Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to achieve operational goals and cash flow targets. Reviews, designs, and implements processes to optimize the revenue cycle and ensure compliance. Being a Revenue Cycle Director tracks metrics and reports that identify trends and makes recommendations for areas of improvement. May assist in the development of goals and strategies for the department. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to senior management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Maniilaq Association
4/21
Title: Revenue Cycle Director Range: 20
Program: MHC Administration Status: Exempt
Housing Priority: None Covered: Yes
POSITION SUMMARY
Responsible for all aspects of the Revenue Cycle from day-to-day monitoring to developing a strategic vision to optimize third-party revenue. Revenue cycle is defined as all functions that contribute to the capture, management, and collections of patient services revenue. Additionally, has direct line responsibility/authority for Patient Financial Services (PFS), Health Information Services (HIS), and Patient Travel. Reports directly to the Vice President of Health Services.
PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Works closely with the VP of Health Services and Chief Financial Officer (CFO) for all matters related revenue cycle including setting and achieving revenue targets.
2. Ensures compliance with all relevant Federal (e.g., CMS) and State (e.g., Alaska Medicaid) rules & regulations.
3. Collaborates closely with department managers to develop department-specific strategies for improving and optimizing third-party revenue.
4. Coordinates and leads the Revenue Cycle Team.
5. Supervises the Patient Financial Services (PFS Manager) and Director of Health Information Services.
6. Prepares reports for management and for Board of Directors meetings.
7. Responsible for oversight/administration of key contracts related to the revenue cycle in the areas of coding and outsourced billing.
8. Oversees the CDM and Charge Services.
9. Collaborates with IT to determine appropriate placement and use of future revenue cycle related technology.
10. Other duties as assigned.
MINIMUM REQUIREMENTS
A bachelor's degree in Finance, Business, or similar field. High-level understanding of Revenue Cycle and third-party billing principles. Knowledge and experience with Medicaid, Medicare and private insurances. Excellent communication skills required. Experience training and leading staff. Excellent computer skills, and electronic health record experience. Minimum of two years supervisory experience.
DISCLAIMER
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be considered an exhaustive list of all responsibilities, duties and skills required of personnel in this job, and the employer reserves the right to revise or change this description. This description does not constitute a written or implied contract of employment. To perform this job successfully, an individual must be able to satisfactorily perform each of the above essential duties and meet physical demands. Reasonable accommodations may be made to enable individuals with disabilities to meet those conditions.