Revenue Cycle Operations Director

4 weeks ago


Atlanta, Georgia, United States NorthPoint Search Group Inc Full time

Director of Revenue Cycle Operations & Systems

As a pivotal leader, the Director of Revenue Cycle Operations & Systems oversees the daily operations of the billing and collections departments, as well as the associated systems encompassing data analytics. This role encompasses the supervision of crucial areas such as Credentialing, Demographics, Coding, Charge Entry, Payment Applications, and Accounts Receivable & Patient Financial Services.

The Director will be responsible for managing revenue cycle activities to attain performance benchmarks related to credentialing, charge capture optimization, claim rejection & denial rates, DSO (Days Sales Outstanding), and overall collections. Additionally, they will oversee revenue cycle activities to achieve benchmarks related to posting dates, reconciliation, posting accuracy, ERA/EFT (Electronic Remittance Advice/Electronic Funds Transfer) percentages, and payment variances.

The ideal candidate will have a bachelor's degree in accounting, business, finance, business administration, or an allied health field, accompanied by a substantial background in revenue cycle management. They will also possess exceptional attention to detail, strong organizational skills, and exceptional customer service aptitude. Proficiency in computer applications, particularly the Microsoft Office suite, with a focus on Excel, is also required.

Preferred qualifications include eight (8) to ten (10) years of experience in healthcare roles, with a noteworthy tenure (5 to 6 years) in supervisory positions related to billing and collections. Prior experience in healthcare industry accounts receivable is also preferred.

The Director will be responsible for fostering and maintaining critical working relationships with clients and payers, ensuring accurate billing and collections while serving as an escalation point and a subject matter expert. They will also be responsible for proactively identifying opportunities for improved reimbursement and addressing any issues related to payer and patient collections across all markets.

Key Responsibilities:

  • Directly supervise revenue cycle departments, including credentialing, coding, billing, cash reconciliation, and collections from payers and patients.
  • Manage revenue cycle activities to attain performance benchmarks related to credentialing, charge capture optimization, claim rejection & denial rates, DSO (Days Sales Outstanding), and overall collections.
  • Oversee revenue cycle activities to achieve benchmarks related to posting dates, reconciliation, posting accuracy, ERA/EFT (Electronic Remittance Advice/Electronic Funds Transfer) percentages, and payment variances.
  • Foster and maintain critical working relationships with clients and payers, ensuring accurate billing and collections while serving as an escalation point and a subject matter expert.
  • Proactively identify opportunities for improved reimbursement and address any issues related to payer and patient collections across all markets.


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