Revenue Cycle Director Resume Example

Director of Revenue Cycle · Atrius Health

Newton, MA · 2017 - Present

• Reduced average accounts receivable (A/R) days by 22% (from 45 to 35 days) across 30+ outpatient sites by implementing a centralized RCM analytics platform and proactive denial management strategies.
• Increased cash collections by 18% ($30M annually) and improved net collection rate by 5% through optimization of automated follow-up workflows and patient payment portal integration.
• Led a team of 85 RCM professionals, achieving a 97% clean claim submission rate and decreasing claim rejection rates by 15% through continuous training and process refinement.
• Successfully managed the RCM implications of new value-based care contracts, improving shared savings by 10% and reducing payer specific denials by 8% related to bundled payment models.

Associate Director, RCM Operations · Optum

Boston, MA · 2012 - 2017

• Managed RCM operations for a portfolio of 50+ physician practices, increasing client revenue by an average of 7% per year through expert claims management and appeal processes.
• Implemented AI-driven coding audits and automation tools that reduced coding errors by 20% and accelerated billing cycles by 10 days for participating clients.
• Developed and delivered comprehensive RCM training programs to client teams, resulting in a 25% improvement in billing accuracy and a 15% reduction in self-pay write-offs.
• Spearheaded the integration of new RCM software solutions for over 20 clients, ensuring seamless transitions and maintaining client satisfaction scores above 90% during implementation phases.

Revenue Cycle Manager · Beth Israel Lahey Health

Boston, MA · 2005 - 2012

• Oversaw daily operations of patient access, charge capture, and claims processing departments for a multi-hospital system, processing over 1 million claims annually.
• Reduced aged A/R over 90 days by 30% through targeted collection efforts and improved payer communication protocols, recovering an additional $15M in outstanding revenue.
• Led the successful transition to ICD-10 coding, achieving 99% compliance within the first month of implementation and minimizing revenue disruption during the shift.
• Developed and implemented a streamlined patient financial counseling workflow, which decreased upfront payment denials by 12% and enhanced patient understanding of billing procedures.

Master of Business Administration (MBA) · Boston University Questrom School of Business

Boston, MA · 2008 - 2010

• Concentration in Health Sector Management
• Achieved a GPA of 3.9/4.0

Bachelor of Science in Finance · Northeastern University

Boston, MA · 2001 - 2005

• Graduated Magna Cum Laude
• Recipient of the Dean's Scholarship for academic excellence

Director, Revenue Cycle · Northwestern Medicine

Chicago, IL · 2020 - Present

• Led a comprehensive revenue cycle overhaul, improving clean claim submission rate to 97% and reducing initial denial rate by 18% within the first two years.
• Drove a 10% increase in point-of-service collections through enhanced patient education and staff training on financial counseling best practices.
• Implemented an advanced predictive analytics tool for identifying at-risk accounts, leading to a 5% reduction in bad debt expense and improved cash flow.
• Managed a departmental budget of over $15M, consistently achieving cost-efficiency targets while maintaining high quality standards.

Associate Director, Patient Financial Services · Rush University Medical Center

Chicago, IL · 2015 - 2019

• Directed operations for patient billing and collections, increasing net collection rate by 8% ($12M annually) through process redesign and staff training.
• Reduced accounts receivable days by 7 days (from 45 to 38) by implementing a proactive denials management strategy and improved claim scrubbing.
• Collaborated with IT to integrate new claims processing software, decreasing manual data entry errors by 25% and accelerating payment posting workflows.
• Oversaw a team of 40 billing and collection specialists, achieving 95% staff retention and exceeding quarterly performance targets.

Director, Clinical Operations Improvement · Advocate Aurora Health

Chicago, IL · 2008 - 2015

• Spearheaded optimization projects across 10+ clinical departments, resulting in a 15% reduction in operational costs over a three-year period.
• Led the implementation of a new patient flow management system, decreasing average patient wait times by 20% and improving patient satisfaction scores by 10 points.
• Managed a portfolio of over 20 improvement initiatives with a combined budget of $5M, consistently delivering projects on time and under budget.
• Developed and mentored a team of 8 operations analysts, fostering a culture of continuous improvement and data-driven decision-making.

Master of Business Administration (MBA) · Northwestern University - Kellogg School of Management

Evanston, IL · 2013 - 2015

• Concentration in Healthcare Enterprise Management and Finance

Bachelor of Science in Health Administration · University of Illinois Chicago

Chicago, IL · 2004 - 2008

• Graduated Magna Cum Laude
• GPA: 3.8/4.0