Revenue Cycle Director jobs in North Carolina

Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Director, Revenue Cycle Management
  • MED-EL Corporation
  • Durham, NC FULL_TIME
  • MED-EL Corporation, located in Research Triangle Park and headquartered in Austria, is a worldwide leader in hearing implant research and technology and is committed to designing and manufacturing advanced hearing systems. We offer competitive salaries and benefits.
     
    Our Mission: "Delivering leading-edge technology to restore hearing and empower connection."
     
    Job Summary:
     
    The Director of Revenue Cycle reports to Finance and is responsible for overseeing all revenue cycle activities, and development, implementation and quality assurance of all revenue cycle policies and procedures for MED-EL Corporation (DMEPOS).  Oversees the management and continuous improvement of revenue cycle operations to positively impact revenue and collections. Leads and oversees efforts to reduce denials, eliminate inefficiencies.  This position is matrixed and is also aligned with the VP of Customer Experience.
     
    The ideal candidate will have a strong background in healthcare revenue cycle management, optimally in medical device where there is a long-term relationship for supplies and upgrades.  Responsible to ensure the company’s revenue cycle processes from customer service to back-end billing and accounts receivable, are auditable, efficient, effective, and compliant with all relevant regulations, and federal, state, and payer-specific billing requirements.
     
    Key Responsibilities:
     
    • Leadership on Insurance Processing Systems and Process Optimization
      • Primary responsibility for of oversight of use and optimization of a new insurance processing system (Brightree), involving aligning all documentation, features, processes, reporting and data to support integration of the new system while collaborating effectively with the teams focused on enhancing the customer experience. 
    • Diagnostic assessment of revenue cycle activities and current status and
      • Work with leadership and teams on identified improvement opportunities.
      • Plan for process improvement in the new system - including ensuring an effective control environment, reliable reporting, and oversight of all patient supplies sales activities
    •  Departmental
      • Responsibility for revenue cycle policies and procedures that ensure compliance with all relevant regulations, including  Medicare, state Medicaid programs, managed care organizations, and commercial payers
      • Monitor and measure the quantitative performance of each group within the Revenue Cycle, addressing unfavorable trends and areas of risks
      • Develop and align on a relevant performance reporting suite of metrics, and related structure of performance review meetings with team and departmental leadership to maintain and develop an accountable environment.
      • Assess and analyze all services, identifying areas for improvement, and using data to support proposals and document results
      • Stay abreast of improved tools or improvements available through existing vendor partners that can facilitate a better patient experience, and / or more efficiencies in the revenue cycle
      • Ensure records related to insurance and self-pay services are complete, accurate, available and in compliance with legal, regulatory and policy requirements
      • Manage A/R, Billing, and data integrity, including hiring, training, and performance management
      • Oversee billing data integrity and act as partner to Business Systems to ensure consistent availability of systems that support our revenue cycle infrastructure
      • Oversee relationships with major payers to ensure continued improvement in in-network status and optimal reimbursement
      • Collaborate with other departments to ensure a seamless revenue cycle process.
      • Maintain collection process to ensure prompt payment and optimal DSO.
     
     
     
    • Leadership
      • Develop a team with high standards and compliant service delivery
      • Develop, coach and mentor people-leaders involved in the revenue cycle with the goal of building cohesive, mission-focused, patient-centered revenue cycle teams
      • Create a working environment that encourages diverse opinion, defines high standards and recognizes and rewards staff for delivering on goals and objectives
      • Incorporate organizational mission, values and goal-setting within directly-managed teams
      • Collaborate effectively with leadership and management to align and oversee core revenue cycle deliverables, metrics and standards in allied teams
      • Develop, monitor and maintain operational initiatives with measurable outcomes and adjust course as necessary and appropriate
      • Prepare and deliver reports and presentations for peers, executive team, and staff
     
     
    Qualifications:
    • Minimum Bachelor’s degree in healthcare administration, business administration, or a related field. Master’s degree in healthcare administration, business administration, or a related field preferred
    • Minimum of 5 years of progressively responsible experience in healthcare revenue cycle management and at least 3 years of leadership experience in healthcare revenue cycle management
    • Strong knowledge of healthcare billing and collections processes, standards, regulations and requirements
    • Experience in DME or DMEPOS or similar medical devices area (diabetes, sleep apnea, etc.) highly preferred
    • Experience with Brightree highly preferred
    • Experience with implementing a revenue cycle billing system preferred
    • Advanced proficiency with MS Office, Teams, Excel
    • Experience effecting change through managing managers and supervisors, analyzing and improving on processes and SOPs and education
    • Documented and outstanding ability to work collaboratively and independently to achieve results. Must be a self-starter, originator, collaborator, planner and willing to grow from lessons learned
    • Excellent communication and interpersonal skills. Must be able to communicate effectively and professionally with executive team, leadership and staff across the company, and external customers (payers, clinicians and recipients).
    • Ability to work collaboratively with other departments to achieve common goals.

