revenue cycle coordinator

Provox Global Solutions

<p>We are hiring an experienced Dental Billing Coordinator to support a multi-location dental group based in Texas. Our client operates approximately 20 offices on Dentrix Enterprise transitioning to Curve. The successful candidates will be embedded with the client&rsquo;s billing function and will report directly to the client&rsquo;s Billing Manager.</p><p>This is not a back-office data entry role. The Billing Coordinator is accountable for the full revenue cycle &mdash; from claim creation through submission, posting, denials, appeals, and AR follow-up. The work is methodical, detail-driven, and measured against clear performance KPIs. Candidates who have been held to numerical targets in past roles and can speak fluently to those numbers will stand out.</p><p><b>What You Will Do</b></p><ul><li>Own end-to-end billing for assigned offices and providers, from claim creation through final adjudication and payment posting.</li><li>Bill out all claims within 48 hours of date of service</li><li>Submit clean claims through the clearinghouse, including correct CDT coding, appropriate narratives, and required attachments (x-rays, perio charts, intraoral images).</li><li>Post insurance payments accurately, including ERA reconciliation, contractual write-offs, adjustments, and triggering of secondary claims.</li><li>Work the AR aging report on a strict cadence &mdash; no claim over 30 days untouched, with priority focus on the 60+ and 90+ day buckets.</li><li>Manage denials and rejections methodically: investigate the root cause, correct the underlying issue, and submit timely appeals with supporting documentation.</li><li>Communicate professionally and promptly with office staff and providers when missing information, coding clarifications, or clinical narratives are needed.</li><li>Track and report individual performance against committed KPIs (clean claim rate, days in AR, percentage of AR over 90 days, net collection ratio, write-off accuracy).</li><li>Identify recurring issues &mdash; payer-specific quirks, coding errors, documentation gaps &mdash; and escalate them with proposed solutions.</li><li>Maintain compliance with HIPAA and all relevant patient data handling protocols.</li></ul><p><b>Required Qualifications</b></p><ul><li>Minimum 3 years of hands-on US dental billing experience, including end-to-end ownership of the revenue cycle (not just one slice such as posting or verification).</li><li>Strong working knowledge of dental Medicaid billing &mdash; eligibility rules, prior authorization requirements, fee schedules, and common denial patterns.</li><li>Working knowledge of Medicare Advantage dental benefits and the differences between Advantage plans and traditional commercial PPOs.</li><li>Demonstrated ability to talk specifically about past performance through KPIs &mdash; collection percentage, write-off percentage, days in AR, clean claim rate, denial rate. Candidates who cannot speak to numbers from prior roles will not be considered.</li><li>Proficiency with at least one major dental practice management system (Dentrix, Dentrix Enterprise, Eaglesoft, Open Dental, or Denticon).</li><li>Comfortable working within a major dental clearinghouse (Claim.MD, DentalXChange, Vyne Trellis, or equivalent).</li><li>Strong written and verbal English communication skills &mdash; this role interacts directly with US-based providers, office managers, and the client's billing manager on a daily basis.</li><li>Ability and willingness to work the 6:00 PM to 3:00 AM PKT shift to align with US Central Time business hours.</li><li>High attention to detail, methodical work habits, and disciplined follow-up &mdash; these are the three qualities that separate strong billers from average ones.</li></ul><p>Job Type: Full-time</p><p>Application Question(s):</p><ul><li>This is an onsite-based position, and the shift timings are from 6:00 PM to 3:00 AM PKT to align with US Central Time business hours. Are you comfortable with this?</li></ul><p>Experience:</p><ul><li>Dentrix : 1 year (Required)</li><li>Dental Billing : 1 year (Required)</li><li>AR: 1 year (Required)</li></ul><p>Work Location: In person</p>

