Senior Director of Revenue Cycle

Who is Gather Health? We are a new and growing healthcare organization with a unique and innovative approach to healthcare.  Our mission is to improve lives and communities through socially supported primary care for older adults. Our innovative business model allows our clinicians to treat the whole patient - not just their clinical needs. We do this by having a dedicated care team that supports our clinicians by addressing our patients’ social determinants of health and providing the highest quality of service possible.  Our ultimate vision is creating generational health and equity for communities across the country, one patient at a time. 
Summary of the role: We are seeking a Senior Director of Revenue Cycle to oversee both front end and back-end revenue cycle operations, ensuring that we are billing and collecting efficiently and in a compliant manner. Reporting to our Head of Finance, you will work closely with providers, payor partners, our outreach team, and company leadership. You will lead our billing team and help define the strategy for building out our Revenue Cycle function as the organization grows. You will define and implement processes to report on and manage our overall revenue cycle performance to ensure that we are enhancing overall financial performance while optimizing patient experience.  This role is mostly remote, with some responsibilities to report to our locations on an as-needed basis. 

What are some of the day-to-day duties? The Director of Revenue Cycle will be responsible for:

• Revenue Enhancement: Direct all aspects of the revenue cycle, including billing, coding, reimbursement, and collections, to optimizethe timely and accurate payment of revenue. 
• Infrastructure and Compliance: Develop scalable systems and procedures to support organizational growth while ensuring adherence to healthcare regulations such as HIPAA, billing, and coding standards. 
• Performance Metrics and Reporting: Create and track key performance indicators (KPIs) to evaluate revenue cycle efficiency, identify areas for enhancement, and drive operational excellence. Perform trend analyses on revenue and KPIs to generate detailed reports for management's strategic decision-making. 
• Cross-Functional Process Improvement: Working with other company stakeholders to formulate and implement processes to refine key revenue cycle functions including patient registration, insurance verification, eligibility checks, patient financial responsibilities, authorizations, claims processing, payment posting, and collections. 
• Payor Relations Management: work collaboratively with payor partners to ensure continuous dialogue and partnership around contractual implementation, fee schedule changes, data exchange, among others.  
• Regulatory Compliance: Stay informed about changes in healthcare regulations and ensure all revenue cycle activities comply with these standards to mitigate the risk of audits and penalties. 
• Leadership and Team Development: Build and lead a high-performing team of billing and revenue cycle professionals, providing mentorship, training, and performance evaluations to enhance operational efficiency. 
• Other duties as assigned to ensure an efficient revenue cycle process 

What are the minimum requirements for this position?

• Minimum of four years of revenue cycle experience in a professional setting, preferably in a leadership role 
• Experience using Athena, our electronic health record and billing system 
• Strong analytical skills with the ability to develop, report, and manage key revenue cycle KPIs 
• High school diploma or equivalent  
• A broad understanding of all areasrevenue cycle management 
• Experience managing a team of revenue cycle professionals 
• Familiarity with Medicare and Medicare Advantage reimbursement dynamics and regulations 
• Knowledge of the ICD-10, CPT-/HCPCS universal coding systems, and general medical terminology 
• Proficient in Microsoft Office (i.e., Excel, PowerPoint and Word) 
• Strong verbal, written, and reading comprehension skills in English  
• Ability to work regular office hours (40 hours/week) Monday through Friday  
• Ability to work for any employer in the United States 

What are the “nice to have”, preferred requirements?

• A bachelor’s degree 
• Certified Professional Coder certification or equivalent 

What are the traits of someone most likely to succeed in this role?

• Organized – they manage their time effectively and operateefficiently  
• Self-Motivated – their energy and passion for work come from within 
• Detail-Oriented – they tend to have an eye for small details and aim for accuracy  
• Positive – th