Director, Revenue Cycle Optimization - Remote

About the Role

Key Responsibilities

• Lead and execute Revenue Operations initiatives that drive IOI and performance improvement, providing direction and support
• Develop and implement strategies in partnership with assigned market leaders to optimize revenue cycle performance and improve cash flow
• Analyze data/metrics to identify areas for improvement
• Develop and execute action plans based on operational and financial plans
• Integrate optimization where applicable to ensure best in class revenue operations
• Analyze revenue cycle metrics and identify areas for improvement, collaborating with departments such as Finance, Accounting, and Clinical Operations
• Be responsible for revenue cycle metric accountability, training, support, and integration activities for assigned markets
• Oversee revenue cycle vendors and monitor daily RCM operations
• Work with vendors to implement solutions to optimize revenue collections and reduce bad debt
• Develop and monitor performance indicators and quality control reports to manage billing vendor success
• Review revenue cycle metrics, operational issues, and analytics with Operations Departments
• Report findings at committees, task forces, and work groups
• Foster a culture of continuous improvement within revenue cycle teams
• Manage regional needs related to communications on accounts receivable metrics, training/support, and RCO compliance
• Travel as needed to support integration activities, training, and system overviews

Requirements

• 8+ years of people management experience
• 5+ years of revenue cycle management experience
• Experience with EMR systems (Epic, Athena, etc)
• Solid knowledge of healthcare billing, coding, payer rules, and reimbursement methodologies (e.g., Medicare, Medicaid, commercial payers)
• Familiarity with compliance and regulatory requirements
• Proficiency in revenue cycle management software, physician billing systems, and reporting tools
• Proficiency in Microsoft Office Suite, especially Excel for data analysis
• Excellent verbal and written communication skills
• Demonstrated leadership skills with experience in training, mentoring, and developing teams
• Willingness to travel 50% of the time

Nice to Have

• Proven basic accounting procedures with some accounting background in a medically related environment
• Proven efficient project management skills
• Ability to read managed care contracts and apply principles
• Strong interpersonal skills with the ability to engage and influence stakeholders at all levels
• Self-driven with internal motivation and accountability
• Results-oriented with the ability to meet deadlines in a fast-paced environment
• Strong organizational skills and attention to detail
• Analytical and critical-thinking skills

Qualifications

• Educational background is implied through experience requirements; formal qualifications are not explicitly specified

Benefits & Perks

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Salary range from $132,200 to $226,600 annually
• Remote work flexibility
• Adherence to UnitedHealth Group's Telecommuter Policy