Signature Performance, Inc. · 17 hours ago
Director of Revenue Cycle Implementation
Signature Performance, Inc. is a company focused on managed services in the healthcare sector, and they are seeking a Director of Revenue Cycle Implementation. This strategic leadership role oversees the onboarding of new healthcare system clients and manages the transition of core revenue cycle management functions to ensure operational stability and financial improvement.
HealthcareHealth Care
Responsibilities
Lead the end-to-end implementation lifecycle of RCM services, including Health Information Management (HIM)/Coding, Patient Accounting, Billing and Insurance Follow-up
Lead 'Discovery' sessions to map legacy client workflows and design future-state processes workflows for Coding, Billing, and AR follow-up
Coordinate with internal Service Line Directors (Coding Manager, AR Manager, etc.) to ensure our labor force is scaled and trained to meet the incoming client's volume
Partner with IT to ensure seamless connectivity to client EHRs (Epic, Cerner, Meditech, etc.) and clearinghouse configurations and the RCM workflow applications
Define baseline metrics and implement Service Level Agreements (SLAs), including but not limited to targets for DNFB, Clean Claim Rates, Days in AR, Denial Recovery and Cash Collection percentages
Direct the 'Re-badging' lifecycle, transitioning client employees to our organization's payroll while maintaining operational continuity
Lead town halls, 1-on-1 employee meetings, and orientation sessions to drive cultural adoption and mitigate turnover during the transition period
Evaluate the skills of legacy staff to determine optimal placement within the new service model or identify training gaps
Design the distribution of work between onsite client teams, domestic service centers, and global offshore/nearshore delivery sites
Lead formal KT protocols to ensure global teams master client-specific payer nuances, local regulations, and facility-specific documentation habits
Establish audit loops to ensure global coding and billing accuracy meet or exceed legacy domestic performance
Serve as the primary implementation lead for the client CFO and VP of Revenue Cycle, providing daily/weekly performance reporting during the 'Hyper-Care' phase (first 90--120 days)
Proactively identify and resolve bottlenecks in the transition that could lead to 'unbilled' backlogs or cash dips
Qualification
Required
10+ years of Revenue Cycle experience, with at least 5 years in a BPO (Business Process Outsourcing) or professional services implementation leadership role
Bachelor's degree in Healthcare Administration, Finance, or Business (MHA/MBA preferred)
Proven track record of implementing high-volume RCM services (not just technology) for small to large hospitals or multi-specialty physician groups
Proven experience transitioning 'on-shore' or 'in-house' hospital departments to a third-party service provider model
Expertise in Coding; Billing, AR/Denials
Experience managing the 'political' and human elements of a transition, including staff re-badging or departmental restructuring
Direct experience managing or integrating with global delivery centers (India, Philippines, or similar)
High proficiency in major EHR systems and RCM workflow tools; deep understanding of 837/835 transaction sets
Ability to command confidence from hospital C-Suite leadership during high pressure transitions
Skill in managing diverse teams across multiple time zones and backgrounds
Ability to identify 'leakage' in a legacy revenue cycle and implement immediate service-based fixes
U.S. Citizenship or naturalized citizenship is required for this position
Preferred
MHA/MBA preferred
Company
Signature Performance, Inc.
Signature Performance is dedicated to optimizing the business of healthcare.
Funding
Current Stage
Late StageRecent News
2024-04-06
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