Medix™ · 3 days ago
Director of Revenue Cycle Operations -248978
Medix™ is a mission-driven healthcare organization seeking a Director of Revenue Cycle Operations. This role involves providing strategic and operational oversight across the full revenue cycle, ensuring efficiency and compliance while leading a small, high-impact billing team.
Responsibilities
You’ll provide strategic and operational oversight across the full revenue cycle, including:
Professional & facility coding
Charge capture and billing
Denials prevention, follow-up, and appeals
Payment posting and reconciliation
Patient billing and customer service support
You’ll ensure processes are efficient, compliant, and aligned with organizational goals, serving as the primary revenue cycle leader and trusted advisor to executive leadership
You’ll act as the Epic Revenue Cycle subject matter expert, driving optimization and performance across:
Resolute Professional & Hospital Billing
Cadence / Prelude (registration impacts)
Charge Review & Claim Edit work queues
Reporting, dashboards, and KPIs
You’ll partner closely with IT, clinical, and operational teams to improve clean claim rates, reduce denials, and accelerate cash collections
Deep expertise in Medi-Cal (FFS & Managed Care)
Strong understanding of commercial payers and workers’ compensation
Ensure compliance with state and federal billing regulations
Lead payer communications, audits, escalations, and denial resolutions
You’ll own the denial strategy and performance metrics, including:
Days in A/R
Denial rates and root-cause trends
Clean claim rate
Cash collections
You’ll deliver clear, actionable insights to the CFO and executive leadership
Lead and mentor a small, high-impact billing team
Foster a culture of accountability, collaboration, and growth
Provide coaching, performance reviews, and succession planning
Partner across clinical, patient access, finance, compliance, and IT teams to ensure end-to-end revenue cycle alignment and continuous improvement
Qualification
Required
Bachelor's degree in Healthcare Administration, Finance, Business, or related field
7+ years of progressive healthcare revenue cycle experience
Strong hands-on Epic Revenue Cycle experience (required)
Deep knowledge of California billing regulations and Medi-Cal
Proven leadership across coding, billing, denials, posting, and customer service
Excellent analytical, communication, and problem-solving skills
Preferred
Consulting experience
Epic Revenue Cycle certifications
Experience in pediatric, orthopedic, or specialty hospital settings
Background in smaller hospital or health system environments
Company
Medix™
Medix provides workforce solutions to clients and creates opportunity for contract employees.
Funding
Current Stage
Late StageTotal Funding
unknown2022-09-16Acquired
Recent News
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