Cloud and Things · 8 hours ago
Director of Revenue Cycle Management
United States
Full-time
Remote
Director/Executive
8+ years exp
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Responsibilities
Develop and implement strategies to optimize the revenue cycle process, including billing, collections, claims processing, and accounts receivable management.
Lead day-to-day revenue cycle operations, ensuring timely and accurate submission of claims, prompt follow-up on denials, and adherence to regulatory requirements.
Supervise and mentor the RCM team, fostering professional growth and ensuring high performance.
Ensure all revenue cycle activities comply with federal, state, and payer regulations, including HIPAA and other applicable standards.
Monitor and analyze key performance indicators (KPIs) such as days in accounts receivable (AR), claim denial rates, and cash collections, and take corrective action as needed.
Partner with clinical and operational leaders to address revenue-related challenges and improve patient financial experience.
Oversee the implementation and maintenance of revenue cycle management systems, ensuring data integrity and workflow efficiency.
Identify opportunities for process enhancements and lead initiatives to improve efficiency, reduce costs, and maximize revenue.
Provide regular updates to executive leadership on revenue cycle performance and financial health.
Qualification
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Required
8+ years of progressive experience in revenue cycle management, with at least 3 years in a leadership role overseeing large teams (25+)
Strong understanding of healthcare revenue cycle processes, payer regulations, and compliance requirements. NY CDPAP experience or FMS/self-direction experience in revenue cycle with another vendor or MCO/State Medicaid Agency
Proficiency with revenue cycle management systems (e.g., Epic, Cerner, Meditech) and data analysis tools. Workday experience. Strong Excel skills. Experience in claims management utilizing a clearinghouse (Waystar a+)
Proven ability to lead and develop high-performing teams in a complex and fast-paced environment.
Strong ability to analyze data, interpret trends, and make informed decisions to improve financial performance.
Excellent verbal and written communication skills for engaging with diverse stakeholders, including executive leadership.
Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field; Master’s degree preferred.
Preferred
Certified Revenue Cycle Executive (CRCE) or similar certification is a plus.
Company
Cloud and Things
Cloud and Things is an experienced State and Local Government IT consulting firms.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase
