Mercy Medical Center, Baltimore, MD
Senior Director, Revenue Cycle Payor Management & SBO
Mercy Medical Center, Baltimore, MD, Baltimore, Maryland, United States, 21276
Overview
Join Our Team at Mercy Medical Center – Now Hiring a Senior Director, Revenue Cycle Payor Management & SBO! Mercy Medical Center is honored to be recognized by Newsweek as one of America’s Most Trustworthy Companies for three consecutive years (2023–2025) and as one of America's Greatest Workplaces for Women in 2025. We are also a multi-time recipient of Forbes' America's Best Midsize Employers award, most recently in 2025. The Senior Director, Revenue Cycle Payor Management & SBO is a pivotal role within Mercy Health Services, responsible for the strategic oversight and management of all revenue cycle functions, including claims configuration (UB-04/1500), billing, payor follow-up, and self-pay AR. The Senior Director ensures efficient and effective management of all reimbursement aspects of the revenue cycle, aiming to maximize cash flow while enhancing satisfaction for patients, physicians, and other stakeholders. The role involves developing and implementing strategic plans for the revenue cycle, leading initiatives to optimize processes, adopting new technologies, and staying compliant with industry regulations and trends. Operational management includes oversight of the SBOs day-to-day billing and collections across Acute (HB) and Ambulatory (PB) Divisions. The Senior Director will develop and monitor KPIs, implement process improvements to reduce denials and write-offs, and lead a team of Directors and Managers with a focus on accountability and continuous improvement. Additionally, the position requires monitoring A/R aging, managing budgets, collaborating with the finance department, engaging with clinical and administrative leaders, and serving as the primary point of contact for external auditors, payors, and regulatory agencies. Responsibilities
Develop and implement strategic plans for the revenue cycle, ensuring alignment with the hospital and ambulatory’s overall mission and goals. Lead initiatives to optimize revenue cycle processes, including the adoption of new technologies and methodologies. Monitor industry trends and regulatory changes to ensure compliance and adapt strategies accordingly. Oversee day-to-day operations of the SBO, ensuring timely and accurate billing and collections (Acute and Ambulatory Divisions). Develop and monitor key performance indicators (KPIs) to assess the effectiveness and efficiency of revenue cycle processes. Implement process improvements to enhance revenue cycle performance and reduce denials and write-offs. Manage and mentor a team of Directors and Managers within the SBO, fostering a culture of accountability, continuous improvement, and excellence. Provide training and development opportunities to enhance team skills and knowledge. Monitor accounts receivable (A/R) aging reports to ensure timely follow-up on unpaid claims. Implement strategies to improve cash flow and reduce A/R days, including regular review of high-dollar accounts and prioritization of follow-up activities. Work with payors to resolve issues related to underpayments, payment delays, and other discrepancies. Develop and manage the budget for the assigned revenue cycle divisions, ensuring cost-effective operations. Analyze financial reports and data to identify trends, variances, and opportunities for improvement. Collaborate with the finance department, corporate analytics, and managed care to ensure accurate financial reporting and forecasting. Collaborate with clinical and administrative leaders to address revenue cycle issues and improve overall patient experience. Serve as the primary point of contact for external auditors, payors, and regulatory agencies regarding revenue cycle matters. Ensure compliance with all relevant federal, state, and local regulations, as well as internal policies and procedures. Develop and maintain policies and procedures to mitigate risk and ensure the integrity of the revenue cycle process. Conduct regular audits and reviews to identify and address compliance issues. Qualifications
10 years of progressive experience in revenue cycle management, including expertise in multiple areas of effective payor management. 5 years in a leadership role within a hospital and/or ambulatory setting. Bachelor’s degree in finance, business administration, healthcare administration, or a related field, or 4 additional years of experience in lieu of degree. Extensive finance experience in both acute hospital and outpatient ambulatory settings, demonstrating versatility and adaptability in diverse healthcare environments preferred. Proven track record in structuring and optimizing claims correction processes within an EMR system, with a strong preference for Epic experience. AAHAM/HFMA/MGMA Certification preferred. Benefits
Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees 403(b) retirement plan with generous company match and “catch up” provision Paid Time Off (PTO) & company paid holidays Tuition reimbursement Mental Health resources and other employee wellness opportunities through our Employee Assistance Program Employer paid Short & Long Term Disability benefits for eligible employees Voluntary Benefits Discounts on auto & home insurance and Verizon plans Mercy’s Rewards & Recognition Program rewarding employees for living Mercy’s Mission and Values EEO Statement
Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.
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Join Our Team at Mercy Medical Center – Now Hiring a Senior Director, Revenue Cycle Payor Management & SBO! Mercy Medical Center is honored to be recognized by Newsweek as one of America’s Most Trustworthy Companies for three consecutive years (2023–2025) and as one of America's Greatest Workplaces for Women in 2025. We are also a multi-time recipient of Forbes' America's Best Midsize Employers award, most recently in 2025. The Senior Director, Revenue Cycle Payor Management & SBO is a pivotal role within Mercy Health Services, responsible for the strategic oversight and management of all revenue cycle functions, including claims configuration (UB-04/1500), billing, payor follow-up, and self-pay AR. The Senior Director ensures efficient and effective management of all reimbursement aspects of the revenue cycle, aiming to maximize cash flow while enhancing satisfaction for patients, physicians, and other stakeholders. The role involves developing and implementing strategic plans for the revenue cycle, leading initiatives to optimize processes, adopting new technologies, and staying compliant with industry regulations and trends. Operational management includes oversight of the SBOs day-to-day billing and collections across Acute (HB) and Ambulatory (PB) Divisions. The Senior Director will develop and monitor KPIs, implement process improvements to reduce denials and write-offs, and lead a team of Directors and Managers with a focus on accountability and continuous improvement. Additionally, the position requires monitoring A/R aging, managing budgets, collaborating with the finance department, engaging with clinical and administrative leaders, and serving as the primary point of contact for external auditors, payors, and regulatory agencies. Responsibilities
Develop and implement strategic plans for the revenue cycle, ensuring alignment with the hospital and ambulatory’s overall mission and goals. Lead initiatives to optimize revenue cycle processes, including the adoption of new technologies and methodologies. Monitor industry trends and regulatory changes to ensure compliance and adapt strategies accordingly. Oversee day-to-day operations of the SBO, ensuring timely and accurate billing and collections (Acute and Ambulatory Divisions). Develop and monitor key performance indicators (KPIs) to assess the effectiveness and efficiency of revenue cycle processes. Implement process improvements to enhance revenue cycle performance and reduce denials and write-offs. Manage and mentor a team of Directors and Managers within the SBO, fostering a culture of accountability, continuous improvement, and excellence. Provide training and development opportunities to enhance team skills and knowledge. Monitor accounts receivable (A/R) aging reports to ensure timely follow-up on unpaid claims. Implement strategies to improve cash flow and reduce A/R days, including regular review of high-dollar accounts and prioritization of follow-up activities. Work with payors to resolve issues related to underpayments, payment delays, and other discrepancies. Develop and manage the budget for the assigned revenue cycle divisions, ensuring cost-effective operations. Analyze financial reports and data to identify trends, variances, and opportunities for improvement. Collaborate with the finance department, corporate analytics, and managed care to ensure accurate financial reporting and forecasting. Collaborate with clinical and administrative leaders to address revenue cycle issues and improve overall patient experience. Serve as the primary point of contact for external auditors, payors, and regulatory agencies regarding revenue cycle matters. Ensure compliance with all relevant federal, state, and local regulations, as well as internal policies and procedures. Develop and maintain policies and procedures to mitigate risk and ensure the integrity of the revenue cycle process. Conduct regular audits and reviews to identify and address compliance issues. Qualifications
10 years of progressive experience in revenue cycle management, including expertise in multiple areas of effective payor management. 5 years in a leadership role within a hospital and/or ambulatory setting. Bachelor’s degree in finance, business administration, healthcare administration, or a related field, or 4 additional years of experience in lieu of degree. Extensive finance experience in both acute hospital and outpatient ambulatory settings, demonstrating versatility and adaptability in diverse healthcare environments preferred. Proven track record in structuring and optimizing claims correction processes within an EMR system, with a strong preference for Epic experience. AAHAM/HFMA/MGMA Certification preferred. Benefits
Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees 403(b) retirement plan with generous company match and “catch up” provision Paid Time Off (PTO) & company paid holidays Tuition reimbursement Mental Health resources and other employee wellness opportunities through our Employee Assistance Program Employer paid Short & Long Term Disability benefits for eligible employees Voluntary Benefits Discounts on auto & home insurance and Verizon plans Mercy’s Rewards & Recognition Program rewarding employees for living Mercy’s Mission and Values EEO Statement
Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.
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