Dental Billing Specialist

LifeStance Health

<div><p>At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It&rsquo;s a lofty goal; we know. But we make it happen with the best team in mental healthcare.</p><p></p><p>
Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team!</p><p></p><p><i>
LifeStance Health Values</i></p><ul><li><p>
Belonging: We cultivate a space where everyone can show up as their authentic self.</p></li><li><p>
Empathy: We seek out diverse perspectives and listen to learn without judgment.</p></li><li><p>
Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.</p></li><li><p>
One Team: We realize our full potential when we work together towards our shared purpose.</p></li></ul><p></p><p><i>
Benefits</i><br>
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&amp;D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.</p><p></p><p><b>
Job Summary:</b></p><p>
The Billing Solutions Coordinator is responsible for resolving incoming inquiries for Revenue Cycle Management/Patient Billing, which includes patient eligibility, benefits, billing, and collections questions related to patient/client care. The Billing Solutions team ensures prompt, courteous service to all customers: patients, vendors, health plans and clinic employees. <b>This position is a remote role with the ability to sit within any US locality.</b><br>
<br>
<b>Compensation:</b> $19.00- $20.00 Hourly with potential bonus</p><p></p><p><b>
Shift Time: </b>10:30am-7:00pm<b> CST</b></p><p></p><p><b>
Responsibilities:</b></p><ul><li><p>
Handle Revenue Cycle department interactions via phone (Inbound and Outbound), email, voicemail, faxes, and patient portal utilizing exemplary customer service</p></li><li><p>
Communicate with offices and patients to ensure current information
</p></li><li><p>Processing payment requests from patients</p></li><li><p>
Accurately updating insurance plan and other portal information for patients as requested</p></li><li><p>
Support leadership with daily, weekly monthly reporting needs as required</p></li><li><p>
Answer patient questions, inquiries, and concerns regarding their accounts and/or about centers</p></li><li><p>
Work with patients and providers to resolve account challenges and communicate appropriate next steps for troubleshooting</p></li><li><p>
Identify potential revenue cycle challenges and escalates to departmental and/or leadership review as necessary</p></li><li><p>
Review billing transactions for accuracy and to help resolve payment posting challenges on accounts</p></li></ul><p></p><p><b>
Skills &amp; Experience:</b></p><ul><li><p>
High school diploma or GED equivalent required; Bachelor&rsquo;s degree preferred</p></li><li><p>
2+ years of experience in a call center environment; healthcare revenue cycle experience strongly preferred</p></li><li><p>
Prior experience working with Electronic Health Record systems (EHRs), Call Center and phone systems</p></li><li><p>
Must have strong computer proficiency with knowledge of Microsoft Office, Internet, and Email</p></li><li><p>
Strong understanding of major health insurance carriers (in and out-of-network)</p></li><li><p>
Knowledge of medical terminology</p></li><li><p>
Demonstrated professionalism in dealing with confidential and sensitive patient information</p></li><li><p>
Detail-oriented with ability to multi-task and prioritize in a fast-paced environment</p></li><li><p>
Ability to type fluently</p></li><li><p>
Excellent interpersonal skills and professional manner, specifically exhibiting empathy and compassion when interacting with patients</p></li><li><p>
Qualified candidates must be legally authorized to be employed in the United States</p></li><li><p>
LifeStance is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status</p></li><li><p>
Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture</p></li></ul><p></p><p><b>
Physical Requirements:</b></p><ul><li><p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
</p></li><li><p>While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
</p></li></ul><p></p><p><i>LifeStance provides the compensation range and benefits that it in good faith believes it might pay and/or offer for this position. LifeStance reserves the right to ultimately pay more or less than the posted range and offer additional benefits and other compensation, depending on circumstances not related to an applicant&rsquo;s sex or other status protected by local, state, or federal law.</i></p><p></p><p>
#LI-Remote</p><p>
#LI-KO1</p><p></p><p>
LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.</p><p></p><p>
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ADA@lifestance.com. Please note: This contact is intended solely for accommodation requests. <b>Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to.</b> To apply for a position, please use our official careers page.</p></div><p></p>

