Director of Revenue Cycle Management
hace 13 días
Lauderdale Lakes
Job Description Job Details: • Title: Director of Revenue Cycle Management, • Location: Lauderdale Lakes, FL 33319, • Job Type: Full-Time | On-site, • Work Schedule: Monday–Friday, 8:00 AM–5:00 PM, • Compensation: $100,000+ annually, (based on experience and qualifications) Position Overview We are seeking an experienced and strategic Director of Revenue Cycle Management (RCM) to lead and optimize revenue cycle operations for a growing, multi-program behavioral healthcare organization in South Florida. This executive leadership role will oversee the full revenue cycle, including patient access, eligibility verification, charge capture, coding, billing, denial management, accounts receivable, and collections. The Director will evaluate existing processes, identify revenue leakage, improve operational performance, and implement data-driven strategies to strengthen financial outcomes. -> Key Responsibilities • Provide strategic and operational leadership across the full revenue cycle, including patient registration, eligibility verification, authorization, charge capture, coding, claims submission, denial management, accounts receivable, and collections., • Conduct a comprehensive assessment of existing revenue cycle operations, billing workflows, system configurations, and team performance to identify opportunities for improvement., • Analyze key performance indicators (KPIs), including clean-claim rate, days in accounts receivable, denial rate, and gross and net collection rates., • Develop and implement measurable improvement plans to reduce revenue leakage, improve reimbursement, accelerate collections, and strengthen financial performance., • Lead denial management and revenue integrity initiatives by identifying trends, investigating root causes, and implementing corrective action plans., • Ensure accurate patient registration, eligibility verification, provider enrollment, authorization management, charge posting, and claims processing., • Oversee payer and provider enrollment processes and maintain accurate provider information within the electronic health record., • Evaluate and optimize Netsmart EHR billing configurations, claims workflows, system builds, and reporting capabilities in partnership with IT and operational leadership., • Maintain current knowledge of Medicare, Medicaid, Florida Medicaid managed care organizations, commercial payer requirements, reimbursement methodologies, and regulatory changes., • Develop executive-level dashboards and financial reports to communicate revenue cycle performance, operational risks, improvement opportunities, and projected financial impact., • Recruit, develop, and lead revenue cycle personnel while establishing accountability, performance expectations, and professional development plans., • Collaborate with finance, clinical operations, compliance, health information management, and IT teams to improve workflows and ensure accurate reimbursement., • Establish and maintain effective billing controls, coding compliance standards, documentation requirements, and revenue cycle policies., • Lead cross-functional process improvement and technology initiatives that support organizational growth, efficiency, and financial sustainability., • Complete required training, continuing education, and compliance activities in accordance with organizational policies. -> Required Qualifications • Bachelor's degree in healthcare administration, finance, accounting, business administration, or a related field., • Master's degree preferred., • At least seven years of progressively responsible revenue cycle management experience, including significant behavioral health experience., • At least two years of senior-level revenue cycle management or equivalent leadership experience., • Experience managing complex, multi-program and multi-payer revenue cycle operations., • Meaningful experience with primary care, Federally Qualified Health Centers (FQHCs), or community health center revenue cycle operations., • Required: Hands-on experience with Netsmart EHR, including billing configuration, claims workflows, or related system optimization., • Required: Experience with Florida Medicaid and Florida Medicaid managed care organizations (MCOs)., • Strong knowledge of Medicaid, Medicare, commercial payer reimbursement, authorization requirements, and claims processing., • Demonstrated expertise in denial management, accounts receivable, collections, coding and billing compliance, and revenue integrity., • Working knowledge of provider credentialing, payer enrollment, and reimbursement requirements., • Strong analytical skills with experience developing KPI dashboards, interpreting financial reports, and using data to drive operational decisions., • Proven ability to lead teams, manage complex projects, improve technology-enabled workflows, and implement organizational change., • Excellent communication, problem-solving, collaboration, and executive reporting skills., • Ability to successfully complete required background and drug screenings. -> Preferred Qualifications • Leadership experience within a behavioral health organization, community mental health provider, FQHC, or integrated healthcare system., • Experience with Florida community behavioral health programs and complex Medicaid reimbursement structures., • Demonstrated success improving clean-claim rates, reducing denials, decreasing days in accounts receivable, and increasing collections., • Experience leading revenue cycle transformation initiatives during periods of organizational growth or expansion. ~MR \nCompany Description LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch. LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.