Revenue Cycle Director – Jacksonville, FL – Perm Job !

The Revenue Cycle Director is responsible for managing and overseeing the revenue cycle management process within a healthcare organization. This includes ensuring the timely and accurate billing, collections, coding, and reimbursement processes to optimize revenue generation. The Director will work closely with various departments, including finance, clinical staff, and administration, to streamline operations, minimize denials, and ensure compliance with federal and state regulations.

Key Responsibilities:

• Revenue Cycle Management:
• Oversee all aspects of the revenue cycle, from patient registration, scheduling, coding, charge capture, billing, collections, and reimbursement.
• Ensure the accuracy of coding and documentation, following proper billing guidelines and regulatory standards (e.g., ICD-10, CPT codes).
• Develop and implement policies and procedures to streamline revenue cycle processes and improve cash flow.
• Financial Oversight:
• Monitor and analyze the financial performance of the revenue cycle, identifying areas for improvement and recommending corrective actions.
• Prepare and review regular revenue cycle performance reports, focusing on key performance indicators (KPIs) such as days in accounts receivable (AR), denial rates, and collection effectiveness.
• Ensure all billing, coding, and claims follow-up procedures comply with legal and regulatory standards.
• Denials and Appeals Management:
• Lead efforts to reduce denials, ensuring that denials are addressed in a timely manner and identifying patterns to prevent future occurrences.
• Oversee the appeals process for denied claims, working with the coding and billing teams to submit appeals and follow up on outstanding claims.
• Team Leadership and Development:
• Manage and supervise revenue cycle staff, including billing specialists, coders, claims analysts, and other administrative personnel.
• Provide training and ongoing education to staff on coding, billing, compliance regulations, and new technologies or software.
• Foster a collaborative team environment, setting performance goals and ensuring staff are adequately supported to achieve them.
• Collaboration and Communication:
• Work with clinical and operational leaders to ensure proper charge capture and documentation to avoid claim rejections.
• Act as a liaison between departments to resolve revenue cycle-related issues, improve workflows, and ensure optimal patient experience.
• Ensure clear communication with payers and internal stakeholders about claims status, reimbursement issues, and new regulations.
• Compliance and Regulatory Adherence:
• Stay updated on all relevant laws, regulations, and payer requirements to ensure compliance with healthcare reimbursement guidelines, such as HIPAA, CMS, and payer-specific rules.
• Conduct regular audits to verify that revenue cycle processes meet regulatory and organizational standards.
• Lead initiatives for maintaining or achieving industry certifications (e.g., CARF, Joint Commission).
• Technology and Systems Management:
• Oversee the implementation and optimization of revenue cycle management software and systems.
• Lead process automation initiatives to improve efficiency, reduce errors, and enhance the overall revenue cycle performance.
• Coordinate with IT and other departments to ensure seamless integration of billing and collection software with other hospital or clinic systems.

• Bachelor’s degree in business or healthcare administration REQUIRED
• 2+ years of experience in a supervisory role (leading, delegating, and coaching staff) is required
• 3+ years of experience of full cycle revenue operations experience for ambulatory surgery centers is REQUIRED
• Demonstrates understanding of patient accounting principles in managing large volume, accounts receivable and accounts payable in a health care related field.