Billing Solutions Coordinator

Mary Washington Healthcare

<div><div><div><p><b>Start the day excited to make a difference&hellip;end the day knowing you did. Come join our team.</b></p>
Job Summary:<br>
This position is accountable to perform a variety of office coordination, customer service and revenue cycle functions that will ensure the efficient day-to-day operations. The position plays a key role in the practice&rsquo;s front-end revenue cycle processes and is in a position to significantly impact the patient experience. The position requires an unwavering focus on patient satisfaction as well as the ability to multi-task.<p>
Job Description:</p><ul><li>
Interfaces with patients, family members, physicians, visitors, and other guests in a courteous and professional manner.</li><li>
Registers patients in the Practice Management Information System (PMIS), obtaining and/or verifying all relevant demographic and insurance information to ensure the timely and accurate processing of claims. Reviews electronic eligibility verification responses to ensure insurance coverage is in effect for all insured patients.</li><li>
Presents patients with appropriate paperwork based upon appointment type and registration status.</li><li>
Monitors the reception area and keeps patients, family members, visitors and Associates, at all times, informed of schedule adjustments.</li><li>
Maintains a neat and orderly waiting area.</li><li>
Courteously answers all incoming phone calls. When appropriate, takes messages and delivers/communicates in a timely manner. Triages calls to ensure timely and appropriate response. Checks voicemail messages consistently throughout the day.</li><li>
Processes patients quickly and accurately through computer-based scheduling system for appointments, surgeries, procedures and/or testing as appropriate for patient care.</li><li>
Ensures security and accuracy of patient files, payments and databases.</li><li>
Communicates with physicians&rsquo; offices and staff in a timely and professional manner. Initiates, monitors and responds to tasks through the Electronic Health Record (EHR) and Patient Portal.</li><li>
Reviews patient accounts for outstanding balances. Collects co-payments, deductibles and outstanding patient balances at the time of service. Posts payments in PMIS. Reconciles records and receipts with payments collected at the end of each shift.</li><li>
Responds to request for information from centralized billing office (CBO) to ensure timely and accurate submission of claims.</li><li>
Schedules follow up appointments, diagnostic testing and other services for patients as required.</li><li>
Ensures all services are authorized and necessary referrals are active as required.</li><li>
Supports organization&rsquo;s participation in government incentive programs such as EHR Meaningful Use, Physician Quality Reporting System (PQRS) and other programs by collecting and recording required data and providing appropriate communication to patients.</li><li>
May assist with the entry and processing of physician billing, including entry and/or reconciliation of inpatient, outpatient, and surgical charges.</li><li>
Performs other duties as assigned.</li></ul><p><b>
Qualifications:</b></p><ul><li>
High School Diploma or GED required.</li><li>
Minimum of one year medical office experience preferred.</li><li>
Multi-specialty office experience preferred.</li><li>
Experience in a customer service setting preferred.</li><li>
Experience with Microsoft Office programs preferred.</li></ul><p>
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.</p>
&lrm;<br>
Required<p><b><br>
Physical Requirements: </b>Constant (67-100% of workday) sitting and use of arms and hands; occasional (0-33% of workday) standing, walking, bending, squatting; ability to lift, push, and pull up to 10 lbs.; auditory and visual skills.</p><p><b>
Mental Requirements: </b>Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team.</p><p><b>
Environmental Requirements and Exposure Hazards: </b>Potential risk of exposure to chemicals.</p><p>
&ldquo;It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates.&rdquo;</p>
&lrm;</div></div><div><div><div><h3 class="jobSectionHeader"><b>
I&rsquo;m here to help.</b></h3><p>
Let&rsquo;s talk about your career plans and how we can make them a reality.</p><div></div><div><div><div><h3 class="jobSectionHeader"><b>
Rita Ramalho</b></h3><p>
Recruiter</p><ul><li>
rita.ramalho@mwhc.com</li></ul></div></div></div></div><div><p><br>
All inquiries/CVs are kept strictly confidential.</p></div></div></div></div><p></p>
<br><div><div><div><div><div><p>Award-winning Culture</p><h2 class="jobSectionHeader"><b>
An Award-Winning Health System</b></h2><div><div><p>
Our reputation for clinical excellence and employee satisfaction is nationally recognized. Our leadership, culture of continuous improvement and inclusive culture have helped us earn prestigious recognitions.</p></div></div></div></div></div></div><div></div>
<div><div><div><div><div><h2 class="jobSectionHeader"><b>
Quality of Life</b></h2><div><div><p>
Nestled between Washington, D.C. and Richmond and just a short drive from the Shenandoah and Blue Mountains lies the quintessential Mid-Atlantic communities of Fredericksburg and Stratton, Virginia. Here, life moves at a more thoughtful pace. Your early mornings could start with a quiet drive past rolling green hills and farms then end with a walk through a bustling downtown where you can enjoy a memorable dinner at one of the region&rsquo;s renowned restaurants. It&rsquo;s a place with excellent schools, low crime and a true sense of community.</p><p>
Whether you&rsquo;re seeking arts and culture, history, recreational activity or the tranquility of the rural countryside, you&rsquo;ll find what you&rsquo;re looking for in the Fredericksburg area.</p></div></div></div></div></div></div></div><div></div>
<div><div><div><div><p>
Benefits</p><h2 class="jobSectionHeader"><b>
Benefits that support you and your family.</b></h2></div><div><p>
Our benefits are designed with you in mind &mdash; providing maximum value and flexibility to match your life. Whether you&rsquo;re starting your career, beginning a family or pursuing a degree, our benefits lend support where you need it, giving you peace of mind and security. Some of our common benefits include:</p><div><ul><li><div>
Paid time off</div></li><li><div>
Medical and dental coverage</div></li><li><div>
Vision insurance</div></li><li><div>
Short- and long-term disability</div></li><li><div>
Credit union membership</div></li><li><div>
All One Health Associate assistance</div></li><li><div>
Flexible spending accounts</div></li><li><div>
Health savings account</div></li><li><div>
In-service education</div></li><li><div>
Tuition reimbursement</div></li><li><div>
Wellness program</div></li><li><div>
Medical library</div></li><li><div>
Various association discounts</div></li></ul></div></div></div></div></div></div>

