Senior Director of Revenue Cycle

Position Purpose

The Senior Director of Revenue Cycle provides strategic leadership and operational oversight for all revenue cycle functions, including patient registration, financial counseling, billing (hospital and professional), follow-up, denials and appeals, self-pay, customer service, collections, and vendor relations.

The Senior Director establishes the vision, strategy, and performance expectations across all revenue cycle departments they oversee, ensuring accurate, timely, and compliant processes from pre-service through final resolution of accounts. This position aligns operational workflows with organizational financial objectives, regulatory requirements, and industry best practices to drive optimal reimbursement, reduce denials, and improve cash flow.

Providing leadership to department managers and staff, the Senior Director develops standardized processes, implements key performance indicators, and fosters a culture of accountability, collaboration, and continuous improvement. The role works closely with clinical leadership, coding, compliance, payor relations, information technology, and executive stakeholders to ensure seamless revenue cycle integration and proactive resolution of complex reimbursement and operational challenges.

The Senior Director also oversees vendor partnerships and revenue cycle technologies, ensuring service level performance, cost effectiveness, and innovation. Through data-driven decision-making and continuous performance monitoring, this leader strengthens operational efficiency, enhances transparency, mitigates compliance risk, and advances both financial outcomes and patient satisfaction.

This position plays a critical role in sustaining the organization’s financial health, regulatory compliance, and long-term strategic growth by ensuring a high-performing, patient-centered revenue cycle operation.

Nature and Scope

The Senior Director of Revenue Cycle provides leadership and oversight for the full continuum of revenue cycle operations, including patient registration, financial counseling, charge capture, hospital and professional billing, follow-up, denial prevention and appeals, self-pay management, customer service, collections, credit balance resolution, and vendor relations.

Key accountabilities include achieving and sustaining performance targets for point-of-service collections, clean claim rates, days in accounts receivable, denial rates, net collection rate, bad debt, cash collections, productivity, and customer service standards. The Senior Director ensures compliance with federal and state regulations, third-party payor requirements, and internal policies; strengthens internal controls; oversees system optimization and work queue management; supports audits and regulatory reviews; and proactively mitigates financial, operational, and compliance risks through data-driven monitoring and corrective action.

The Senior Director partners collaboratively with executive leadership, clinical departments, coding, revenue integrity, compliance, payor contracting, finance, and information technology to drive end-to-end revenue cycle performance. This role is responsible for developing and executing strategic initiatives that optimize reimbursement, enhance the patient financial experience, reduce avoidable denials and write-offs, and improve overall cash flow. Oversight of vendor relationships includes ensuring service level performance, contract compliance, cost effectiveness, and alignment with organizational objectives.

The Senior Director builds and mentors high-performing leadership teams, establishes standardized workflows across departments, implements best practices and enabling technologies, and fosters a culture of accountability, service excellence, and continuous improvement. Through transparent communication, performance benchmarking, and operational rigor, this position ensures revenue cycle operations effectively support the organization’s mission, financial sustainability, and long-term growth.

Key Responsibilities and Activities

• Provide executive-level strategic and operational leadership for patient access, financial counseling, billing, follow-up, denials management, self-pay, customer service, collections, and vendor oversight.
• Drive revenue optimization strategies to improve cash flow, reduce accounts receivable, enhance point-of-service collections, and minimize denials and write-offs.
• Ensure accurate, timely, and compliant revenue cycle operations in alignment with regulatory requirements and payor contracts.
• Lead enterprise-wide performance improvement initiatives to standardize workflows, increase efficiency, and leverage technology and automation solutions.
• Monitor, analyze, and benchmark key financial, operational, and patient experience metrics to achieve or exceed established performance targets.
• Collaborate cross-functionally with clinical, operational, finance, compliance, contracting, and IT leaders to align revenue cycle strategy with organizational goals.
• Oversee vendor relationships and outsourced services to ensure accountability, quality outcomes, and return on investment.
• Develop, mentor, and retain high-performing leadership teams, fostering engagement, accountability, and a culture of continuous improvement.
• Identify, escalate, and mitigate financial, operational, and compliance risks across all revenue cycle functions.

This position does not provide patient care

Disclaimer

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Requirements - Required and/or Preferred