Healthcare
Director of Revenue Cycle | Remote
We’re looking for a Director of Revenue Cycle to lead our end-to-end revenue cycle function as we build and scale our outpatient specialty infusion model.
• Lead the full revenue cycle process from referral intake through payment
resolution.
• Oversee benefits verification, prior authorizations, financial clearance, billing,
coding, claims, collections, denials, and appeals.
• Build scalable workflows, SOPs, dashboards, quality checks, and escalation
processes.
• Manage and develop team members supporting intake, authorization, billing,
coding, collections, and AR follow-up.
• Monitor key metrics including days in AR, denial rate, clean claim rate, cash
collections, authorization turnaround time, and net collection rate.
• Partner with clinical and operations teams to ensure documentation supports
accurate billing and timely reimbursement.
• Identify payer, process, documentation, and system issues that impact
reimbursement and lead improvement efforts.
• Provide oversight to payer enrollment, credentialing, contracting, fee schedule
review, and new-site launch readiness.
• Ensure compliance with HIPAA, CMS, payer requirements, billing rules, and internal
policies.