Office Coordinator-MWMG-Spine & Rehabilitation-Full Time Days

Office Coordinator - MWMG Primary Care King George - Full Time

HARBIN CLINIC

<div><div><div><div><div><div><div>Back to Search Results
</div></div></div></div><div></div><div><div><div><div><div><h1 class="jobSectionHeader"><b>Patient Access Operations Coordinator</b></h1>
<p>Rome, GA, United States<br>
Job ID: R201318
<br>
Shift: Various
<br>
Job Type: Regular
</p></div><div><div><div><div>Share: mail</div></div></div></div><div></div><div><br>
</div></div><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>Department:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
13511 Enterprise Revenue Cycle - Floyd Medical Center GA Arrival Emergency Department<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Status:</b>
</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Full time<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Benefits Eligible:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
Yes<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Hou</b><b>rs Per Week:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
40<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Schedule Details/Additional Information:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
Will primarily be weekends Thurs-Sun 10 hour shifts</p><p></p><p><b>
Pay Range</b></p>
$21.85 - $32.80<p></p><p>
Essential Functions</p><br>
<ul>
<li>Prepares reports of denials, credit balances, payer opportunities.
</li><li>Analyzes rejection reports and errors made by system and teammates. Requests system changes, reports error rates by teammate and collaborates with training to ensure improvement is achieved and sustained.
</li><li>Prepares Medicare/Medicaid quarterly credit balance reports. Approve refunds as defined in departmental threshold guidelines.
</li><li>Assists Supervisor/ Manager with quality checks for all payers and departments.
</li><li>Performs quality assurance tasks as needed to validate workflow builds, claim edit actions, automatic actions in Epic, process improvements, etc.
</li><li>Analyzes denial reasons provided by payers. Collaborates with management to identify, trend and address root causes of denials.
</li><li>Researches and analyzes payer trends and works on special projects involving aged, high dollar or complex account issues.
</li><li>Trains new teammates as needed.
</li></ul><p></p><b>Physical Requirements</b><br>
Requires sitting for long periods of time. Requires bending and may need to lift-up to 10 pounds occasionally.<br>
<p><br>
<br>
<b>Education, Experience and Certifications</b></p><br>
High school diploma or GED required. Two-years' experience in related financial services or healthcare business office required. College (bachelor's or associate) degree preferred. Requires the ability to communicate effectively in verbal and written formats. Proficiency in Word, Excel and Outlook preferred. Prior healthcare computer system and specifically Epic billing experience preferred.<p></p><p><b>
Our </b><b>Commitment to You:</b></p><p></p><p>
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:</p><p></p><p><b>
Compensation</b></p><ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul><p></p><p><b>
Benefits and more</b></p><ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
About Advocate Health</b></p><p></p><p>
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
</p>Patient Accounts Specialist (PAS) works under the immediate supervision of supervisors/managers in Patient Financial Services (PFS). PAS positions perform complex tasks requiring critical thinking skills and experience-based (specialist) knowledge in PFS. Reviews difficult work queues, large dollar accounts, aged accounts and any special projects assigned by leadership. Creates reports/spreadsheets for identification of problem areas and utilizes critical thinking skills to determine appropriate actions to resolve problem. Must demonstrate thorough knowledge and understanding of patient billing, billing transmission, government regulatory/ compliance requirements, and electronic billing systems.</div></div></div></div></div></div></div><div></div>

