**Direct Recruiters is leading the following search on behalf of our client. Applicants meeting qualifications will be contacted by Direct Recruiters.**
Director of Revenue Cycle - Charlotte, NC
About Our Client:
Our client is a rapidly growing, multi-state healthcare provider that specializes in delivering services to children with developmental needs. Their mission is to expand access to life-changing care for families in need. Our client has received national recognition for their exceptional commitment to employee satisfaction and delivering outstanding client care.
Position Summary:
Our client is seeking an experienced Director of Revenue Cycle to join their leadership team. Reporting directly to the VP of Revenue Cycle , this role will lead payer billing, patient financial services, and credentialing functions across the organization. The ideal candidate will bring strong healthcare revenue cycle expertise and a hands-on, problem-solving approach to ensure billing processes are effective, accurate, compliant, and optimized to support growth and maximize cash flow.
Key Responsibilities:
- Oversee all aspects of revenue cycle management, including billing, collections, denials management, and provider credentialing across all locations.
- Ensure all revenue cycle activities align with organizational protocols and adhere to federal, state, and payer regulations to mitigate compliance risks, including fraud and abuse.
- Partner with executive leadership to support internal and external reporting requirements.
- Directly manage and support key revenue cycle department leaders, including Billing, Client Financial Services, and Credentialing teams.
- Provide regular updates to leadership on revenue cycle performance, challenges, and opportunities.
- Act as the primary point of contact between revenue cycle operations and external partners, such as payers, software vendors, and third-party resources.
- Develop and monitor key performance indicators (KPIs) to track revenue cycle performance and drive continuous improvement through proactive issue resolution.
- Lead resolution of reimbursement issues with third-party payers, ensuring compliance with internal policies and procedures.
- Analyze trends in charges, coding, collections, accounts receivable, and write-offs, presenting data-driven insights and recommendations to leadership.
- Collaborate with clinical and operational leaders to address preventable errors, reduce denials, and improve the overall client billing experience.
- Oversee department-related expenses and approve client and insurance refunds.
- Develop and maintain departmental policies, processes, and best practices to ensure accurate financial and insurance data collection and processing.
- Stay informed on evolving industry trends and regulations, identifying opportunities to enhance revenue cycle operations.
- Maintain professionalism and confidentiality when handling sensitive client information.
Required Skills & Qualifications:
- 5+ years of progressive leadership experience in healthcare revenue cycle management.
- Deep understanding of revenue cycle best practices, revenue accounting, and payer enrollment processes (Medicaid and commercial payers).
- Strong knowledge of regulatory requirements, including HIPAA, insurance billing guidelines, client financial services processes, and provider credentialing (experience with behavioral health billing is a plus).
- Ability to effectively analyze data and present clear, actionable insights.
- Experience partnering with executive leadership to drive operational excellence and achieve performance goals.
- Strong collaboration skills, with the ability to build effective relationships across internal teams and external partners.
- Flexible, adaptable, and comfortable working in a fast-paced, high-growth environment.
- Excellent organizational, administrative, and problem-solving skills.
- Ability to work independently and make sound decisions within established guidelines.
- Strong communication skills, including the ability to explain financial responsibility to clients with empathy and professionalism.
- High level of discretion, tact, and professionalism in all interactions.
Education & Technical Requirements:
- Bachelor’s degree in healthcare administration, business administration, or a related field required (Master’s degree preferred).
- Proficiency in Microsoft Office, including Word, Excel, and PowerPoint.