Director of Revenue Cycle
Genesis Orthopedics & Sports Medicine
- New Delhi
- Permanent
- Full-time
- Own and lead the entire revenue cycle, from charge capture through final payment, ensuring efficient and compliant operations.
- Oversee functional teams in billing, coding, A/R, collections, payment posting, denial management, and revenue reconciliation.
- Drive key financial metrics including days in A/R, clean claim rates, denial rates, and collection effectiveness.
- Manage Managed Care Contracts, including payer negotiations, reimbursement modeling, implementation, and ongoing compliance.
- Collaborate cross-functionally with physicians, clinical staff, and operations to resolve billing issues and streamline workflows.
- Ensure compliance with federal/state healthcare regulations, payer requirements, HIPAA, and documentation standards.
- Identify, design, and implement process improvements to optimize efficiency, accuracy, and patient experience.
- Supervise the management of medical records and disability documentation in accordance with best practices.
- Lead, mentor, and develop a high-performing revenue cycle team aligned with organizational values and goals.
- Leverage data analytics to provide actionable insights and continuous performance improvement.
- Qualifications
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s preferred.
- 7–10 years of progressive revenue cycle experience in U.S. healthcare settings, with 3+ years in a director or leadership role.
- Demonstrated success in orthopedic or specialty practice RCM is strongly preferred.
- Expert-level knowledge of billing, coding (CPT, ICD-10), collections, A/R, denials, and reimbursement methodologies.
- Proven ability to negotiate and manage Managed Care and value-based contracts.
- Familiarity with Illinois payer landscape and regulatory requirements is highly desirable.
- Strong EHR/PM system proficiency (Athenahealth, Epic, or similar platforms).
- Excellent analytical, leadership, communication, and organizational skills.
- Experience managing remote or hybrid teams and working across diverse cultures and departments.