Executive Director Revenue Cycle

Job Summary

The Executive Director Revenue Cycle Operations leads the end-to-end financial clearance and billing functions. This position is responsible for the strategic design, implementation, and management of all revenue cycle processes-from patient access and clinical coding to collections and denial management. The goal of the Executive Director Revenue Cycle Operations is to maximize net patient service revenue while ensuring a seamless, patient-centric financial experience.

Job Responsibilities

• Develop and execute a multi-year revenue cycle roadmap that aligns with the organization's financial goals and growth. Identify, implement, and evaluate Revenue Cycle strategies that create efficiencies to maximize Revenue Cycle performance.
• Monitor and optimize key metrics, including Days in AR (DAR), Net Collection Rate, Denial Rates, and Cost-to-Collect.
• Oversee departmental leaders in Patient Access, HIM/Coding, Billing, and Follow-up to ensure workflow efficiency and data integrity.
• Vendor Management: Manage relationships and performance for third-party collection agencies, eligibility vendors, and coding partners.
• Evaluate and implement automated solutions (AI/RPA) and EHR enhancements (Epic) to reduce manual intervention.
• Maintain strict adherence to CMS, HIPAA, and OIG regulations, ensuring all billing practices are ethically and legally sound.
• Develop employees through appropriate management practices, create a hospital climate to motivate employees to highest performance. Establish direction, coach employees, provide feedback, and build commitment.
• Oversee maintenance of data and reporting costs to third party payors for appropriate reimbursement of incurred costs in providing patient care services.
• Other duties as assigned.

Education Requirements

• Minimum: Bachelor's degree in healthcare administration, Finance, or Business
• Preferred: Master's/MBA/MHA

Experience Requirements

Minimum:

• Ten (10) years of progressive leadership in healthcare revenue cycle management within a Hospital / Physician Group / Health System] environment
• Advanced proficiency in Epic Resolute and data visualization tools (Tableau, PowerBI)

License/Certification Requirements

• Minimum: None
• Preferred: CHFP, CRCE, or FACHE