Position Details

Type Not Specified

Experience executive

Exp. Years Minimum (5) five years' experience in a clinical or HMO/Prepaid Business Office environment and (3) three years of management experience required.

Education Bachelor's degree (BA/BS) in Health Care

Category Executive & General Management

About this role

This Director role supervises the Revenue Cycle/Business Office team and drives strategic performance improvements. The position includes managing staff, analyzing revenue cycle trends with business intelligence, overseeing vendor services, and reporting results to senior leadership.

Key Responsibilities

Develop strategic plans and programs for the Revenue Cycle (RC) team
Analyze RC trends using business intelligence to optimize performance
Supervise and manage Revenue Cycle/Business Office employees
Monitor outside vendor revenue cycle services (statement processing, EDI vendors, Bad Debt agency performance)
Provide regular RC reporting and insights to senior leadership across locations

Technical Overview

The technical scope centers on Revenue Cycle operations and performance analytics: using business intelligence to analyze RC trends, compare performance to industry benchmarks, and manage operational workflows such as statement processing and EDI vendor performance. It also includes oversight of bad debt agency performance.

Ideal Candidate

The ideal candidate is a revenue cycle leader with at least 5 years of experience in a clinical or HMO/Prepaid Business Office environment and 3+ years of management experience. They have a medical procedural coding certification (or equivalent experience) and can use business intelligence to analyze RC trends, report performance to senior leadership, and optimize revenue cycle operations across locations.

Must-Have Skills

Bachelor's degree (BA/BS) in Health Care or related work experienceminimum (5) five years' experience in a clinical or HMO/Prepaid Business Office environmentminimum (3) three years of management experienceCertification on medical procedural coding or equivalent work experience

Nice-to-Have Skills

Master's Degree

Tools & Platforms

business intelligenceEDI vendors

Required Skills

strategic plans and programs for Revenue Cycle (RC) teamannual and monthly performance targetsbusiness intelligenceanalyzes RC trendsoptimize RC performanceregular reporting of RC resultsmonitoring revenue cycle services by outside vendorsstatement processingEDI vendorsBad Debt agency performanceappraising performancetraining employeesinterviewinghiringplanning assigning and directing work

Hard Skills

strategic plans and programs for Revenue Cycle (RC) teamannual and monthly performance targetsbusiness intelligenceanalyzes RC trendsoptimize RC performanceregular reporting of RC resultsmonitoring of revenue cycle services performed by outside vendorsstatement processingEDI vendorsBad Debt agency performanceanalyzes enterprise-wide revenue cycle trendsdevelop solutions to optimize RC performance

Soft Skills

supervises employees in the Revenue Cycle/Business Officeinterviewinghiringtraining employeesplanningassigningand directing workappraising performancerewarding and disciplining employeesaddressing complaints and resolving problemsinteracts with senior leadership at all locations

Certifications

Required

Certification on medical procedural coding

Industry & Role

Industry Healthcare

Job Function Direct and optimize enterprise Revenue Cycle performance through leadership, analytics, and vendor oversight.

Role Subtype VP of Operations

Keywords for Your Resume

DIR - REVENUE CYCLEDirector of Revenue CycleRevenue CycleRevenue Cycle (RC)Business OfficeHMO/Prepaid Business Officestatement processingEDIEDI vendorsBad Debt agency performancestrategic plansperformance targetsindustry benchmarksbusiness intelligenceanalyzes RC trendsoptimize RC performanceregular reporting of RC resultssupervises employeesinterviewinghiringtraining employeesplanning assigning and directing workappraising performancerewarding and disciplining employeescomplaints and resolving problemssenior leadershipBachelor's degree (BA/BS) in Health CareMaster's Degree preferredmedical procedural codingCertification on medical procedural coding

Deal Breakers

Bachelor's degree (BA/BS) in Health Care or related work experience required, Minimum 5 years' experience in a clinical or HMO/Prepaid Business Office environment required, Minimum 3 years of management experience required, Certification on medical procedural coding or equivalent work experience required

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