Director of RCM Operations

Civicminds

Phoenix, AZ

JOB DETAILS
SKILLS
Accounts Receivable, Accounts Receivable Management, Aging Analysis, Analysis Skills, Auditing, Benchmarking, Best Practices, Billing, Business Administration, Cash Flow, Cerner, Change Management, Charge Capture, Claims Management, Coding Standards, Communication Skills, Content Management Systems (CMS), Continuous Improvement, Credit and Collections, Documentation, Epic Systems, Finance, Financial Analysis, Financial Management, Financial Metrics, Financial Reporting, HIPAA (Health Insurance Portability and Accountability Act), Health Informatics, Healthcare, Healthcare Administration, Interpersonal Skills, Leadership, MEDITECH, Maintain Compliance, Mentoring, Metrics, Negotiation Skills, Payment Posting, Performance Analysis, Performance Management, Performance Metrics, Policy Development, Policy Implementation, Problem Solving Skills, Procedure Development, Procedure Implementation, Process Improvement, Regulations, Regulatory Compliance, Regulatory Requirements, Reimbursement, Reporting Skills, Revenue Management, Revenue Recognition, Revenue/Sales Reporting, Standards of Care, Strategic Planning, Team Lead/Manager, Time Management, Trend Analysis, Variance Analysis, Women's Health
LOCATION
Phoenix, AZ
POSTED
3 days ago
About the Job
Description

The Director of Revenue Cycle will be responsible for optimizing revenue capture, ensuring timely and accurate billing and collections, and maximizing reimbursement while maintaining compliance with regulatory requirements. The ideal candidate will have a strong background in revenue cycle management, excellent leadership skills, and a commitment to achieving financial excellence in healthcare.
Responsibilities

Revenue Cycle Oversight
  • Provide strategic leadership and direction for the revenue cycle department, including billing, coding, collections, and accounts receivable management.
  • Develop and implement policies, procedures, and best practices to optimize revenue cycle processes and improve financial performance.
  • Monitor key performance indicators (KPIs), revenue metrics, and financial benchmarks to assess performance and identify opportunities for improvement.
Billing and Claims Management
  • Oversee charge capture, claims submission, and revenue recognition to ensure accurate and timely billing.
  • Monitor claim denials, rejections, and appeals; implement strategies to reduce errors and improve clean claim rates.
  • Ensure compliance with billing regulations, coding guidelines, and payer requirements to maximize reimbursement and reduce revenue leakage.
Accounts Receivable Management
  • Manage payment posting, denial management, and AR follow-up to reduce outstanding balances and improve cash flow.
  • Analyze AR aging reports, identify trends, and implement strategies to reduce days in AR and optimize collections.
Revenue Integrity and Compliance
  • Ensure compliance with healthcare regulations and payer policies, including HIPAA, CMS, and other applicable requirements.
  • Conduct regular audits of revenue cycle processes, documentation, and coding practices to ensure accuracy and compliance.
Financial Analysis and Reporting
  • Generate and analyze financial reports, revenue cycle metrics, and KPIs to support data-driven decision-making.
  • Prepare and present performance reports, variance analyses, and recommendations to senior leadership.
Staff Leadership and Development
  • Lead, mentor, and develop the revenue cycle team to ensure high performance and professionalism.
  • Foster a culture of accountability, collaboration, and continuous improvement.
Requirements
  • Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field required; Master's degree preferred.
  • 7-10 years of progressive experience in revenue cycle management, including 3-5 years in a leadership role.
  • Required: Athena collector background and hands-on experience.
  • Coding experience required.
  • Strong knowledge of revenue cycle operations, billing regulations, coding standards, and payer reimbursement methodologies.
  • Experience with revenue cycle systems such as Epic, Cerner, Meditech, and reporting tools.
  • Strong analytical, problem-solving, and decision-making skills.
  • Proven leadership experience managing both internal teams and third-party vendors.
  • Demonstrated success with change management and the ability to operate both strategically and tactically.
  • Excellent communication, interpersonal, and negotiation skills.
  • Proven ability to drive process improvements and achieve financial performance goals.
  • Athena reporting experience and experience in women's healthcare preferred but not required.

About the Company

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Civicminds

We are an experienced Recruitment Solutions Firm, whose main focus is to match the “right” candidates with one of our Clients located throughout California and out of state. We have the fortune to be partnered up with a reputable and stable company with over 13 years of experience regarding all Immigration subjects. With this partnership we are able to effectively assist both our Clients and Candidates regarding most legal matters, so that they can both have a easy and professional transition.
 
We are a one-stop Professional Recruitment Firm that can assist in most Immigration matters and can place our qualified candidates at our Clients' facilies after conducting our thorough due diligence on each candidate. We can assist all candidates who currently have or are looking to maintain/obtain the following: Green Card, H-1B Visa, I-140, etc… 
 
CivicMinds Recruitment provides our Clients and Candidates with a loyal, honest (open book) policy, which has allowed us to provide our Clients and Candidates with all the necessary information they require in order to move forward regarding any Immigration and/or Hiring needs. We are known for being our Client’s voice by conducting very thorough interviews with our candidates to determine if they will be the “right” fit for our Client’s hiring needs. We thrive on going the extra mile as we gather all the pertinent information from both parties and make certain that not only they are a technical fit, but that they also are a good match to be able to work as a team and have a long-term connection. 
COMPANY SIZE
50 to 99 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2008
WEBSITE
http://www.civicminds.com