Revenue Cycle Director - Onsite

Seven Counties Services; Louisville (KY); On-site; USD 85,000 - 125,000; Full time

Job summary

Seven Counties Services in Louisville, KY seeks a senior revenue-cycle leader to manage end-to-end processes from patient entry through adjudication. You will supervise AR staff, implement improvements, and report metrics to senior management.

The role emphasizes cross-functional collaboration, denial management, and regulatory compliance. Strong communication, leadership, and Excel proficiency are essential for success in this position.

Qualifications

• 8+ years revenue-cycle experience in complex health care environment.
• 3–4 years supervisory/management experience.
• Experience with multiple payors, including Medicaid.
• Physician billing multiple payors is preferred.
• Claims denial management experience.
• Proven grant management, billing, and accounting knowledge.
• Management reporting and analysis.
• Experience building teams and driving process improvement initiatives.
• Excellent internal and external customer service skills.
• Proficiency in Microsoft Office with advanced Excel skills.

Responsibilities

• Manages all revenue-cycle functions from entry to adjudication.
• Leads AR reps, billers, verification specialists, and cash posters.
• Develops and monitors performance metrics for leadership review.
• Analyzes denials, billing errors, and payer requirements to implement improvements.
• Establishes relationships with payer organizations and resolves reimbursement issues.
• Maintains SOPs and training; ensures compliance with regulatory changes.
• Reconciles A/R and general ledger balances; supports financial reporting.

Skills

Leadership

Customer service

Process improvement

Communication

Team management

Analytical skills

Strategic thinking

Education

Bachelor's Degree in accounting or business

MBA preferred

CPA preferred

Tools

Microsoft Office

Advanced Excel

Job description

Job Description:ESSENTIAL JOB FUNCTIONSManages all business-related functions of revenue cycle, from client point-of-entry to accurate adjudication of client accounts, including charge processing, claim submission and processing, payment processing, collections and receivables management, denial management, reporting of results and analysis, concurrent and retrospective auditing, customer services relative to revenue cycle, training and development relative to revenue cycle, analytics, and all other revenue cycle management activities. Manages a team of A/R reps, billers, verification specialists, and cash posters, including hiring, training, evaluating, and developing staff members; conducting annual performance evaluations; and holding regular meetings to communicate about procedures, processes, and overall effectiveness. Provides regular revenue-cycle status reports, including metrics and presentations, to upper management. Develops, monitors, and assesses business metrics in order to refine processes and improve performance, including collaborations with other departments to improve processes/operations, implement changes, and improve revenue workflow. Analyzes and corrects root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims. Monitors clearinghouse performance. Monitors and manages process of Fee for Service grant billing to ensure timely and accurate billing. Establishes relationship with key personnel at payer organizations, and resolving escalated reimbursement issues with payers. Monitors billing regulations and payer requirements for changes; communicates and coordinates implementation of billing regulation and payer requirement changes.Reviews and reconciles A/R & allowance general ledger balance sheet accounts. Monitors adequacy of allowance account and corresponding allowance account methodology. Manages and monitors billed vs. approved rates. Develops, implements, and maintains revenue-cycle standard operating procedures. Follows all SCS policies and procedures. Completes all mandatory training within prescribed timeframes.The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.EDUCATIONBachelor’s Degree in accounting or business requiredMBA preferred.CPA preferred.EXPERIENCEMore than 8 years’ revenue-cycle experience in complex health care environment, preferably within comparable behavioral health or health and human services organization, including three-to-four years’ supervisory and/or management experience.Experience with multiple payors, including Medicaid.Physician billing multiple payors is preferred.Rehab/Lab/DMP billing experience is highly desirable.Claims denial management experience.Proven grant management, billing, and accounting knowledge.Management reporting and analysis.Proven experience building teams and driving/implementing process improvement initiatives.Excellent internal and external customer service skills.Strong process and quality orientation.Must possess excellent oral and written communication skills and recognize importance of teamwork.Proficiency in Microsoft Office with advanced Excel skills.PHYSICAL DEMANDSPosition has no unusual physical demands.May involve dealing with modestly unpleasant situations, including continual use of video display terminal.Within the bounds of their respective job descriptions, all staff are expected to exercise principle-centered leadership, focused on customer service responsiveness, with a continuous quality improvement orientation. Additionally, all staff are expected to develop a working knowledge of and follow all policies and procedures related to safety management and other Joint Commission standards.#CORP#LI-IWTime Type:Full time