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Hoskinson Health and Wellness Clinic

Revenue Cycle Director

Hoskinson Health and Wellness Clinic, Gillette, Wyoming, us, 82717

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About Hoskinson Health & Wellness Clinic

Hoskinson Health & Wellness Clinic is a

newly founded, physician-led, team-based

healthcare organization located in the beautiful community of

Gillette, Wyoming .

Our mission is to provide

proactive, patient-centered healthcare

that bridges long-standing gaps in traditional systems. Owned and operated by physicians, we are dedicated to helping patients live better, healthier lives through

comprehensive, coordinated care

delivered by a diverse and collaborative team.

We believe patients are more than their diagnoses - and we are redefining what accessible, compassionate healthcare looks like in Wyoming.

Position Summary

The

Revenue Cycle Director

oversees all functions of revenue cycle operations, from

patient access and registration

through

billing, coding, claims, collections, and denials management . This position ensures optimal cash flow, compliance, efficiency, and reporting accuracy, while partnering with clinical, financial, and operational leaders to drive

revenue integrity and financial performance

across the organization.

Supervises Managers or supervisors of the following teams: Patient Access / Registration Health Information Management (HIM) / Coding Billing & Claims Processing Collections / Accounts Receivable Denials, Appeals & Payment Integrity Financial Counseling / Patient Financial Services

May also oversee vendors or outsourced billing operations. Supervisory Responsibilities

Recruit, mentor, and evaluate revenue cycle staff. Set departmental goals, KPIs, and accountability measures. Delegate projects, monitor progress, and ensure performance. Facilitate cross-training, process standardization, and professional development. Enforce consistent policies, procedures, and internal controls. Foster collaboration with finance, clinical, and compliance teams. Key Responsibilities

Strategic Leadership

Develop and execute a comprehensive

revenue cycle strategy

aligned with the clinic's financial and growth objectives. Lead continuous improvement initiatives to optimize revenue capture and reduce cash leakage. Monitor payer trends, regulations, and reimbursement changes to proactively adjust operations. Partner with CFO, operations, IT, and clinical teams to align financial and operational goals. Deliver insightful reporting and dashboards to executive leadership. Operational Oversight

Oversee all revenue cycle functions, including: Pre-registration and eligibility verification Insurance verification and prior authorizations Coding accuracy and compliance Claims submission, tracking, and reconciliation Denials management, appeals, and payment integrity Patient billing, collections, and financial counseling AR follow-up and aging management

Define and track KPIs such as

days in AR, clean claim rate, denial rate, and cash collections. Standardize workflows, documentation, and systems use. Conduct root cause analyses and implement corrective actions. Lead optimization of billing systems, EHR interfaces, and automation tools. Compliance & Risk Management

Ensure adherence to payer requirements and healthcare regulations (HIPAA, Medicare, Medicaid). Maintain strong internal controls and audit readiness. Manage vendor contracts for billing, collections, or denial management. Mitigate revenue leakage, underpayments, and write-offs through monitoring and audits. Review payer contracts and reimbursement agreements. Financial & Reporting

Develop budgets, forecasts, and financial models for revenue cycle operations. Analyze variances and identify improvement opportunities. Provide regular reporting to leadership on

revenue cycle performance, cash flow, and risk areas. Support strategic financial planning and service expansion decisions. Staff Development & Culture

Build a culture of

accountability, collaboration, and continuous improvement. Provide ongoing staff education on payer rules, coding updates, and system tools. Champion teamwork and positive communication across departments. Education & Certifications

Required:

Bachelor's degree in Health Administration, Finance, Accounting, Business, or related field. Preferred:

Master's degree (MHA or MBA). Certifications such as: CRCR

- Certified Revenue Cycle Representative CPC / CCS

- Certified Professional Coder / Certified Coding Specialist CHFP / HFMA

- Certified Healthcare Financial Professional

Experience

Required:

7-10+ years of progressive experience in

healthcare revenue cycle, billing, or financial operations. 3-5 years in a

leadership or managerial role

overseeing multiple revenue cycle functions. Strong hands-on experience with

payer contracts, AR management, denials, and appeals. Proven track record in

revenue integrity, compliance, and process improvement. Familiarity with billing systems, EHR interfaces, and claims adjudication platforms. Preferred:

Ambulatory or multi-specialty clinic experience. Management of outsourced billing or RCM vendors. Involvement in system implementation, automation, or workflow redesign. Understanding of value-based reimbursement and payer mix diversity. Required Skills & Abilities

Strategic mindset with strong analytical and financial acumen. Deep knowledge of

coding, claims processing, and payer rules. Skilled in

data analysis, financial modeling, and metric-driven management. Excellent communication, leadership, and influencing skills. Proficiency with

EHR and billing systems, revenue cycle software, and Excel. Ability to manage change and drive process optimization. High integrity, objectivity, and attention to detail. Comfortable presenting complex data to non-financial audiences. Compensation & Benefits

Health Insurance:

100% of employee premiums covered (medical, dental, vision, STD, LTD, life). Supplemental Coverage:

Optional hospital, cancer, accident, and voluntary life insurance. Retirement:

Competitive company match - no waiting period. Paid Time Off (PTO):

Generous, flexible policy. Professional Development:

Financial assistance for approved continuing education and certifications.

Equal Opportunity Employer

Hoskinson Health & Wellness Clinic is an

equal opportunity employer

committed to inclusion, equity, and accessibility. All qualified applicants will receive consideration without regard to race, color, religion, sex, age, disability, sexual orientation, gender identity, national origin, veteran status, or genetic information. To request reasonable accommodation during the application process, contact

Human Resources at (307) 387-9850 .