Revenue Cycle Director

Hoskinson Health & Wellness Clinic is a newly founded, physician-led, team-based healthcare organization located in the beautiful community of Gillette, Wyoming.

Our mission is to provide proactive, patient-centered healthcare that bridges long-standing gaps in traditional systems. Owned and operated by physicians, we are dedicated to helping patients live better, healthier lives through comprehensive, coordinated care delivered by a diverse and collaborative team.

We believe patients are more than their diagnoses — and we are redefining what accessible, compassionate healthcare looks like in Wyoming.

The Revenue Cycle Director oversees all functions of revenue cycle operations, from patient access and registration through billing, coding, claims, collections, and denials management. This position ensures optimal cash flow, compliance, efficiency, and reporting accuracy, while partnering with clinical, financial, and operational leaders to drive revenue integrity and financial performance across the organization.

• Managers or supervisors of the following teams:

  • Patient Access / Registration

  • Health Information Management (HIM) / Coding

  • Billing & Claims Processing

  • Collections / Accounts Receivable

  • Denials, Appeals & Payment Integrity

  • Financial Counseling / Patient Financial Services

• May also oversee vendors or outsourced billing operations.

• Recruit, mentor, and evaluate revenue cycle staff.

• Set departmental goals, KPIs, and accountability measures.

• Delegate projects, monitor progress, and ensure performance.

• Facilitate cross-training, process standardization, and professional development.

• Enforce consistent policies, procedures, and internal controls.

• Foster collaboration with finance, clinical, and compliance teams.

• Develop and execute a comprehensive revenue cycle strategy aligned with the clinic’s financial and growth objectives.

• Lead continuous improvement initiatives to optimize revenue capture and reduce cash leakage.

• Monitor payer trends, regulations, and reimbursement changes to proactively adjust operations.

• Partner with CFO, operations, IT, and clinical teams to align financial and operational goals.

• Deliver insightful reporting and dashboards to executive leadership.

• Oversee all revenue cycle functions, including:

  • Pre-registration and eligibility verification

  • Insurance verification and prior authorizations

  • Coding accuracy and compliance

  • Claims submission, tracking, and reconciliation

  • Denials management, appeals, and payment integrity

  • Patient billing, collections, and financial counseling

  • AR follow-up and aging management

• Define and track KPIs such as days in AR, clean claim rate, denial rate, and cash collections.

• Standardize workflows, documentation, and systems use.

• Conduct root cause analyses and implement corrective actions.

• Lead optimization of billing systems, EHR interfaces, and automation tools.

• Ensure adherence to payer requirements and healthcare regulations (HIPAA, Medicare, Medicaid).

• Maintain strong internal controls and audit readiness.

• Manage vendor contracts for billing, collections, or denial management.

• Mitigate revenue leakage, underpayments, and write-offs through monitoring and audits.

• Review payer contracts and reimbursement agreements.

• Develop budgets, forecasts, and financial models for revenue cycle operations.

• Analyze variances and identify improvement opportunities.

• Provide regular reporting to leadership on revenue cycle performance, cash flow, and risk areas.

• Support strategic financial planning and service expansion decisions.

• Build a culture of accountability, collaboration, and continuous improvement.

• Provide ongoing staff education on payer rules, coding updates, and system tools.

• Champion teamwork and positive communication across departments.

Required:

• Bachelor’s degree in Health Administration, Finance, Accounting, Business, or related field.

Preferred:

• Master’s degree (MHA or MBA).

• Certifications such as:

  • CRCR – Certified Revenue Cycle Representative

  • CPC / CCS – Certified Professional Coder / Certified Coding Specialist

  • CHFP / HFMA – Certified Healthcare Financial Professional

Required:

• 7–10 years of progressive experience in healthcare revenue cycle, billing, or financial operations.

• 3–5 years in a leadership or managerial role overseeing multiple revenue cycle functions.

• Strong hands-on experience with payer contracts, AR management, denials, and appeals.

• Proven track record in revenue integrity, compliance, and process improvement.

• Familiarity with billing systems, EHR interfaces, and claims adjudication platforms.

Preferred:

• Ambulatory or multi-specialty clinic experience.

• Management of outsourced billing or RCM vendors.

• Involvement in system implementation, automation, or workflow redesign.

• Understanding of value-based reimbursement and payer mix diversity.

• Strategic mindset with strong analytical and financial acumen.

• Deep knowledge of coding, claims processing, and payer rules.

• Skilled in data analysis, financial modeling, and metric-driven management.

• Excellent communication, leadership, and influencing skills.

• Proficiency with EHR and billing systems, revenue cycle software, and Excel.

• Ability to manage change and drive process optimization.

• High integrity, objectivity, and attention to detail.

• Comfortable presenting complex data to non-financial audiences.

• Health Insurance: 100% of employee premiums covered (medical, dental, vision, STD, LTD, life).

• Supplemental Coverage: Optional hospital, cancer, accident, and voluntary life insurance.

• Retirement: Competitive company match — no waiting period.

• Paid Time Off (PTO): Generous, flexible policy.

• Professional Development: Financial assistance for approved continuing education and certifications.

Hoskinson Health & Wellness Clinic is an equal opportunity employer committed to inclusion, equity, and accessibility. All qualified applicants will receive consideration without regard to race, color, religion, sex, age, disability, sexual orientation, gender identity, national origin, veteran status, or genetic information.
To request reasonable accommodation during the application process, contact Human Resources at (307) 387-9850.