Patient Access Operations Coordinator

Qiddiya Investment Company

<div><p><b>Director &ndash; Revenue Cycle Management (Healthcare Industry Exp)</b></p><p></p><p><b>
General Job Information</b></p><ul><li><b>
Job Title:</b> Director, Revenue Cycle Management
</li><li><b>Department:</b> Finance
</li><li><b>Reporting Line:</b> TBC</li><li><b>
Location:</b> King Faisal Specialized Hospital / Riyadh, KSA</li><li><b>
Job Grade:</b> TBC</li></ul><p></p><p><b>
Role Summary</b></p><p>
The Revenue Cycle Director leads the enterprise-wide revenue cycle function across the Medical City ecosystem, driving revenue optimization, operational efficiency, payer strategy, and compliance. The role ensures full integration between clinical, operational, and financial processes to maximize revenue realization.</p><p></p><p><b>
Key Responsibilities</b></p><p><b>
1. Enterprise Revenue Strategy &amp; Value Optimization</b></p><ul><li>
Define and execute the enterprise-wide revenue cycle strategy across all Medical City assets
</li><li>Lead pricing strategy, service monetization, and payer mix optimization initiatives
</li><li>Identify and implement new revenue models including bundled care, subscription-based services, and value-based reimbursement
</li></ul><p><b>2. Integrated Revenue Operations Leadership</b></p><ul><li>
Establish a fully integrated, standardized revenue cycle model across hospitals, clinics, sports medicine, and wellness services
</li><li>Oversee patient access, eligibility verification, coding, billing, claims processing, collections, and denials management
</li><li>Ensure seamless coordination between clinical, administrative, and finance functions to optimize revenue capture
</li></ul><p><b>3. Financial Performance Ownership &amp; Forecasting</b></p><ul><li>
Own revenue forecasting, budgeting inputs, and financial planning related to revenue streams
</li><li>Analyze performance trends including denials, write-offs, underpayments, and collection efficiency
</li><li>Lead performance reviews and present insights to executive leadership
</li></ul><p><b>4. Payer Strategy, Contracting &amp; Market Positioning</b></p><ul><li>
Lead payer negotiations and contract structuring in collaboration with finance and leadership
</li><li>Monitor payer performance, reimbursement structures, and compliance requirements
</li><li>Develop strategies to enhance competitive positioning within the payer ecosystem
</li></ul><p><b>5. Digital Transformation &amp; Data-Driven Excellence</b></p><ul><li>
Lead implementation of advanced RCM systems, automation tools, and analytics platforms
</li><li>Develop real-time dashboards and predictive analytics capabilities
</li><li>Drive continuous innovation in revenue cycle processes
</li></ul><p><b>6. Governance, Compliance &amp; Risk Management</b></p><ul><li>
Ensure adherence to coding standards, regulatory requirements, and billing compliance
</li><li>Establish internal controls to mitigate financial and compliance risks
</li><li>Lead audit readiness and response for internal and external audits
</li></ul><p><b>7. Leadership &amp; Organizational Development</b></p><ul><li>
Build and lead a high-performing revenue cycle team
</li><li>Develop internal capabilities in coding, billing, analytics, and payer management
</li><li>Foster a culture of accountability, performance, and continuous improvement
</li></ul><p></p><p><b>Key Performance Matrix</b></p><ul><li>
Improve revenue realization and overall collection efficiency across all services
</li><li>Reduce AR days and improve cash flow performance
</li><li>Maintain denial rates below benchmarks through effective processes
</li><li>Minimize revenue leakage through strong controls and audit mechanisms
</li><li>Enhance efficiency and turnaround time across the full revenue cycle
</li></ul><p></p><p><b>Qualifications</b></p><ul><li>
Bachelor&rsquo;s in Finance, Accounting, or Healthcare Administration
</li><li>12&ndash;15+ years in healthcare RCM
</li></ul><p></p><p><b>Core Competencies</b></p><ul><li>
Revenue Strategy
</li><li>Healthcare Finance
</li><li>Payer Management
</li><li>Data Analytics
</li><li>Leadership</li></ul></div>

