Senior Scientific Director at Prime overseeing scientific work and client communication strategies. Leading high - quality delivery and driving business growth in healthcare communications.
About the role
- Director of Revenue Cycle Management overseeing billing operations across multiple states in healthcare. Leading improvements in revenue cycle processes and enhancing visibility across the organization.
Responsibilities
- Lead end-to-end and revenue cycle operations including billing, claims submissions, denial management, accounts receivable and collections
- Evaluate existing processes and implement improvements to increase accuracy, efficiency and scalability
- Lead the development of modern, scalable revenue cycle infrastructure capable of supporting continued organizational growth and multi-state expansion
- Oversee billing operations across multiple payer types (Medicaid, managed care, etc.)
- Monitor and improve key revenue cycle metrics including days in accounts receivable, denial rates, clean claim rates and collections performance
- Implement strategies reduce aging AR and improve overall cash flow
- Create workflows, policies and procedures across revenue cycle operations
- Partner with Finance, IT and Operations to evaluate and optimize revenue cycle technology, including billing platforms, reporting tools and automations opportunities to improve efficiency, accuracy and scalability
- Implement reporting and dashboards to improve data visibility and operational decision making
- Partner with the VP of Finance, Accounting and FP&A to support revenue forecasting, financial planning and cash flow projections
- Collaborate with Operations, Compliance and IT to ensure alignment between service delivery, payroll and billing
- Provide senior leadership with insights into revenue performance, reimbursement trends and operational risks
- Lead and develop revenue cycle team members responsible for billing, accounts receivable and collections
- Establish performance metrics and accountability structures
- Build a foundation of operational excellence, accountability, and continuous improvement
Requirements
- Bachelor’s degree in Finance, Healthcare Administration, Business Administration or related field; Master’s degree preferred
- 8+ years of progressive experience in healthcare revenue cycle leadership
- Experience managing billing and accounts receivable operations in a healthcare environment
- Strong experience with Medicaid and government payer billing
- Experience improving revenue cycle processes within a growing or complex organization
- Deep knowledge of healthcare billing, reimbursement structures and payer regulations
- Strong technical aptitude with revenue cycle systems, reporting tools, and process automation with the ability to leverage technology to improve operational efficiency and data visibility
- Experience implementing revenue cycle metrics, reporting frameworks and performance dashboards
- Experience operating in multi-state healthcare environments
- Experience in home care, healthcare services, or value-based healthcare models preferred
- Strong analytical and problem-solving skills
- Effective communication and collaboration skills.
Benefits
- Competitive compensation
- Medical benefits
- Retirement plans
- Wellness programs
- Ongoing learning opportunities
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