CFS · 18 hours ago
Director Revenue Cycle
Derby, CT
Full-time
Onsite
Director/Executive
$150K/yr - $185K/yr
7+ years expCFS is seeking a Director Revenue Cycle to provide comprehensive strategic leadership and operational oversight for the hospital's revenue cycle functions. The role focuses on maximizing revenue integrity, enhancing cash flow, and ensuring optimal reimbursement while maintaining compliance with regulatory requirements.
Human ResourcesStaffing Agency
Responsibilities
Develop and implement comprehensive, system-wide revenue cycle strategies encompassing patient access, coding, billing, and collections
Lead and mentor managers and staff within all revenue cycle departments
Establish and monitor key performance indicators (KPIs), dashboards, and performance targets (e.g., A/R days, denial rates, cash acceleration) to drive efficiency and financial outcomes
Collaborate with executive leadership, physicians, and clinical teams to align revenue cycle operations with organizational goals and growth plans
Assess revenue cycle operations to identify opportunities where technology or software can enhance productivity and reduce costs which includes implementing cost-effective strategies and technologies to improve financial performance, cash flow, and net revenue
Ensure rigorous compliance with all federal and state regulations, CMS guidelines, and third-party payer policies while keeping abreast of all federal, state and third-party payer rules and regulations; apprises staff and the clinical departments of the Hospital
Oversee revenue integrity initiatives, including charge capture accuracy, audit processes, and proactive denial management programs
Manage strategic relationships with third-party payers to optimize contractual reimbursement and minimize preventable denials through root-cause analysis
Monitor and enhance coding quality and documentation practices in partnership with HIM leadership
Collaborate and communicate with the Managed Care team to ensure appropriate reimbursement and promptly address issues with managed care organizations
Lead the coordination with managed care companies operations to resolve payment issues on billed accounts
Direct all components of the revenue cycle, from scheduling and pre-authorization through claims submission, follow-up, and final collections
Analyze processes to identify and resolve bottlenecks, risks, and opportunities for automation and workflow improvement
Partner with clinical departments to ensure accurate charge capture and coding practices that optimize revenue
Develop, manage, and monitor the annual budget for all revenue cycle departments, presenting financial trends and performance metrics to senior leadership and the board
Plans, organizes, and oversees service delivery initiatives involving networking, integration, systems, security, data center, and related vendors in support of various Health System operations, projects and initiatives
Qualification
Required
Bachelor's degree in Finance, Healthcare Administration, Business, or a related field
7–12 years of progressive revenue cycle leadership experience in a hospital or large healthcare system, including 7+ years of dedicated management experience
Strong functional knowledge of coding regulations, complex payer requirements, and various reimbursement methodologies
Expertise in key revenue cycle metrics (e.g., DNFB, A/R days, denial rates)
Exceptional leadership, communication, and change-management skills
High analytical capability with a deep understanding of healthcare finance
Proven ability to build and maintain effective working relationships across clinical, administrative, and financial teams
Preferred
Expertise in revenue cycle automation and technology
Company
CFS
Founded by CPA firms in 1994, Creative Financial Staffing has spent over 30 years helping job seekers and employers succeed.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Dan Casey
CEO, Founder
Company data provided by crunchbase