Strategic Revenue Cycle Director — Hybrid, Multi-site Growth

Northeast Orthopaedic Alliance; Hingham (MA); Hybrid; USD 80,000 - 140,000; Full time

Job summary

Northeast Orthopaedic Alliance (NOA) is seeking an experienced Revenue Cycle Director to lead and strengthen revenue cycle operations across our organization.

Initially supporting MBJI and SSO divisions, this role oversees the patient financial lifecycle—from charge capture through collections—reporting to the CEO and partnering with Finance, Operations, physicians, and clinical teams.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, Accounting, or related field.
• Seven years of progressive healthcare revenue cycle experience, including three+ years in a leadership role.
• Strong knowledge of professional billing, coding, denials, payer reimbursement, accounts receivable, patient collections, and revenue cycle analytics.
• Experience with commercial payers, Medicare, Medicaid, MassHealth, New Hampshire Medicaid, workers' compensation, and other payers.
• Ability to analyze complex financial data and translate into actions.
• Proven leadership and change-management capabilities.
• Proficiency with practice management systems, EHRs, reporting tools, and Microsoft Excel.

Responsibilities

• Provide strategic and operational leadership for end-to-end revenue cycle including charge capture, coding, billing, payment posting, denials, accounts receivable, patient collections, refunds, and bad debt.
• Develop and execute revenue cycle strategies to improve cash flow and reduce leakage.
• Establish performance goals, workflows, and accountability measures.
• Identify gaps and reimbursement opportunities and lead corrective actions.
• Monitor coding quality, claim edits, modifiers, global surgical rules, medical necessity, and denials.
• Develop strategies to reduce denials and improve first-pass acceptance.
• Analyze payer performance and accounts receivable metrics.
• Partner with Finance and leadership on cash forecasting, budgeting, reporting, and financial analysis.
• Develop executive dashboards to track revenue cycle performance.
• Track metrics including net collections, days in A/R, aging, denial rates, and clean claim rates.
• Translate data into actionable recommendations for leadership.
• Lead and develop revenue cycle teams.
• Build scalable processes across divisions, states, and payer requirements.

Skills

Strategic leadership

Healthcare revenue cycle

Data-driven decision-making

Cross-functional collaboration

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Practice management systems

Electronic Health Records

Reporting tools

Microsoft Excel

Job description

Northeast Orthopaedic Alliance (NOA) is seeking an experienced Revenue Cycle Director to lead and strengthen revenue cycle operations across our organization.

Initially supporting MBJI and SSO divisions, this role oversees the patient financial lifecycle—from charge capture through collections—reporting to the CEO and partnering with Finance, Operations, physicians, and clinical teams.