Senior Director Professional Revenue Cycle

Summary:

The Senior Director of the Brown Health Medical Group Professional Billing Group will lead and oversee all aspects of professional billing operations, ensuring accurate, timely, and compliant billing and collections processes. This strategic leadership role requires a deep understanding of healthcare revenue cycle management, regulatory compliance, and operational efficiency to optimize cash flow and support organizational financial goals.

Responsibilities:

KEY RESPONSIBILITIES:

Provide visionary leadership and direction for the Professional Billing Group, managing billing processes for professional services across multiple specialties or business units.

Develop and implement strategies to improve billing accuracy, reduce denials, accelerate cash collections, and enhance overall revenue cycle performance.

Oversee the daily operations of billing teams, ensuring adherence to regulatory requirements, payer contracts, and internal policies.

Collaborate closely with clinical, coding, compliance, and finance teams to streamline workflows and ensure data integrity.

Develop and maintain program roadmaps, timelines, budgets, and risk mitigation plans.

Drive continuous process improvement initiatives using data analytics and key performance indicators (KPIs) to identify opportunities and resolve issues.

Lead and mentor managers and staff, fostering a culture of accountability, professional growth, and high performance.

Manage vendor relationships and billing technology platforms to optimize system utilization and automation.

Prepare and present regular reports to executive leadership on billing performance, trends, risks, and financial outcomes.

Ensure compliance with federal, state, and payer-specific billing regulations, including Medicare, Medicaid, and commercial insurers.

Partner with legal and compliance departments to address audits, appeals, and regulatory inquiries effectively.

Other information:

REQUIRED QUALIFICATIONS:

PERFORMANCE STANDARDS:

Effective utilization of resources

Management of continuous quality improvement

High quality, high value patient-focused services

Resource productivity

Fiscal responsibility

Development and implementation of effective quality programs

Customer satisfaction

Performance improvements year-to-year

Positive feedback from peers, direct reports and staff

EDUCATION:

Bachelor's degree in Business, Finance, Healthcare Administration, or related field; Master's degree preferred.

10+ years of progressive leadership experience in professional billing and revenue cycle management, including offshoring and outsourcing of work/resources within healthcare.

Proven track record managing large, complex billing operations with multiple service lines or specialties.

Strong knowledge of CPT, ICD-10, HCPCS coding, credentialing and payer billing requirements.

Experience with EPIC billing systems (preferred), Cerner, Meditech, or similar platforms.

Experience leading others in a large, highly complex and ever-changing organization.

Excellent leadership, communication, and interpersonal skills.

Analytical mindset with strong problem-solving abilities and proficiency in data analysis tools.

Ability to work collaboratively across departments and influence senior executives.

Certification in healthcare finance, revenue cycle, or billing (e.g., CPB, CHFP) is a plus.

WORKING CONDITIONS:

Office-based role with potential hybrid or fully remote work arrangements.

Requires occasional travel to other facilities, corporate offices, or industry conferences as needed.

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Brown University Health Corporate Services, USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union