Women's Health Arizona · 2 months ago
Director of RCM Operations
Phoenix,AZ,US
Full-time
Onsite
Director/Executive
7+ years expWomen's Health Arizona is seeking a Director of Revenue Cycle to optimize revenue capture and ensure timely billing and collections. The role involves strategic leadership in revenue cycle management, compliance with regulatory requirements, and financial performance improvement.
Health CareNutritionWomen's
Responsibilities
Provide strategic leadership and direction for the revenue cycle department, including billing, coding, collections, and accounts receivable management
Develop and implement policies, procedures, and best practices to optimize revenue cycle processes and improve financial performance
Monitor key performance indicators (KPIs), revenue metrics, and financial benchmarks to assess revenue cycle performance and identify opportunities for improvement
Oversee the billing process, including charge capture, claims submission, and revenue recognition, to ensure accurate and timely billing of services rendered
Monitor claim denials, rejections, and appeals, and implement strategies to minimize claim errors and maximize clean claim submission rates
Ensure compliance with billing regulations, coding guidelines, and payer requirements to optimize reimbursement and minimize revenue leakage
Manage accounts receivable processes, including payment posting, denial management, and accounts receivable follow-up, to reduce outstanding balances and improve cash flow
Analyze accounts receivable aging reports, identify trends, and implement strategies to reduce days in accounts receivable and optimize collections
Ensure compliance with healthcare regulations, billing standards, and payer policies related to revenue cycle management, including HIPAA, CMS, and other regulatory requirements
Conduct regular audits and reviews of revenue cycle processes, documentation, and coding practices to ensure accuracy, completeness, and compliance
Generate and analyze financial reports, revenue cycle performance metrics, and key performance indicators (KPIs) to monitor financial performance, identify trends, and support decision-making
Prepare and present revenue cycle performance reports, variance analyses, and recommendations to senior leadership and stakeholders
Lead and develop the revenue cycle team, providing guidance, training, and support to ensure a high level of performance, productivity, and professionalism
Foster a culture of accountability, collaboration, and continuous improvement within the revenue cycle department
Qualification
Required
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field required
Minimum of 7-10 years of progressive experience in revenue cycle management, with at least 3-5 years in a leadership or managerial role
Must have Athena collector background and experience
Coding experience
Strong knowledge of revenue cycle processes, healthcare billing regulations, coding guidelines, and payer reimbursement methodologies
Experience with healthcare revenue cycle software systems (e.g., Epic, Cerner, Meditech) and financial reporting tools
Excellent analytical, problem-solving, and decision-making skills
Strong leadership, including past team management of both internal and external third-party teams
Successful experience with change management, and the ability to work both high level strategically and drive tactically to cover support with billing and coding
Effective communication, interpersonal, and negotiation skills
Demonstrated ability to drive process improvements, optimize revenue performance, and achieve financial goals
Preferred
Master's degree
Athena reporting experience
Experience in women's healthcare
Company
Women's Health Arizona
With Women’s Health Arizona, women come first—always.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase