SimonMed Imaging
Job Duties:
- Develop and execute revenue cycle strategy to optimize revenue and cash flow.
- Establish and monitor KPIs (AR days, clean claim rates, denial rates, cash performance, etc.) and drive continuous improvement.
- Partner with executive leadership, clinical operations, and IT to drive revenue optimization and cost containment.
- Leverages data and financial insights to optimize revenue performance, improve collections, and reduce denials and AR days.
- Oversee the exchange of information between Revenue Cycle, Medical Records, and other departments to ensure accurate documentation, timely billing, effective resolution of insurance inquiries, and proper management of liability accounts.
- Champion a patient-friendly financial experience through transparent billing practices and responsive customer service.
- Ensure compliance with all federal, state, and payer regulations including HIPAA, CMS guidelines, and other regulatory requirements.
- Partner with legal and compliance to address audit risks and corrective action plans.
- Identify and implement tools and automation to improve accuracy, productivity, and patient satisfaction.
Education and Experience:
- Bachelor’s degree in healthcare administration, Business, Finance or related field required. Master’s degree (MBA, MHA) strongly preferred.
- Minimum 10 years of progressive experience in healthcare revenue cycle management, with at least 5 years in a senior leadership role.
- Experience with EHR and revenue cycle platforms preferred.
Knowledge, Skills, and Abilities:
- Comprehensive knowledge of revenue cycle functions including patient access, coding, billing, collections, denials, and reimbursement models.
- Proven ability to align revenue cycle strategy with organizational goals, interpret financial data, drive performance metrics, and support long-term financial sustainability.
- Deep understanding of healthcare regulations and payer requirements (e.g., HIPAA, CMS) to ensure organizational compliance and reduce risk exposure.
- Skilled in leading high-performing teams, managing cross-functional initiatives, and executing large-scale transformation and process improvement projects.
- Experienced in EHR/RCM systems and data analytics tools, with the ability to leverage technology to optimize workflows and revenue capture.
- Demonstrated success in managing multi-site or multi-entity revenue operations within a healthcare provider setting.
- Deep understanding of payer contracts, reimbursement models, billing, and regulatory guidelines.
- Strong analytical, communication, and negotiation skills.