Director of Revenue Cycle Management

Start Date:

Open Until Filled. This is an exempt position.

Qualifications:

• Bachelor’s degree in Health Administration, Business, Finance, or related field required.
• Master’s degree (MHA, MBA, or MPH) preferred.
• Minimum of 7–10 years progressive experience in hospital revenue cycle management, with at least 3–5 years in a leadership role.
• Demonstrated success managing large, multi-disciplinary teams in an acute care setting.
• Strong knowledge of California healthcare regulations, Medi-Cal, Medicare, commercial payer billing, and managed care contracting.
• Exceptional leadership, communication, and interpersonal skills.
• Strong analytical and problem-solving capabilities.
• Expertise in revenue cycle systems.
• Ability to manage complex projects and drive cross-functional initiatives.

Preferred

• Certified Revenue Cycle Executive (CRCE) – through HFMA
• Certified Professional Coder (CPC) – through AAPC
• CHFP, FHFMA or other finance/RCM-related certifications

Duties &
Responsibilities:

Job Summary

The Director of Revenue Cycle Management (RCM) provides strategic leadership and oversight for all revenue cycle operations at Oroville Hospital. This position is responsible for optimizing the end-to-end revenue cycle process — including patient access, billing, coding, charge capture, collections, and compliance — to ensure timely, accurate, and compliant reimbursement for services. The Director ensures adherence to California-specific regulations, federal healthcare laws, and payer requirements.

Duties

Leadership & Strategy

• Lead and develop high-performing teams across all RCM functional areas including Patient Access, Health Information Management (HIM), Billing, Collections, and Denials Management.
• Develop and execute revenue cycle strategies that align with hospital goals, financial performance targets, and cash collection performance.
• Collaborate with the Executive Team, department directors, and clinical teams to ensure patient-centered revenue cycle practices, effective and efficient AR management, and end-to-end operational excellence.

Operational Oversight

• Monitor the integrity of end-to-end revenue cycle functions including patient registration, insurance verification, pre-authorization, coding, claims processing and follow up, denials management, and credit balance management.
• Monitor and manage in metric-driven environment using KPIs such as AR days, cash collections, denial rates, and bad debt; implement performance improvement plans as needed.
• Ensure accurate charge capture, billing, and reimbursement in accordance with Medicare, Medi-Cal, and commercial payer regulations.

Regulatory Compliance

• Ensure compliance with all federal, state, and local laws including HIPAA, EMTALA, CMS billing rules, and California Department of Health Care Services (DHCS) policies.
• Stay current on changes to reimbursement methodologies and payer contract terms.
• Work closely with Compliance and Legal departments to identify and mitigate risk.

Technology & Process Improvement

• Partner with IT to evaluate and optimize RCM systems (e.g., EHR, billing software, clearinghouse).
• Drive automation and process improvements to reduce denials, improve clean claim rates, and enhance patient financial experience.

Financial Management

• Develop and manage department budgets and forecasts.
• Analyze financial reports and implement corrective actions to improve revenue capture and reduce revenue leakage.
• Oversee vendor relationships related to revenue cycle (e.g., third-party collections, outsourced coding or billing services).
• Coordinate with Finance and Accounting on effective revenue recognition practices during month-end close and year-end audits.

Other Info:

Lifting Requirements: Sedentary-generally not lifting not more then 10 lbs maximum and occasionally lifting and/or carrying such articles as ledgers, files and small items

Job Posted:

10/22/2025

Contact Name:

Human Resources

Contact Phone:

530.712.2137

Contact Email:

hrrecruiting@orohosp.com