Director, Professional Billing, Revenue Cycle

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $122k - $177k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Boston Medical Center (BMC)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1996

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

📋 Description

• Provide strategic leadership and oversight of Billing Operations • Establish departmental priorities, performance expectations, and operational strategies • Direct the Billing Senior Manager and team to achieve organizational, service quality, and compliance objectives • Partner with Revenue Cycle leadership, Vendor Operations, and third-party billing vendors to optimize billing performance and reimbursement • Lead transformation and continuous improvement of physician revenue cycle processes • Monitor performance through Epic dashboards, reports, and key performance indicators • Identify risks, barriers, and opportunities for improvement • Serve as primary operational liaison among physician practices, clinical leaders, third-party vendors, and Revenue Cycle departments • Oversee implementation, optimization, and governance of revenue cycle technologies and workflow enhancements • Develop and communicate performance metrics and financial indicators to leadership • Conduct trend analysis, root cause investigations, and corrective action planning • Champion automation, system enhancements, and process standardization to streamline operations and improve collections

🎯 Requirements

• Bachelor’s Degree in Business, Finance, Financial Management, Healthcare Administration, or a related field with a minimum of 10 years of related experience in healthcare revenue cycle operations; or an equivalent combination of education and experience • Comprehensive knowledge of physician revenue cycle operations, including billing, claims management, payer reimbursement methodologies, denial management, regulatory requirements, and payment policies • Strong understanding of CPT coding principles, payer reimbursement rules, and third-party payer regulations • Knowledge of physician revenue cycle operations, staff performance management, resource allocation, work prioritization, and third-party vendor governance • Ability to interpret data, identify performance trends, perform root cause analysis, and develop actionable solutions via Epic dashboards and data models • Ability to engage, influence, and communicate effectively with executive leadership, physician practices, operational teams, vendors, and technical and non-technical stakeholders • Proficiency with Epic, nThrive, payer portals, and Microsoft Office applications, particularly Excel • Knowledge of change management methodologies and ability to design policies, workflows, automation opportunities, and operational strategies • Master’s Degree in Business or Healthcare Administration with experience utilizing Epic system software is preferred

🏖️ Benefits

• Medical, dental, vision, and pharmacy benefits • Discretionary annual bonuses • Merit increases • Flexible Spending Accounts • 403(b) savings matches • Paid time off • Career advancement opportunities • Resources to support employee and family well-being