Revenue Cycle Director

Galesburg Cottage Hospital; Haverhill (NH); On-site; USD 110,000 - 140,000; Full time

Job summary

Cottage Hospital in New Hampshire seeks an experienced Director of Revenue Cycle to provide strategic and operational leadership across HIM and Patient Financial Services, reporting to the CFO. You will drive better reimbursement, A/R, denials, and DNFB, chair RCAT, and work with department leaders to improve workflows and compliance with payer requirements.

Lead provider enrollment, collaborate with Accounting on reporting and audits, and guide performance improvements for superior patient

Qualifications

• Bachelor’s degree in Accounting, Business, or a related field.
• Minimum of three years of supervisory experience.
• In‑depth understanding of hospital revenue cycle operations.
• Knowledge of reimbursement, billing requirements, industry benchmarks, and revenue cycle performance metrics.

Responsibilities

• Provide leadership and oversight for revenue cycle operations, including HIM and Patient Financial Services.
• Monitor key performance indicators including A/R days, denial rates, DNFB, DNFC, medical necessity issues, recoupments, charge reconciliation, accuracy, and late charges.
• Identify opportunities to improve workflows, reimbursement, and overall revenue cycle performance.
• Review and resolve accounts on hold or in DNFB status, partnering with appropriate leaders to address documentation and claim‑edit issues.
• Maintain provider enrollment with necessary payers and coordinate enrollment for new providers and long‑term locums.
• Chair the Revenue Cycle Action Team (RCAT) and Denial Committee and lead performance improvement initiatives.
• Partner with Accounting on revenue cycle reporting, reconciliation, year‑end audit preparation, and Medicare Cost Report information.
• Review and approve Sliding Fee Applications.

Job description

Join Our Team as Director of Revenue Cycle!

Cottage Hospital is seeking an experienced Director of Revenue Cycle to provide strategic and operational leadership across our revenue cycle functions. Reporting directly to the Chief Financial Officer, this position plays an important role in maximizing reimbursement, improving performance, and ensuring compliance with federal, state, and payer‑specific requirements.

The Director coordinates revenue cycle activities within Health Information Management (HIM) and Patient Financial Services (PFS) and works collaboratively with Patient Access, Accounting, clinical departments, providers, and other hospital leaders.

What You’ll Do:

Provide leadership and oversight for revenue cycle operations, including HIM and Patient Financial Services

Monitor key performance indicators including A/R days, denial rates, DNFB, DNFC, medical necessity issues, recoupments, charge reconciliation, accuracy, and late charges

Identify opportunities to improve workflows, reimbursement, and overall revenue cycle performance

Review and resolve accounts on hold or in DNFB status, partnering with appropriate leaders to address documentation and claim‑edit issues

Maintain provider enrollment with necessary payers and coordinate enrollment for new providers and long‑term locums

Chair the Revenue Cycle Action Team (RCAT) and Denial Committee and lead performance improvement initiatives

Partner with Accounting on revenue cycle reporting, reconciliation, year‑end audit preparation, and Medicare Cost Report information

Review and approve Sliding Fee Applications

Build strong, collaborative relationships with department leaders, staff, providers, and patients

What We’re Looking For:

Bachelor’s degree in Accounting, Business, or a related field

Minimum of three years of supervisory experience

In‑depth understanding of hospital revenue cycle operations

Knowledge of reimbursement, billing requirements, industry benchmarks, and revenue cycle performance metrics

Strong leadership, communication, interpersonal, and computer skills

Ability to identify operational challenges and translate data into meaningful process improvements

This is an opportunity to bring your revenue cycle expertise to a collaborative hospital environment where your leadership can have a direct impact on both organizational performance and the community we serve.

Cottage Hospital is a place where you can learn, grow, and give back. Join our team and help us continue strengthening the health of our community through accessible, compassionate, quality care.

Required

Minimum of 3 years supervisory experience

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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