Revenue Cycle Director jobs in Raleigh, NC

Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Director, Revenue Cycle Management
  • MED-EL Corporation
  • Durham, NC FULL_TIME
  • MED-EL Corporation, located in Research Triangle Park and headquartered in Austria, is a worldwide leader in hearing implant research and technology and is committed to designing and manufacturing advanced hearing systems. We offer competitive salaries and benefits.
     
    Our Mission: "Delivering leading-edge technology to restore hearing and empower connection."
     
    Job Summary:
     
    The Director of Revenue Cycle reports to Finance and is responsible for overseeing all revenue cycle activities, and development, implementation and quality assurance of all revenue cycle policies and procedures for MED-EL Corporation (DMEPOS).  Oversees the management and continuous improvement of revenue cycle operations to positively impact revenue and collections. Leads and oversees efforts to reduce denials, eliminate inefficiencies.  This position is matrixed and is also aligned with the VP of Customer Experience.
     
    The ideal candidate will have a strong background in healthcare revenue cycle management, optimally in medical device where there is a long-term relationship for supplies and upgrades.  Responsible to ensure the company’s revenue cycle processes from customer service to back-end billing and accounts receivable, are auditable, efficient, effective, and compliant with all relevant regulations, and federal, state, and payer-specific billing requirements.
     
    Key Responsibilities:
     
    • Leadership on Insurance Processing Systems and Process Optimization
      • Primary responsibility for of oversight of use and optimization of a new insurance processing system (Brightree), involving aligning all documentation, features, processes, reporting and data to support integration of the new system while collaborating effectively with the teams focused on enhancing the customer experience. 
    • Diagnostic assessment of revenue cycle activities and current status and
      • Work with leadership and teams on identified improvement opportunities.
      • Plan for process improvement in the new system - including ensuring an effective control environment, reliable reporting, and oversight of all patient supplies sales activities
    •  Departmental
      • Responsibility for revenue cycle policies and procedures that ensure compliance with all relevant regulations, including  Medicare, state Medicaid programs, managed care organizations, and commercial payers
      • Monitor and measure the quantitative performance of each group within the Revenue Cycle, addressing unfavorable trends and areas of risks
      • Develop and align on a relevant performance reporting suite of metrics, and related structure of performance review meetings with team and departmental leadership to maintain and develop an accountable environment.
      • Assess and analyze all services, identifying areas for improvement, and using data to support proposals and document results
      • Stay abreast of improved tools or improvements available through existing vendor partners that can facilitate a better patient experience, and / or more efficiencies in the revenue cycle
      • Ensure records related to insurance and self-pay services are complete, accurate, available and in compliance with legal, regulatory and policy requirements
      • Manage A/R, Billing, and data integrity, including hiring, training, and performance management
      • Oversee billing data integrity and act as partner to Business Systems to ensure consistent availability of systems that support our revenue cycle infrastructure
      • Oversee relationships with major payers to ensure continued improvement in in-network status and optimal reimbursement
      • Collaborate with other departments to ensure a seamless revenue cycle process.
      • Maintain collection process to ensure prompt payment and optimal DSO.
     
     
     
    • Leadership
      • Develop a team with high standards and compliant service delivery
      • Develop, coach and mentor people-leaders involved in the revenue cycle with the goal of building cohesive, mission-focused, patient-centered revenue cycle teams
      • Create a working environment that encourages diverse opinion, defines high standards and recognizes and rewards staff for delivering on goals and objectives
      • Incorporate organizational mission, values and goal-setting within directly-managed teams
      • Collaborate effectively with leadership and management to align and oversee core revenue cycle deliverables, metrics and standards in allied teams
      • Develop, monitor and maintain operational initiatives with measurable outcomes and adjust course as necessary and appropriate
      • Prepare and deliver reports and presentations for peers, executive team, and staff
     
     
    Qualifications:
    • Minimum Bachelor’s degree in healthcare administration, business administration, or a related field. Master’s degree in healthcare administration, business administration, or a related field preferred
    • Minimum of 5 years of progressively responsible experience in healthcare revenue cycle management and at least 3 years of leadership experience in healthcare revenue cycle management
    • Strong knowledge of healthcare billing and collections processes, standards, regulations and requirements
    • Experience in DME or DMEPOS or similar medical devices area (diabetes, sleep apnea, etc.) highly preferred
    • Experience with Brightree highly preferred
    • Experience with implementing a revenue cycle billing system preferred
    • Advanced proficiency with MS Office, Teams, Excel
    • Experience effecting change through managing managers and supervisors, analyzing and improving on processes and SOPs and education
    • Documented and outstanding ability to work collaboratively and independently to achieve results. Must be a self-starter, originator, collaborator, planner and willing to grow from lessons learned
    • Excellent communication and interpersonal skills. Must be able to communicate effectively and professionally with executive team, leadership and staff across the company, and external customers (payers, clinicians and recipients).
    • Ability to work collaboratively with other departments to achieve common goals.