Director - Revenue Cycle Management (Healthcare Industry Exp) - QHC0005

University of California - San Francisco

<div><p><b>Job Description:
</b></p><p>The Vice President Revenue Cycle is a core member of the UCSF Health leadership team, responsible for the strategic revenue cycle management to drive optimal performance and support finance objectives. Accountable for the management and operation of the revenue cycle for UCSF Health which includes UCSF Health Enterprise including the Adult Academic Medical Centers, Benioff Children&rsquo;s Hospitals, the Ambulatory Business Unit including Provider Practices, The Community Hospitals, and Affiliate Networks. Responsible and accountable for all aspects of UCSF Health revenue cycle including compliance with UCSF standards and outside regulatory and accreditation agencies. Scope of oversight includes Patient Financial Services, Medical Group Business Services, Patient Access, Inpatient and Outpatient Facility and Professional Coding, Revenue Cycle Quality, Education, and Performance Improvement, and Research Revenue Cycle.
</p><p>As a member of the senior management team, the VP leads executives in establishing strategy and objectives for improving health system financial performance. Plays a key role in the strategic direction, goal setting and performance management of the revenue cycle. Builds consensus and engages with a broad stakeholder group including medical staff, hospital leadership, and medical group leadership to design, implement, and maintain a high performing and metric driven institutional revenue cycle. Directs large, multi-dimensional initiatives collaborating across entities and departments.
</p><p>Accountable for aligning revenue cycle operations across UCSF and reporting on key metrics. Takes responsibility for the accuracy and underlying drivers of revenue cycle information and reports. Serves as a senior advisor to leaders, providing financial information for decision-making. Reports to UCSF Health&rsquo;s Senior Vice President Finance and Chief Financial Officer. The VP Revenue Cycle ensures a high level of financial coordination between the UCSF Health Leadership, and other joint ventures and affiliates. Works in close collaboration with Business Unit Chief Financial Officers and Controllers as well as leaders in Government Reimbursement, Health Information Management, Revenue Integrity, Managed Care Contracting, Compliance, Information Technology Case Management, and others. This position presents and interprets financial information on a regular basis to Senior Management, UCSF Health Committees, and Governance Boards.
</p><p>Responsibilities of the Vice President Revenue Cycle span the enterprise and require constructive relationships with all UCSF leadership, affiliate partners and outside agencies. This is a senior leadership position that requires a proven background leading healthcare revenue cycle functions, with a strong understanding of hospital operations. Expected to successfully interact, negotiate and build UCSF Health relationships, programs and partnerships with an extremely high degree of autonomy. Recognized as an influential leader that strategically manages change through business planning and program execution to achieve broad initiatives.<br>
</p><p></p><p><b>Department Description:
</b></p><p>The UCSF Health System brings clinical service capabilities into a unified management structure under 4 Business Units, achieving strategic, operational and financial alignment between the School of Medicine, and UCSF Health as well as affiliates and joint ventures. Its structure streamlines decision-making, strengthens the ability to act with one voice, and ensures accountability at every point to execute collectively agreed upon commitment to excellence and efficiency. The UCSF Health System&rsquo;s vision is to provide innovative, high quality, cost-competitive clinical services, and deliver an unparalleled patient experience across the entire care continuum.</p></div><p></p>

Vice President, Revenue Cycle

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