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Revenue Cycle Director

1 month ago


Vail, Colorado, United States Medix Full time
Job Title: Director, Revenue Cycle

Job Summary:

We are seeking a highly skilled Revenue Cycle Director to oversee our billing, coding, collections, and denial management processes. This position requires a strong understanding of revenue cycle management, compliance regulations, and the ability to collaborate effectively with third-party administrators, insurance companies, and internal physician groups.

Key Responsibilities:

  • Manage all aspects of revenue cycle operations, including billing, coding, collections, and denial management.
  • Work closely with third-party administrators, insurance companies, and internal physician groups to streamline and improve revenue cycle processes.
  • Monitor reimbursement activity and provide trend reports to management.
  • Perform detailed reviews of aged accounts, conduct risk analysis, and identify trends.
  • Build strong relationships with physicians and regularly share RCM data with the finance team.
  • Stay updated on legislative and regulatory changes impacting medical billing and ensure compliance.
  • Research and resolve claim denials, pre-bill edits, and errors.
  • Act as a liaison between the organization and third-party administrators.
  • Continuously seek opportunities to add value to the patient experience and practice operations.


Qualifications:

  • Bachelor's degree in Accounting, Healthcare Administration, or equivalent preferred.
  • 5-7 years of experience in revenue cycle management and healthcare billing required.
  • Experience using an EHR system required.
  • Strong knowledge of third-party physician specialty billing, compliance regulations, and automated claims submission processes.
  • Orthopaedic billing and coding experience is highly preferred.
  • Medical coding certification such as CCS is preferred.
  • Excellent knowledge of medical office operations, reimbursement, third-party payer regulations, and medical terminology.
  • Strong problem-solving skills and the ability to make timely decisions in a fast-paced environment.
  • Proven ability to work independently and collaborate effectively with leadership and physicians.


Benefits:

  • Health Insurance (medical, dental, vision)
  • Company 401k Contribution
  • Paid Time Off & Sick Time
  • FMLA Leave
  • Paid Holidays
  • Life Insurance
  • Short and Long Term Disability Insurance; AD&D; Hospital Indemnity
  • Referral Program Incentive
  • Parking available
  • Discretionary Bonus Program and Ski Pass Benefit
  • And more


This is an on-site role, with the expectation that the candidate will be on-site for 80%-100% of workdays, contributing to our seamless revenue cycle operations across the organization.



Medix is acting as an Employment Agency in relation to this vacancy.