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Med First Primary & Urgent Care · 17 hours ago

Director Revenue Cycle Management

Raleigh, NC

Full-time

Onsite

Lead/Staff, Director/Executive

3+ years exp

Med First Primary & Urgent Care is seeking a Director of Revenue Cycle Management to oversee the organization's revenue cycle performance and strategy. The role involves managing all aspects of revenue cycle functions and implementing strategies to improve cash flow and compliance with regulations.

Hospital & Health Care

Responsibilities

Serve as a strategic resource to senior management, operations leadership, billing trainers, and revenue cycle staff

Develop and manage revenue cycle strategies to meet short-term and long-term organizational goals

Establish clear goals, objectives, and performance metrics for revenue cycle operations

Develop, implement, and enforce revenue cycle policies, procedures, and guidelines with consistent company-wide application

Plan and direct patient registration, insurance verification, billing, collections, and data processing to ensure accurate billing and efficient collections

Oversee front office and patient service functions as they relate to revenue cycle performance

Set clear productivity expectations and quality standards for reception, patient service representatives, and business office teams

Standardize workflows across the revenue cycle to ensure consistency with company standard operating procedures

Monitor and evaluate collection effectiveness and ensure insurance billing remains current within established departmental timelines

Maximize revenue through accurate charge capture and appropriate charge structures aligned with payer contracts, industry standards, and market conditions

Analyze accounts receivable to optimize net revenue, stabilize cash flow, reduce denials, and minimize write-offs

Perform audits and develop comprehensive monthly revenue cycle performance reports for leadership

Implement recommendations from internal and external audits, consultants, and compliance reviews

Oversee charge master maintenance, including review and approval of pricing, CPT, HCPCS, and revenue codes

Establish and maintain relationships with third-party payers and insurers

Manage physician credentialing and re-credentialing processes with private and government payers

Ensure compliance with federal, state, and payer-specific regulations

Develop and implement process improvements to enhance quality, efficiency, and productivity

Ensure consistent communication and enforcement of revenue cycle policies

Maintain up-to-date knowledge of healthcare regulations, reimbursement trends, and best practices

Perform additional duties as assigned

Qualification

Healthcare financial managementRevenue cycle operationsProcess improvementAthena EMRHealthcare regulations knowledgeAnalytical skillsMicrosoft Office proficiencyLeadership skillsCommunication skills