers, and locations are properly configured within the EHR and revenue cycle systems, including payer enrollment, billing rules, charge capture workflows, and reimbursement parameters.
• Recruit, train, mentor, supervise, and evaluate front-end revenue cycle personnel.
• Foster a culture of accountability, continuous improvement, collaboration, and exceptional customer service.
• Ensure adequate staffing, workflow management, and professional development opportunities for team members.
• Prepare and present front-end revenue cycle and operational performance reports to leadership, as requested.
• Assist with budgeting, forecasting, and financial planning activities related to front-end revenue cycle operations.
• Collaborate closely with the Patient Accounts Director to ensure the success of the entire Patient Financial Services department.

Qualifications: MINIMUM QUALIFICATIONS:

• A thorough knowledge of revenue cycle models and relevant financial and leadership acumen usually obtained through completion of a bachelor’s degree in Accounting, Finance or other closely related field and/or five to seven years of relevant healthcare patient accounting experience, including a minimum of five years management/supervisory experience.
• A high level of understanding of billing and accounts receivable management, strong analytical and problem-solving skills, ability to perform financial analysis, and work with electronic health records.
• Ability to meet strict deadlines with high level of accuracy and prioritize multiple tasks in a highly automated setting.
• Excellent communication and presentation skills, with the ability to communicate with multiple levels in the organization. Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess and demonstrate personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Southwestern Healthcare, Inc. and its affiliates.

EOE/AA including Veterans and Disabled.

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