Abrar Admin

Chippewa Valley Orthopedics and Sports Medicine Clinic SC

Overview: The Revenue Cycle Director is accountable for enterprise-wide revenue cycle strategy, performance, and integrity across a physician-led, multispecialty musculoskeletal practice. This role directs all revenue cycle functions, ensuring predictable cash flow, optimized reimbursement, regulatory compliance, and alignment with organizational strategy. This position reports to the Chief Administrative Officer.The Revenue Cycle Director oversees the full continuum of revenue cycle activities. This includes patient access, eligibility verification, prior authorizations, coding, billing, collections, denials management, payer relations, and revenue reporting across clinic operations, ambulatory surgery center (ASC), therapy, imaging, and ancillary services.Location: Altoona, WI (Hybrid eligible)Status: Full-time, ExemptReports To: Chief Administrative OfficerResponsibilities:Revenue Cycle Strategy &amp; Performance<ul><li>Set and govern enterprise revenue cycle strategy in alignment with organizational and financial objectives by collaborating with administration, leaders, and staff.</li><li>Establish and own revenue cycle performance standards and key performance indicators, including net collection rate, days in A/R, denial rates, charge lag, write-offs, and payer yield.</li><li>Ensure consistent, scalable revenue cycle practices across all service lines and entities.</li></ul>Patient Access &amp; Revenue Assurance<ul><li>Provide collaborative oversight and facilitate execution of patient access, scheduling, eligibility verification, prior authorizations, and point-of-service collections, including managers, supervisors, and subject-matter experts.</li><li>Drive standardization and improvement of front-end processes to reduce downstream denials and delays.</li><li>Partner with clinical and administrative leaders to align workflows with revenue integrity goals.</li></ul>Billing, Coding &amp; Accounts Receivable Management<ul><li>Provide collaborative oversight and facilitate execution of billing, coding, and accounts receivable operations, including managers, supervisors, and subject-matter experts.</li><li>Ensure accurate charge capture, documentation integrity, coding compliance, claim submission, and payment posting.</li><li>Direct denial prevention strategies and oversee appeal and escalation processes with payers.</li></ul>Financial Analysis &amp; Reporting<ul><li>Analyze payer performance, contractual variances, underpayments, and reimbursement trends.</li><li>Translate operational and financial data into actionable insights for executive leadership and physician partners.</li><li>Prepare and present revenue cycle performance reports, risk assessments, and improvement plans.</li></ul>Revenue Cycle Partnerships<ul><li>Serve as the primary administrative contact for payers, clearinghouses, and revenue cycle vendors.</li><li>Lead payer issue escalation, contract performance monitoring, and reimbursement dispute resolution.</li><li>Evaluate, select, and manage revenue cycle vendors and technology solutions.</li></ul>Regulatory Compliance &amp; Risk Mitigation<ul><li>Own revenue cycle compliance, including adherence to payer rules, reimbursement regulations, and documentation standards.</li><li>Ensure audit readiness and lead responses to external audits, payer reviews, and compliance inquiries.</li><li>Anticipate and mitigate reimbursement and regulatory risk.</li></ul>Team Leadership &amp; Development<ul><li>Directs revenue cycle operations and manages departmental leaders, including the Billing &amp; Coding Manager and Patient Access Manager, to drive performance, compliance, and financial outcomes.</li><li>Establish clear roles, expectations, and accountability across revenue cycle functions.</li><li>Build and foster a culture of continuous improvement and collaboration.</li></ul>Revenue Cycle Leadership Expectations<ul><li>Operates with an enterprise and systems-level perspective.</li><li>Exercises sound judgment and decision-making authority in complex financial and operational matters.</li><li>Communicates effectively with executive leadership, physician partners, and operational teams.</li><li>Brings structure, clarity, and discipline to evolving and complex environments.</li></ul>Qualification:Required<ul><li>8&ndash;10+ years of progressive experience in healthcare revenue cycle operations.</li><li>Demonstrated success leading end-to-end revenue cycle strategy and performance in complex, multi-entity healthcare organizations.</li><li>Strong understanding of payer contracting, reimbursement methodologies, and denial management.</li><li>Proven ability to lead managers and supervisors at both strategic and operational levels.</li></ul>Preferred<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, Finance, or related field. Master&rsquo;s degree preferred.</li><li>Experience in orthopedic, surgical, ASC, or musculoskeletal specialty practices.</li><li>Familiarity with ancillary service reimbursement models and physician compensation structures.</li></ul>Physical Requirements:<ul><li>Ability to work in a standard office environment, including sitting for extended periods of time.</li><li>Frequent use of a computer, keyboard, mouse, and other office equipment.</li><li>Ability to occasionally stand, walk, bend, and reach as needed during the workday.</li><li>Ability to occasionally lift, carry, or move items weighing up to 15 pounds.</li><li>Sufficient vision, hearing, and manual dexterity to perform essential job functions effectively.</li></ul>Benefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee discount</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Mileage reimbursement</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>Work Location: Hybrid remote in Altoona, WI 54720

Revenue Cycle Director

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Chippewa Valley Orthopedics and Sports Medicine Clinic SC

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Revenue Cycle Director