Director of Revenue Cycle Management

Join RadX Inc. as The Director of Revenue Cycle Management!

Position Summary

The Director of RCM is responsible for overseeing the full revenue cycle process, including patient registration, insurance verification, prior authorization, charge capture, claims submission, payment posting, denial management, accounts receivable follow-up, collections, and reporting. This position ensures that revenue cycle operations are efficient, compliant, accurate, and aligned with the organization's financial and operational goals.

The Director of Revenue Cycle Management will work closely with leadership, operations, billing teams, clinical teams, payers, and outside vendors to improve reimbursement, reduce denials, strengthen billing workflows, and support timely and accurate collections.

Essential Duties and Responsibilities

• Oversee all aspects of the revenue cycle process, from patient intake through final payment.
• Manage billing, collections, accounts receivable, denial management, payment posting, and claim follow-up processes.
• Monitor key revenue cycle metrics, including days in accounts receivable, denial rates, clean claim rate, collection rate, aging balances, and reimbursement trends.
• Develop and implement strategies to improve cash flow, reduce denials, and increase collections.
• Ensure claims are submitted accurately and timely in accordance with payer requirements.
• Review and improve workflows related to insurance verification, prior authorizations, eligibility, referrals, coding, billing, and payment posting.
• Work with operational and clinical leadership to identify and resolve revenue cycle issues impacting reimbursement.
• Analyze payer trends and escalate recurring issues with payer contracts, claim denials, underpayments, and reimbursement delays.
• Ensure compliance with applicable federal, state, payer, HIPAA, and billing regulations.
• Prepare regular reports for executive leadership regarding revenue cycle performance, trends, risks, and improvement opportunities.
• Lead, train, develop, and evaluate revenue cycle staff.
• Establish departmental goals, performance expectations, and accountability measures.
• Partner with finance and operations on forecasting, budgeting, and revenue reporting.
• Support system improvements, process automation, and technology initiatives related to billing and collections.
• Serve as a subject matter expert on revenue cycle policies, procedures, and best practices.
• Maintain confidentiality of patient, employee, and company information.

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, Accounting, or a related field preferred.
• Minimum of 5 years of revenue cycle management experience in a healthcare setting.
• Minimum of 2 years of supervisory or management experience preferred.
• Experience with medical billing, insurance claims, denial management, payment posting, and accounts receivable management.
• Strong understanding of healthcare reimbursement, payer requirements, billing regulations, and revenue cycle best practices.
• Experience working with electronic health record, practice management, billing, or revenue cycle systems.
• Radiology, imaging center, physician practice, or outpatient healthcare experience preferred.

Knowledge, Skills, and Ability

• Strong analytical and problem-solving skills.
• Ability to interpret revenue cycle reports and identify trends, risks, and opportunities.
• Excellent leadership, communication, and organizational skills.
• Strong knowledge of payer billing requirements, claim processing, and denial resolution.
• Ability to manage multiple priorities in a fast-paced environment.
• High attention to detail and accuracy.
• Ability to work collaboratively with leadership, operations, finance, clinical teams, and external vendors.
• Strong understanding of HIPAA and patient confidentiality requirements.
• Proficiency with Microsoft Excel, reporting tools, and healthcare billing systems.

Physical Requirements

• Must be able to work hybrid in Tampa, FL 33609
• Prolonged periods of sitting at a desk and working on a computer.
• Ability to communicate effectively by phone, email, video conference, and in person.
• Ability to occasionally travel to company locations or meetings, as needed.

Additional Requirements

• Must maintain confidentiality and exercise discretion when handling sensitive patient, employee, financial, and business information.
• Must comply with all company policies, HIPAA requirements, and applicable healthcare compliance standards.
• Must be able to work independently while maintaining regular communication with leadership and key stakeholders.

If you feel you have what it takes, please take the time to apply!!

A job offer is contingent upon a successful background check and drug screen.