Healthcare/ABA
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.