Hospital Revenue Cycle Director - SUMMIT MEDICAL CENTER : Job Details

Memorial Hospital of Converse County is recruiting a revenue cycle director to work in Wyoming. Redefine Revenue leadership- Shape the Future of Rural Healthcare Finance. The Revenue Cycle Director is responsible for the daily and strategic oversight, management, and direction of all functions within the revenue cycle, including patient access, patient financial services, health information management, revenue integrity,y and the clinical revenue cycle for all facility and physician revenue cycle operations.

Memorial Hospital of Converse County is a Critical Access hospital in Douglas, Wyoming. We have operations that include Summit Medical Center, a 16 Bed Surgical inpatient hospital in Casper, WY. We have rural health clinics as well as Hospital based and free-standing provider clinics and outreach clinics. We have grown from $48 Million in Net patient revenues in 2018 to over $142 Million for the fiscal year ended June 30, 2025.

🧠 Skills and Qualifications Expected

• Strong knowledge of hospital billing, coding (ICD-10, CPT), payer rules, and reimbursement models (e.g., DRG, APC).
• Experience with managed care contracting and payer negotiations.
• Leadership experience, preferably in acute care or large health systems.
• Bachelor's degree or equivalent experience (10 plus years in revenue cycle leadership) required; Master's degree (MBA, MHA) preferred.
• Certifications like CRCR (Certified Revenue Cycle Representative) or HFMA credentials are often valued.

🔹 Strategic Leadership

• Develop and implement long-term strategies to optimize the hospital's revenue cycle performance.
• Align revenue cycle initiatives with organizational goals and regulatory compliance.
• Lead cross-functional collaboration with departments like Finance, IT, HIM (Health Information Management), and Clinical Services.

🔹 Operational Oversight

• Oversee all core revenue cycle functions:
• Patient registration and scheduling
• Insurance verification
• Medical coding
• Charge capture.
• Billing and collections
• Denials management
• Payment posting and reconciliation.
• Monitor KPIs and metrics (e.g., Days in A/R, clean claim rate, denial rates, cash collections) to assess and improve performance.
• Ensure accurate and timely billing and reimbursement.

🔹 Compliance and Risk Management

• Ensure compliance with:
• Federal and state regulations (e.g., CMS, HIPAA)
• Payer contracts
• Internal policies and procedures
• Maintain audit readiness and coordinate internal and external audits.

🔹 Technology and Systems Management

• Evaluate and optimize the use of EHR/EMR and revenue cycle management systems (e.g., Epic, Cerner, Meditech).
• Lead implementation of new technologies or system upgrades to enhance efficiency and accuracy.

🔹 Financial Performance

• Maximize revenue capture and reimbursement through accurate coding and timely claims.
• Reduce denials, bad debt, and write-offs.
• Forecast and manage departmental budgets and staffing.

🔹 Staff Leadership and Development

• Recruit, train, and lead a high-performing revenue cycle team.
• Promote professional development and staff retention.
• Foster a culture of accountability and continuous improvement.

🔹 Communication and Reporting

• Regularly report performance and strategic initiatives to executive leadership and boards.
• Serve as the liaison between finance, clinical staff, payers, and external stakeholders.
• Handle escalated patient billing issues with a focus on transparency and patient satisfaction.