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Genesis Orthopedics & Sports Medicine
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Director of Revenue Cycle

Director of Revenue Cycle

Genesis Orthopedics & Sports Medicine

7 years

0 Lacs

Payum Arunachal Pradesh India

Posted:1 week ago| Platform:

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Skills Required

leadership integrity compliance healthcare management flow contracts regulations capture billing coding reconciliation drive metrics effectiveness reimbursement resolve documentation design efficiency data analytics finance cpt ehr epic communication research model

Work Mode

Remote

Job Type

Full Time

Job Description

Position Summary

We are seeking a strategic, results-oriented Director of Revenue Cycle to lead and optimize our revenue operations. This leadership role is vital to ensuring the financial performance, operational integrity, and regulatory compliance of the practice. The ideal candidate has deep experience in U.S. healthcare revenue cycle management, preferably within orthopedic or specialty care, and a strong track record of success in improving cash flow, managing payer contracts, and building high-performing teams.This position is ideally suited for someone based in Illinois with a strong understanding of state and federal healthcare regulations and payers.

Key Responsibilities

Own and lead the entire revenue cycle, from charge capture through final payment, ensuring efficient and compliant operations.
Oversee functional teams in billing, coding, A/R, collections, payment posting, denial management, and revenue reconciliation.
Drive key financial metrics including days in A/R, clean claim rates, denial rates, and collection effectiveness.
Manage Managed Care Contracts, including payer negotiations, reimbursement modeling, implementation, and ongoing compliance.
Collaborate cross-functionally with physicians, clinical staff, and operations to resolve billing issues and streamline workflows.
Ensure compliance with federal/state healthcare regulations, payer requirements, HIPAA, and documentation standards.
Identify, design, and implement process improvements to optimize efficiency, accuracy, and patient experience.
Supervise the management of medical records and disability documentation in accordance with best practices.
Lead, mentor, and develop a high-performing revenue cycle team aligned with organizational values and goals.
Leverage data analytics to provide actionable insights and continuous performance improvement.

Requirements

Key Responsibilities

Qualifications

Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master's preferred.
7-10 years of progressive revenue cycle experience in U.S. healthcare settings, with 3+ years in a director or leadership role.
Demonstrated success in orthopedic or specialty practice RCM is strongly preferred.
Expert-level knowledge of billing, coding (CPT, ICD-10), collections, A/R, denials, and reimbursement methodologies.
Proven ability to negotiate and manage Managed Care and value-based contracts.
Familiarity with Illinois payer landscape and regulatory requirements is highly desirable.
Strong EHR/PM system proficiency (Athenahealth, Epic, or similar platforms).
Excellent analytical, leadership, communication, and organizational skills.
Experience managing remote or hybrid teams and working across diverse cultures and departments.

Benefits

At Genesis, we believe that ethical, affordable, and high-quality care should be a universal right—not a privilege. After 17 years of practicing conventional medicine, we reimagined healthcare from the ground up. Through hundreds of hours of research and innovation, we developed a model that maintains our clinical excellence while expanding access to those who need it most.If you're a forward-thinking revenue cycle leader with a passion for healthcare transformation, we'd love to hear from you.

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Director of Revenue Cycle