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AP Health · 1 month ago

Director of Revenue Cycle

Nashville, TN

Full-time

Hybrid

Lead/Staff, Director/Executive

$110K/yr - $135K/yr

5+ years exp

AP Health is a private practice comprised of advanced practice providers, providing perioperative services to hospitals, surgeons, and surgery centers. The Director of Revenue Cycle will oversee the full revenue cycle process, lead a team, develop scalable growth strategies, and manage relationships with key stakeholders to ensure efficient claims processing.

Health CareStaffing AgencyTraining

Responsibilities

Oversee the full revenue cycle process, including encounter management, data reconciliation, medical coding, claim billing and submission, payment posting, denial management and accounts receivable

Lead, advise, and grow a 5-7 person PFB team; you'll help drive their growth and success every step of the way

Work with the COO to develop processes and multi-site workflows across South Florida, Nashville, and Dallas

Develop a scalable growth strategy that supports 40%+ expansion by enhancing efficiency and streamlining operations

Communicate routinely to department leadership and key stakeholders any significant issues, status of projects, barriers encountered, and successes achieved, ensuring transparency and alignment

Manage relationships with customers, third-party payers, clearinghouses, and vendors to ensure timely and accurate claims processing

Qualification

Healthcare revenue cycle managementMedical billingCodingLeadership experiencePayer contractingClaims adjudicationEMR/EHR systemsHIPAA complianceFinancial data analysisTeam developmentCommunication skills

Required

Bachelor's degree in Healthcare Administration, Business, Finance, or a related field

5+ years of progressive experience in healthcare revenue cycle management, including at least 3–5 years in a leadership role

In-depth knowledge of medical billing, coding, reimbursement methodologies, payer contracting, and claims adjudication processes; facility-based pro fee experience is a major plus

Proven experience managing denial prevention and resolution, accounts receivable, and payer relations

Strong understanding of HIPAA regulations and compliance standards

Demonstrated ability to analyze and interpret financial and operational data to drive decision-making

Proficiency in EMR/EHR systems and revenue cycle platforms

Excellent leadership, communication, and team development skills

Ability to collaborate effectively across clinical, administrative, and executive teams

Benefits

Comprehensive and flexible medical, dental, and vision insurance

Short and long-term disability, basic and supplemental life

401K retirement plan with company matching

Participation in the company’s Employee Stock Option Plan (ESOP)

Paid state license, malpractice, and other agreed upon licenses and dues

Tuition reimbursement

Annual $1,500 allotment accompanied by 3 paid days off for Continuing Medical Education (CME)

Generous PTO and "life/work" balance

Excellence at Work: AP Health is a certified Great Place to Work™- a national designation based on employee feedback about trust, workplace culture, and experience.