Senior Director of Revenue Cycle Management

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🕒 vor 1 Monat

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Vollzeit

🟠 Senior

👔 Direktor

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SimonMed Imaging

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 2003

🤖 Künstliche Intelligenz

👥 B2C

Artificial Intelligence • B2C

SimonMed Imaging ist die größte unabhängige ambulante Radiologiegruppe von niedergelassenen Ärzten in den Vereinigten Staaten und betreibt über 170 akkreditierte ambulante Zentren in mehreren Bundesstaaten. Das Unternehmen bietet umfassende diagnostische Bildgebungs- und Screening-Dienstleistungen an – einschließlich MRT, CT, Mammographie (einschließlich mobiler On-Site-Programme), Ultraschall, DEXA, Nuklearmedizin/PET-CT und spezialisierter Fachbefundungen – und legt Wert auf Zugänglichkeit, Kostentransparenz und KI-unterstützte Bildgebungstechnologien, um frühere und genauere Diagnosen für Patienten und überweisende Ärzte bereitzustellen.

Beschreibung

• Overseeing and transforming revenue cycle operations to optimize financial performance, regulatory compliance, operational efficiency. • Accountable for the end-to-end financial performance of back-end revenue cycle functions. • Ensuring accurate, compliant, and optimized reimbursement across a complex, high-volume imaging environment. • Partnering closely with Executive Leadership, Operations, Sales, Clinical Leadership, Compliance, IT, and external vendors. • Driving financial sustainability, scalability, and continuous improvement across multi-state operations. • Developing and executing revenue cycle strategy to optimize revenue and cash flow. • Establishing and monitoring KPIs (Gross Collection Rate, AR days, clean claim rates, denial rates, cash performance, etc.) and driving continuous improvement. • Leveraging data and financial insights to optimize revenue performance, improve collections, and reduce denials and AR days. • Overseeing the exchange of information between Revenue Cycle, Medical Records, and other departments to ensure accurate documentation and timely billing. • Leading payer performance initiatives and collaborating with internal stakeholders to identify and resolve payer issues. • Providing strategic oversight and driving performance for vendor partners, ensuring adherence to SLAs and KPIs. • Championing a patient-friendly financial experience through transparent billing practices and responsive customer service. • Ensuring compliance with all federal, state, and payer regulations including HIPAA and CMS guidelines. • Identifying and implementing tools and AI/automation to improve accuracy, reduce costs, and increase productivity and patient satisfaction.

🎯 Anforderungen

• Bachelor’s degree in healthcare administration, Business, Finance or related field required. • Master’s degree (MBA, MHA) strongly preferred. • Minimum 10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a turnaround or rapid-growth environment. • At least 3 years of experience in operational transformation or performance improvement consulting roles strongly preferred. • Experience with EHR and revenue cycle platforms preferred. • Comprehensive knowledge of revenue cycle functions including patient access, coding, billing, collections, denials, and reimbursement models. • Proven ability to align revenue cycle strategy with organizational goals, interpret financial data, drive performance metrics, and support long-term financial sustainability. • Strong technical and analytical skills, executive-level communication, and negotiation skills. • Ability to thrive and adapt in an ever-changing and fast-paced environment. • Proven ability to manage GCR and EBITDA impacting metrics in a PE or high-growth environment. • Deep understanding of healthcare regulations and payer requirements (e.g., HIPAA, CMS) to ensure organizational compliance and reduce risk exposure. • Skilled in developing and leading high-performing teams, managing cross-functional initiatives, and executing large-scale transformation and process improvement projects. • Demonstrated success in managing multi-site or multi-entity revenue operations within a healthcare provider setting. • Deep understanding of payer contracts, reimbursement models, billing, and regulatory guidelines. • Understanding of RCM vendor landscape (services + tech).

🏖️ Vorteile

• We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. • Employment is contingent upon successful completion of drug and background screening. • Some positions will require a favorable driving record.