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Revenue Cycle Director
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Robert Half
New Hyde Park, NY (In Person)
Full-Time
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Job Description
Description We are looking for an experienced Revenue Cycle Director to lead reimbursement and billing operations for a healthcare organization in New Hyde Park, New York. This Long-term Contract position is ideal for a strategic leader who can strengthen financial performance, improve claim outcomes, and maintain compliance across complex payer environments. The person in this role will guide day-to-day revenue cycle activities while partnering with operational leaders to enhance accuracy, accountability, and overall collections performance.
Responsibilities:
- Direct the full revenue cycle function, overseeing eligibility review, prior authorizations, charge capture, billing, payment posting, follow-up, and denial management.
- Lead timely and accurate claim transmission for commercial plans, Medicare, Medicaid, and other government-funded programs to support consistent reimbursement.
- Review aging accounts receivable trends and drive prompt resolution of unpaid or underpaid claims through structured follow-up efforts.
- Research payment variances, claim edits, and denial patterns, then implement corrective actions to reduce revenue leakage.
- Prepare and present recurring reports on billing activity, denials, collections, and other key performance indicators for senior leadership.
- Identify workflow inefficiencies and introduce process enhancements that improve operational effectiveness and strengthen revenue capture.
- Ensure billing practices remain aligned with applicable regulatory requirements and recognized industry standards.
- Work closely with internal teams responsible for billing systems and payer configuration to maintain accurate setup, rate information, and submission integrity.
- Assess accounts for potential adjustments or write-offs and provide recommendations based on financial and operational review.
- Oversee staff performance within the revenue cycle team, including scheduling, timekeeping, and day-to-day team leadership. Requirements
- Proven leadership experience managing healthcare revenue cycle operations across billing, collections, denials, and reimbursement activities.
- Strong knowledge of medical billing requirements for commercial insurance, Medicare, Medicaid, managed care organizations, and other payer types.
- Hands-on experience analyzing accounts receivable performance and improving collection outcomes in a healthcare setting.
- Familiarity with regulatory and compliance expectations related to healthcare billing and reimbursement practices.
- Ability to interpret revenue cycle metrics and translate findings into actionable process improvements.
- Background supporting credentialing or re-credentialing activities with government and commercial payers is preferred.
- Experience collaborating with cross-functional teams to maintain billing accuracy, payer setup, and operational alignment.
- Knowledge of healthcare billing environments such as ambulatory surgery or similar provider settings is highly desirable.