  • 1 Month Ago

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Director Information Technology - Business and Revenue Cycle Systems
  • UNC Health
  • Morrisville, NC FULL_TIME
  • Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: This positio...
  • 21 Days Ago

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Revenue Cycle Manager - Fast Track to Director
  • NorthPoint Search Group
  • Raleigh, NC FULL_TIME
  • Revenue Cycle Manager - Fast Track to Director - in-office opportunity in Raleigh up to $120K salary, DOE, plus benefits and perks. Qualified candidates, please submit your resume to jennifer@stafffin...
  • 1 Month Ago

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Revenue Cycle Manager - Fast Track to Director
  • NorthPoint Search Group
  • Charlotte, NC FULL_TIME
  • Revenue Cycle Manager - Fast Track to Director - in-office opportunity in Charlotte up to $120K salary, DOE, plus benefits and perks. Qualified candidates, please submit your resume to jennifer@stafff...
  • 1 Month Ago

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Revenue Cycle Manager
  • Ultimate
  • Durham, NC FULL_TIME
  • Job Description Ultimate Staffing is seeking an experienced Revenue Cycle Management for a large medical practice in Durham, NC! This is a full time, DIRECT HIRE, 100% IN OFFICE opportunity looking to...
  • 14 Days Ago

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Epic Revenue Cycle Analyst
  • Raag Solutions
  • Raleigh, NC FULL_TIME
  • ONLY CANDIDATES WITH CURRENT EPIC ANALYST CERTIFICATIONS FOR ALL REQUIRED MODULES WILL BE CONSIDERED. The Technical Specialist will perform Epic Application Coordinator/Analyst functions to build the ...
  • 17 Days Ago

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0 Revenue Cycle Director jobs found in Raleigh, NC area

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Assistant Director of Administration - Finance
  • Raleigh Housing Authority
  • Raleigh, NC
  • Job Description Job Description Assistant Director of Administration-Finance Expected Hiring Range: $72,435 to $90,828 G...
  • 4/24/2024 12:00:00 AM

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Senior Manager of SEC Reporting
  • Avidxchange Inc.
  • Raleigh, NC
  • At AvidXchange, our teammates are the core of who we are.Were a team, bringing together people from different background...
  • 4/24/2024 12:00:00 AM

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Patient Services Representative - ER
  • Granville Health System
  • Oxford, NC
  • POSITION SUMMARY: Is responsible for receiving all incoming patients to Emergency Room, processing direct admissions, an...
  • 4/23/2024 12:00:00 AM

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Pricing Analyst - Ticketing
  • Img Live
  • Raleigh, NC
  • Pricing Analyst - Ticketing page is loaded Pricing Analyst - Ticketing Apply locations NC-Raleigh (OL) time type Full ti...
  • 4/23/2024 12:00:00 AM

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Revenue Integrity Analyst Job (Remote-must live in IL, IN, WI, IA)
  • LHH
  • Raleigh, NC
  • If you are interested in applying for this job opportunity, please email your resume in Word format to sarah.ayala@lhh.c...
  • 4/21/2024 12:00:00 AM

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Revenue Cycle Analyst Job (Remote-must live in IL, IN, WI, IA)
  • LHH
  • Raleigh, NC
  • If you are interested in applying for this job opportunity, please email your resume in Word format to sarah.ayala@lhh.c...
  • 4/21/2024 12:00:00 AM

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Revenue Cycle Analyst Job (Remote-must live in IL, IN, WI, IA)
  • Lhh
  • Raleigh, NC
  • If you are interested in applying for this job opportunity, please email your resume in Word format to sarah.ayala@lhh.c...
  • 4/20/2024 12:00:00 AM

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Revenue Integrity Analyst Job (Remote-must live in IL, IN, WI, IA)
  • Lhh
  • Raleigh, NC
  • If you are interested in applying for this job opportunity, please email your resume in Word format to sarah.ayala@lhh.c...
  • 4/20/2024 12:00:00 AM

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Revenue Cycle Director jobs
$136,990 to $184,977
Raleigh, North Carolina area prices
were up 1.5% from a year ago

Revenue Cycle Director in Jamestown, NY
Revenue cycle professionals are expected to protect patient confidentiality while appropriately coding medical diagnoses and procedures for billing purposes.
December 06, 2019
Revenue Cycle Director in Topeka, KS
Richter’s culture calls for superior customer service, excellent understanding of best practices in Revenue Cycle, great working relationships with coworkers and a commitment to team problem solving and solutions.
December 06, 2019
Revenue Cycle Director in Salem, OR
This Revenue Cycle Director will direct the performance, in conjunction and counsel with the CEO, of the revenue cycle activities of the in-house billing and collections team (including but not limited to insurance billing, collections, and contracting, as well as patient billing, collections and financial counseling).
January 11, 2020