Director of Revenue Cycle - Specialty Services

IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and supporting patients, employees, clients, providers, and physicians in pursuit of the highest quality health care.
 

ESSENTIAL DUTIES AND RESPONSIBILITIES The responsibilities listed here represent the majority of the role but are not all-inclusive; other duties may be assigned.

• Develop and implement the strategic vision and goals for the service lines with division leadership aligning with the overall organizational mission.
• Collaborate with executive leadership to define priorities and drive initiatives that enhance the quality of client management and practice support.
• Partner with service line leaders to scope and onboard new business within specialty services, including assessing systems and applications, tracking and communications, and operational outcomes specific to specialty workflows and reimbursement models.
• Oversee and manage the performance and development of all RCM processes related to specialty service lines, including but not limited to change capture, coding, billing, collections, denials, and appeals.
• Serve as a liaison between specialty services  and other departments, fostering collaboration and communication across the organization to support specialty-specific revenue cycle needs.
• Plan, develop, organize, implement, direct and evaluate systems, processes and payor specific reimbursement mechanisms and billing requirements, contributing in the proactive identification of opportunities for revenue cycle improvement and enhancement.
• Engage with physicians and other stakeholders to gather feedback and address concerns related to specialty services’ revenue cycle performance, documentation, and reimbursement outcomes.
• Oversee coding auditing and education related to specialty-specific documentation, coding accuracy, and compliance requirements.
• Reviews, analyzes and interprets financial data to monitor progress towards established goals, identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results within specialty service lines.
• Provides direction and coordination for the development and implementation of performance and quality improvement processes for the specialty services physician revenue cycle.
• Oversees resolution of escalated issues with third party payors specific to specialty services, including underpayments, appeals, and contractual discrepancies.
• Stays current on payor regulations including managed care, Medicare, Medicaid, and other payor regulations that impact billing activities for specialty and procedure-based services.
• Manage revenue cycle operational team members assigned to specialty service line portfolios, ensuring expertise aligned to specialty complexity.

SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

 

QUALIFICATIONS

Knowledge, Skills, Abilities:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• In-depth understanding of revenue cycle operations across specialty services, including patient access, billing, collections, and compliance 
• Strong knowledge of healthcare regulations, payer requirements, reimbursement methodologies, and industry best practices.
• Expertise in financial reporting, budgeting, and performance metrics related to revenue cycle management.
• Exceptional leadership and strategic planning skills to drive operational efficiency and revenue optimization.
• Advanced analytical and problem-solving skills with the ability to interpret complex data and develop actionable insights.
• Superior communication and presentation skills for engaging executive leadership, physicians, and cross-functional teams.
• Proficiency in revenue cycle technology platforms, EHR systems, and data analytics tools.
• Ability to develop and implement long-term strategies that align with organizational goals and regulatory requirements.
• Ability to lead large teams, foster collaboration, and manage change in a dynamic healthcare environment.
• Ability to influence stakeholders and negotiate effectively to achieve financial and operational objectives.
• Ability to prioritize initiatives, allocate resources, and manage multiple projects at an enterprise level.

Education / Experience: 

Required:

• 1-2 years leadership experience and/or operations management experience
• Minimum five (5) years of Hospital or Physician Practice Revenue Cycle management required.
• Bachelor’s degree in Business Administration, Accounting, Healthcare Administration, Finance, or related field.
• Minimum of 10 years of experience in professional services and hospital coding, billing and collecting.
• Strong knowledge of various EMR systems including but not limited to: EPIC, eClinicalWorks (eCW), MedHost, Cerner, and Allscripts.
• Certification in one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Clinical Documentation Specialist (CCDS), and/or Certified Professional Medical Auditor (CPMA).
• Advanced computer skills required
• Strong knowledge of health plan requirements
• Previous supervisory experience

Preferred:

• MBA, Master's degree in Health Systems Management, or related field
• Prior experience with revenue cycle vendor management
• Prior experience with Surgical & ICU service line billing 
• Proficient understanding of data mining, statistical predictive modeling and financial modeling practices.

PHYSICAL DEMANDS: 

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms.
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to:  remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Occasionally lift and/or move up to 20-25 pounds 
• Fine hand manipulation (keyboarding)

WORK ENVIRONMENT:  

• Office environment, Hybrid schedule after initial training period 
  • 4835 Lyndon B Johnson Fwy, Dallas, TX 75244
  • Tuesday-Thursday in office 8am-5pm 
  • Monday/Friday remote
• May visit hospital locations and vendors
• The noise level in the work environment is usually low

ADA & Reasonable Accommodation Statement:
IES is committed to providing equal employment opportunities to qualified individuals with disabilities. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. If you require accommodation during the application or employment process, please contact [email protected].

The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success.