  • 18 Days Ago

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Director of Revenue Cycle
  • WASHINGTON REGIONAL MEDICAL CENTER PLYMOUTH NC
  • Plymouth, NC FULL_TIME
  • Description OVERVIEW:We are looking to hire a highly efficient Director of Revenue Cycle to oversee all tasks assigned to the revenue cycle department staff. The Director of Revenue Cycle's responsibi...
  • 9 Days Ago

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Director of Revenue Cycle and Reimbursement (FT)
  • Ashe Memorial Hospital
  • Jefferson, NC FULL_TIME
  • At Ashe Memorial Hospital, we are driven by our Mission Statement, "To meet the needs of the community by delivering patient-centered, high quality health care." Ashe Memorial Hospital is proud to be ...
  • 3 Days Ago

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Revenue Cycle Manager - Fast Track to Director
  • NorthPoint Search Group
  • Raleigh, NC FULL_TIME
  • Revenue Cycle Manager - Fast Track to Director - in-office opportunity in Raleigh up to $120K salary, DOE, plus benefits and perks. Qualified candidates, please submit your resume to jennifer@stafffin...
  • 16 Days Ago

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Revenue Cycle Manager - Fast Track to Director
  • NorthPoint Search Group
  • Charlotte, NC FULL_TIME
  • Revenue Cycle Manager - Fast Track to Director - in-office opportunity in Charlotte up to $120K salary, DOE, plus benefits and perks. Qualified candidates, please submit your resume to jennifer@stafff...
  • 16 Days Ago

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Director Information Technology - Business and Revenue Cycle Systems
  • UNC Health
  • Morrisville, NC FULL_TIME
  • Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: This positio...
  • 1 Month Ago

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Hospital Revenue Cycle Director
  • Clinical Management Consultants
  • Clatskanie, OR
  • An exciting opportunity for a Hospital Revenue Cycle Director position is now available at an award hospital in Oregon. ...
  • 3/28/2024 12:00:00 AM

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PFS Billing & Denials Manager (FT Salaried)
  • Blanchard Valley Health System
  • Findlay, OH
  • PURPOSE OF THIS POSITION The purpose of this position is to develop, organize, implement, and direct the day-to-day acti...
  • 3/28/2024 12:00:00 AM

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Director of Revenue Management
  • Five Star Senior Living
  • Boston, MA
  • Key Responsibilities The Opportunity The Director of Revenue Management reports directly to the Office of the CEO and is...
  • 3/28/2024 12:00:00 AM

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Director of Revenue Management
  • Crescent
  • Palm Beach Gardens, FL
  • PGA National Resort, a Palm Beach destination, is currently searching for an experienced, creative and analytical Direct...
  • 3/27/2024 12:00:00 AM

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Director of Revenue Management
  • AccorHotel
  • San Francisco, CA
  • Company Description Since 1907, Fairmont has served as the San Francisco residence for U.S. presidents, world leaders an...
  • 3/25/2024 12:00:00 AM

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Director of Revenue Management
  • AccorHotel
  • Long Beach, CA
  • Company Description Fairmont Breakers Long Beach will revive one of California's best-known and beloved luxury hotels. O...
  • 3/25/2024 12:00:00 AM

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Hospital Finance Director
  • Clinical Management Consultants
  • Seaside, OR
  • An accomplished and well-regarded healthcare system and Hospital in Western Oregon is actively interviewing candidates f...
  • 3/24/2024 12:00:00 AM

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Director of Growth
  • Dr. Squatch
  • Del Rey, CA
  • Why We Exist and What We Do: At Dr. Squatch ( www.drsquatch.com ), we're raising the bar on men's personal care with our...
  • 3/24/2024 12:00:00 AM

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Revenue Cycle Director jobs
$134,533 to $181,659

Revenue Cycle Director in New Haven, CT
Location.  BS, Accounting, Finance, with 10+ years of strong Revenue Cycle Management leadership in general acute care setting.  Must have strong accomplishments and steady work history.  Director exp.
January 06, 2020
Revenue Cycle Director in Pittsburgh, PA
While not on campus, the Healthcare Revenue Cycle Director will be able to enjoy plenty of dinning and shopping options.
January 08, 2020
Revenue Cycle Director in Pierre, SD
Healthcare providers often purchase and deploy designated revenue cycle management systems to store and manage patients' billing records.
November 28, 2019
The revenue cycle includes all the administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, according to the Healthcare Financial Management Association (HFMA).
February 10, 2020