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CLS Health · 5 months ago

Director of Revenue Cycle

Webster, TX

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

CLS Health is redefining healthcare delivery as Houston’s largest physician-owned healthcare system. They are seeking a results-driven Director of Revenue Cycle to manage and optimize revenue cycle operations across multiple locations, ensuring compliance and efficiency in billing and collections.

Health CareMedical

Responsibilities

Oversee all functional areas of the revenue cycle, including patient access, insurance verification, charge capture, coding, billing, collections, and denial management

Implement and enforce policies, procedures, and workflows to maximize revenue capture and reduce aged A/R

Monitor and report on key performance indicators (KPIs), including days in A/R, clean claim rate, denial trends, and collection performance

Collaborate with cross-functional teams to resolve revenue cycle-related issues, streamline workflows, and improve operational efficiency

Ensure compliance with all applicable federal, state, and payer regulations, including HIPAA, Medicare, and Medicaid billing rules

Lead and mentor revenue cycle staff, including managers and frontline team members, ensuring ongoing training and performance evaluation

Support implementation and optimization of revenue cycle technologies (e.g., EMR/PM systems, clearinghouses, dashboards)

Address escalated patient inquiries and billing concerns in a professional and timely manner

Participate in payer audits and support managed care contracting initiatives with data and analysis as needed

Provide regular reports to senior leadership outlining trends, variances, risk areas, and opportunities for improvement

Performs other related duties as assigned

Qualification

Revenue cycle managementHealthcare billingLeadership experienceAnalytical skillsEClinicalWorksInterpersonal skillsProblem-solving skillsCommunication skills