Director of Reimbursement

SummaryThe Director of Revenue Cycle is responsible for overseeing and improving all aspects of the revenue cycle process, with a focus on increasing clean claim submission, reducing denials, and improving overall financial performance. This role leads system enhancements, streamlines workflows, and ensures efficient billing and collections operations.Key ResponsibilitiesLead and manage all revenue cycle operations, including billing, coding, A/R follow-up, and payment postingImprove front-end processes to increase clean claim rates and reduce denialsIdentify and implement system and workflow improvements to enhance efficiency and automationMonitor key performance metrics such as denial rates, days in A/R, and productivityAnalyze data, identify root causes of issues, and implement solutionsCollaborate with leadership and internal teams to align on process improvementsDevelop and enforce policies and procedures to ensure accuracy and complianceEnsure compliance with Medicare and other regulatory requirementsTrain, mentor, and hold team members accountable for performanceQualifications10+ years of experience in healthcare revenue cycle management5+ years of leadership or management experienceStrong knowledge of Medicare and healthcare billing regulationsExperience with EMR systemsProficiency in Microsoft Office, especially ExcelEducationBachelor’s degree preferred, or equivalent experienceWork EnvironmentOffice-based role with standard business hours (Monday–Friday)Occasional travel may be required