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Job Description
Director of Revenue Cycle 2.6 2.6 out of 5 stars 1719 Tower Drive, Stillwater, MN 55082 $130,000 - $140,000 a year Associated Eye Care, Ltd. 72 reviews $130,000 - $140,000 a year We are seeking a strategic and experienced healthcare revenue cycle leader to oversee all aspects of payer contracting, reimbursement optimization, and revenue cycle operations. This role is responsible for developing and managing payer relationships, negotiating contract terms, monitoring contract performance, and ensuring alignment between reimbursement strategies and organizational financial goals. Working with a highly experienced revenue cycle team, the successful candidate will provide leadership and oversight across the full revenue cycle, including patient access, coding, billing, claims management, denial prevention and appeals, collections, and revenue integrity. The position will focus on driving operational excellence, maximizing net revenue, ensuring regulatory compliance, and leveraging data-driven insights to improve financial performance. Compensation will be determined based on relevant experience and skills, with an anticipated minimum salary of $130,000 - $140,000 annually, plus benefits. Position Summary The Director of Revenue Cycle serves as a senior operational and financial leader responsible for the direction, organizational performance, and optimization of all revenue cycle functions for Associated Eye Care. This leadership position oversees the full continuum of revenue cycle operations including front office/patient access, insurance verification, prior authorizations, coding, billing, collections, denials management, credentialing, reimbursement optimization, and payer contracting. The Director of Revenue Cycle serves as the organization's primary leader for payer negotiations, ensuring the company maintains competitive reimbursement structures and strong contractual relationships with commercial and governmental payers. Director of Revenue Cycle Essential Functions Provides strategic leadership and oversight for all revenue cycle operations, including patient access, insurance verification, prior authorizations, coding, billing, claims management, payment posting, collections, denials management, credentialing, reimbursement optimization, and revenue integrity functions. Develops and executes revenue cycle strategies, processes, and performance improvement initiatives that maximize reimbursement, improve cash flow, reduce accounts receivable days, minimize denials and revenue leakage, and support organizational financial objectives. Establishes revenue cycle performance standards and monitors key operational and financial metrics, utilizing data analysis and reporting to drive decision-making, operational effectiveness, productivity, and long-range financial planning. Leads enterprise-wide initiatives focused on workflow optimization, automation, scalability, operational efficiency, and continuous process improvement across physician practice, ambulatory surgery center, and optical operations. Serves as the organization's lead for payer contracting and managed care activities, overseeing strategic payer relationships, contract negotiations, renewals, amendments, and dispute resolution to secure competitive reimbursement and favorable contractual terms. Monitors payer contracts, reimbursement schedules, fee updates, and operational provisions to ensure contract optimization, regulatory compliance, and alignment with organizational financial goals. Collaborates with executive leadership, finance leadership, and legal counsel, as appropriate, to evaluate payer opportunities, negotiate agreements, and support organizational growth initiatives. Establishes service standards and operational accountability measures that support patient satisfaction, financial performance, and operational excellence. Develops and implements standardized revenue cycle and patient access procedures across all clinic, ambulatory surgery center, and optical locations to promote consistency, efficiency, and best practices. Provides leadership for revenue cycle, credentialing, and patient access teams through recruitment, retention, succession planning, coaching, performance management, and professional development initiatives. Represents revenue cycle operations in organizational leadership discussions, strategic planning efforts, growth initiatives, and operational decision-making processes. Prepares and presents revenue cycle, reimbursement, payer contracting, and operational performance reports to the Chief Executive Officer and executive leadership team. Other Essential Functions Must be available to work outside of regular working hours on occasion and able to travel to other AEC offices as needed Participate in department and company meetings, as requested Performs other duties as assigned Experience Minimum of 7 years of progressive healthcare revenue cycle experience required Minimum of 5 years of senior leadership experience overseeing healthcare revenue cycle operations required Demonstrated success leading managed care contracting and negotiating commercial and governmental payer agreements strongly required Education & Licensing Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required Master's degree strongly preferred Skills & Knowledge Required Strong computer skills, including Word and Excel and a willingness to learn new software programs Ability to multi-task and adhere to deadlines when faced with multiple interruptions and sometimes stressful situations Capacity to analyze and problem-solve issues to identify areas of process improvement and increase efficiency Can confidently establish priorities based on workload, focusing on attention to detail and accuracy Critical thinking and data analysis skills Strong organizational and planning skills Able to work independently and handle and resolve problems on own, but also know when to collaborate with staff and be a team player Ability to assess the importance and relevance of information and effectively and efficiently share information and relevant detail to the appropriate persons Excellent oral and written communication skills to effectively communicate with clients, clinicians, vendors and staff Courteous and professional demeanor while demonstrating enthusiasm and commitment to company vision and mission Ability to maintain confidentiality utilizing HIPAA guidelines and maintain compliance with OSHA rules Comprehensive Benefits Package Health insurance Dental insurance Employer paid life and accidental death and dismemberment benefit Employee assistance program (EAP) benefit Company matched 401(k) plan Flex spending accounts (medical and dependent care) Health Savings Account Voluntary Benefits and Life Insurance Coverage PTO - Accrual begins on Date of Hire Floating Holiday Day Annual Scrubs allowance for clinic employees Free annual eye exams for you and your immediate family Significant discounts on our services and products for employee and immediate family members
Job Type:
Full-time Associated Eye Care is an Equal Opportunity/Affirmative Action Employer