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Senior Director, Revenue Cycle

External
ebnhc logoEbnhc · Revere
ContractOn-site2w ago
Accounts ReceivableComplianceCross-functional CollaborationDocumentationLeadershipProcess Improvement
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Benefits

Health insurance

Additional Information

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is vital. Together, we're advancing medicine and delivering the best care experience for our patients and community! Interested in this position? Apply online and create a personal candidate account! Current Employees of NeighborHealth - Please use our internal careers portal to apply for positions. To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page . Time Type: Full time Department: Patient Accounts All Locations: 300 Ocean Avenue - Revere Position Summary: The Senior Director of Revenue Cycle provides operational leadership and strategic oversight for NeighborHealth's revenue cycle functions, ensuring the effective management of billing, coding, accounts receivable, cash posting, credit balance resolution, and collections activities across the organization's clinical service lines. This role is responsible for optimizing revenue cycle performance, ensuring compliance with federal and state billing regulations, and strengthening financial sustainability through improved reimbursement accuracy, denial management, and operational efficiency. The Senior Director partners closely with Finance, Operations, Clinical Leadership, IT, and Compliance teams to ensure alignment between clinical documentation, billing workflows, and reimbursement strategies. The Senior Director will lead a team responsible for daily revenue cycle operations while driving continuous improvement in key performance indicators such as days in accounts receivable, clean claim rate, denial resolution, and net collection rate. Operating at the intersection of finance, clinical operations, and regulatory compliance, the Senior Director of Revenue Cycle ensures the integrity, efficiency, and performance of the organization's revenue cycle operations. The successful candidate will be able to perform the following responsibilities: Revenue Cycle Operations Provide senior level leadership and oversight of all revenue cycle functions including charge capture, coding, billing, collections, payment posting, and accounts receivable management. Ensure timely and accurate submission of claims to third-party payers including MassHealth, Medicare, commercial insurers, and other payers. Monitor accounts receivable performance and lead initiatives to reduce days in AR, improve collection rates, and minimize write-offs. Oversee denial management processes including root-cause analysis, corrective action plans / appeal initiatives, and process improvement initiatives. Ensure appropriate internal controls and workflows for billing accuracy and revenue integrity. Revenue Optimization & Performance Management Develop and monitor key revenue cycle performance metrics including clean claim rate, denial rate, days in AR, and net collection rate. Produce regular revenue cycle performance reports and dashboards for senior leadership. Conduct financial and operational analysis to identify revenue leakage and improvement opportunities. Lead initiatives to improve clinical documentation, charge capture accuracy, and claim submission efficiency. Regulatory Compliance & Billing Integrity Ensure compliance with federal and state billing regulations, including Medicare, Medicaid, and MassHealth requirements applicable to Federally Qualified Health Centers. Maintain current knowledge of payer regulations, billing guidelines, and reimbursement methodologies. Coordinate internal and external billing and coding audits to ensure regulatory compliance and revenue integrity. Support organizational readiness for external audits, regulatory reviews, and HRSA operational site visits. Cross-Functional Collaboration Partner with clinical, operational, and administrative leadership to ensure alignment between clinical workflows and billing requirements. Collaborate with Information Technology teams to implement system improvements, optimize billing workflows, and support regulatory changes. Work closely with department leaders to address incomplete encounters, documentation issues, and charge capture gaps. Provide training and educational resources to providers and staff on revenue cycle processes and compliance requirements. Staff Leadership & Development Lead and develop revenue cycle staff through coaching, training, and performance management. Establish clear expectations, operational goals, and productivity standards for revenue cycle teams. Promote a culture of accountability, collaboration, and continuous improveme


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Senior Director, Revenue Cycle at Ebnhc