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St. Croix Hospice · 1 day ago

Director of Revenue Cycle Management

Mendota Heights, MN

Full-time

Onsite

Director/Executive

$115K/yr - $130K/yr

7+ years exp

St. Croix Hospice is dedicated to guiding patients and families through the end-of-life journey with compassionate care. The Director of Revenue Cycle Management is responsible for overseeing billing, collections, and reimbursement processes, ensuring compliance with regulations, and driving financial performance within the organization's revenue cycle operations.

Health Care

Responsibilities

Provide strategic leadership and operational oversight of all Medicare, Medicaid and Commercial billing, collections, and revenue cycle activities within St Croix Hospice

Manage, mentor, and develop a high-performing revenue cycle team focused on accuracy, compliance, and efficiency

Monitor and report on key revenue cycle metrics, including Days Sales Outstanding (DSO), cash collections, denial and appeal rates, billing accuracy, and AR aging

Establish and manage Key Performance Indicators (KPIs) and monthly collection goals to ensure optimal cash flow and financial performance

Ensure compliance with all federal and state regulations governing Medicare and Medicaid billing for hospice care, including timely submission and correction of claims

Collaborate with clinical, financial, and operational leadership to address revenue cycle barriers and streamline processes

Identify and implement process improvements, automation tools, and system enhancements to increase efficiency and reduce errors

Engage and communicate with long-term care and skilled nursing facilities to understand and resolve any billing discrepancies in accordance with contractual payment terms

Oversee reconciliation and audit processes to ensure accurate and complete revenue capture

Develop and present monthly and quarterly revenue cycle performance reports to executive leadership

Stay current with Medicare and Medicaid hospice billing regulations, CMS updates, and payer trends to proactively adjust processes and maintain compliance

Performs other duties as assigned

Qualification

Medicare billingRevenue cycle managementKey Performance IndicatorsHealthcare AdministrationAdvanced Excel skillsAnalytical mindsetTeam developmentLeadership skillsOrganizational skillsProblem-solving skillsCommunication skills

Required

Bachelor's degree in finance, Healthcare Administration, Business or related field

7+ years of experience managing a revenue cycle or billing team in a healthcare setting, preferably hospice or home health

10+ years of hands-on experience with Medicare billing, claims processing, and collections

Strong knowledge of Medicare hospice reimbursement rules, eligibility, and compliance standards, preferred

Proven track record of managing and improving Key Performance Indicators (KPIs) and monthly cash collections

Advanced Excel skills

Ability to pass DHS background study

Strong leadership and team development skills

Excellent organizational and problem-solving skills, with proven ability to multi-task and work with a sense of urgency under deadlines required

Analytical mindset with the ability to interpret data and drive actionable results

Demonstrate executive presence, with solid communication skills and the ability to work collaboratively with other teams and departments, including finance, operations, and clinical teams

Proficiency with EMR and billing systems (e.g., HCHB, Netsmart, or similar hospice/home health billing software)