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Senior Director, Revenue Cycle Operations

External
us logoUs · Pittsburgh - Moon Township
Full-timeOn-site1w ago
Accounts ReceivableComplianceDocumentationLeadershipProcess Improvement
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Responsibilities

  • Strategic & Operational Leadership
  • Establish and execute a clear North America revenue cycle strategy with defined KPIs, milestones, and deliverables.
  • Billing & Collections, and all downstream revenue cycle activities.
  • Drive execution of growth and efficiency targets, ensuring alignment with corporate goals.
  • Foster a culture of accountability, ownership, performance, and continuous improvement.
  • Lead recruitment, coaching, and development of directors and revenue cycle leadership.
  • Core Revenue Cycle Oversight
  • Provide executive oversight of: Claims billing and submission
  • Payer billing compliance
  • Denial management and appeals
  • Accounts receivable and cash collections
  • Revenue reporting and analytics
  • Ensure efficient, compliant operations that maximize reimbursement and reduce revenue leakage.
  • Billing Accuracy & Reimbursement Optimization
  • Improve clean claim submission rates and reduce claim errors/rework.
  • Ensure proper coding, documentation, and adherence to payer requirements.
  • Strengthen processes that optimize first‑pass acceptance rates.
  • Denial Prevention & Resolution
  • Lead root‑cause analysis and operational improvements to reduce denials.
  • Develop strategies for appeals, escalation, and collaboration with Payer Strategy.
  • Address systemic payer issues through data‑driven insights.
  • Revenue Integrity & Compliance
  • Ensure compliance with Medicare, Medicaid, and commercial payer rules governing DME reimbursement.
  • Maintain audit readiness and oversee internal/external audit support.
  • Ensure documentation, authorization, and billing requirements are consistently met.
  • Monitor regulatory changes and risks impacting reimbursement.
  • Funding & Order-to-Cash Integration
  • Partner closely with Funding leadership, and Payer Strategy to optimize processes across the Order‑to‑Cash lifecycle.
  • Ensure consistency across zones, teams, and operational workflows.
  • Revenue Analytics & Performance Management
  • Lead the development of revenue cycle reporting for executive use.
  • Provide insights into: Productivity of team
  • Billing productivity
  • AR aging and performance
  • Denial and reimbursement trends
  • Payer‑specific performance
  • Use analytics to identify operational gaps and drive improvement initiatives.
  • Technology & Process Improvement
  • Partner with Technology and Data teams to optimize revenue cycle systems.
  • Drive automation of billing, authorization, and claims workflows.
  • Improve reporting, dashboards, and integration with operational platforms.
  • Champion innovation and future‑proof tools, processes, and systems.
  • Key Performance Indicators (KPIs)
  • Success in this role is measured through:
  • Days Sales Outstanding (DSO)
  • Clean Claim Rate
  • First‑Pass Acceptance Rate
  • Denial Rate by Payer
  • Net Collection Rate
  • Appeals rate vs Revenue
  • AR Aging (particularly >90‑day reduction)
  • Funding process compliance & efficiency
  • Achievement of OKRs across all revenue cycle teams

Requirements

  • Education & Experience
  • Bachelor's degree in Business Administration or related field, or equivalent experience.
  • 10+ years of leadership experience in healthcare revenue cycle operations.
  • Experience in DME, home medical equipme

Benefits

Health insurance

Additional Information

Why join us? We're on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives . At Tobii Dynavox, you can grow your career within a dynamic, global company that has a clear, impactful purpose - with the flexibility to also do what truly matters to you outside of work. What's more, you'll be part of a work culture where collaboration is the norm and individuality is welcomed. As a member of our team, you'll have the power to make it happen. You'll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers' lives. JOB SUMMARY: The Senior Director, Revenue Cycle Operations is responsible for the strategic leadership, performance, and optimization of the company's end‑to‑end revenue cycle, ensuring accurate, compliant, and timely reimbursement across Medicare, Medicaid, and commercial payers . This executive leader manages Billing & Collections, claims management, denial management, accounts receivable, appeals, and revenue analytics. In the role they will implement continuous improvement processes, tools and ways of working. The role drives initiatives to enhance operational efficiency to accelerate cash collections, reduce revenue leakage, and build scalable processes to support the company's continued national growth. It ensures alignment between payer strategy and operational execution through close partnership with Finance, Technology, Funding Operations, and Payer Strategy . The Senior Director drives a culture of accountability, operational excellence, innovation, and continuous improvement while developing high‑performing teams across all revenue cycle functions.


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