Director of Revenue Cycle Management

Work Where You Matter!
At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter.

Director of Revenue Cycle Management

Position Overview
The Director of Revenue Cycle Management is responsible for overseeing all aspects of the Medicare, Medicaid and Commercial billing, collections, and reimbursement processes for St Croix Hospice. This role ensures accurate and timely billing, maximizes timely cash collections, maintains compliance with Medicare & Medicaid regulations, and drives the overall financial performance of the organization’s revenue cycle operations. The Director will lead a team of billing and collections professionals, establish and monitor key performance indicators (KPIs), and implement best practices to ensure efficient, compliant, and optimized revenue and collection operations.

Essential Functions and Skills
Responsibilities 

• Provide strategic leadership and operational oversight of all Medicare, Medicaid and Commercial billing, collections, and revenue cycle activities within St Croix Hospice.
• Manage, mentor, and develop a high-performing revenue cycle team focused on accuracy, compliance, and efficiency.
• Monitor and report on key revenue cycle metrics, including Days Sales Outstanding (DSO), cash collections, denial and appeal rates, billing accuracy, and AR aging.
• Establish and manage Key Performance Indicators (KPIs) and monthly collection goals to ensure optimal cash flow and financial performance.
• Ensure compliance with all federal and state regulations governing Medicare and Medicaid billing for hospice care, including timely submission and correction of claims.
• Collaborate with clinical, financial, and operational leadership to address revenue cycle barriers and streamline processes.
• Identify and implement process improvements, automation tools, and system enhancements to increase efficiency and reduce errors.
• Engage and communicate with long-term care and skilled nursing facilities to understand and resolve any billing discrepancies in accordance with contractual payment terms. 
• Oversee reconciliation and audit processes to ensure accurate and complete revenue capture.
• Develop and present monthly and quarterly revenue cycle performance reports to executive leadership.
• Stay current with Medicare and Medicaid hospice billing regulations, CMS updates, and payer trends to proactively adjust processes and maintain compliance.
• Performs other duties as assigned.

Knowledge, Skills, Abilities

• Strong leadership and team development skills
• Excellent organizational and problem-solving skills, with proven ability to multi-task and work with a sense of urgency under deadlines required
• Analytical mindset with the ability to interpret data and drive actionable results
• Demonstrate executive presence, with solid communication skills and the ability to work collaboratively with other teams and departments, including finance, operations, and clinical teams
• Proficiency with EMR and billing systems (e.g., HCHB, Netsmart, or similar hospice/home health billing software)
   

Requirements/Qualifications

• Bachelor’s degree in finance, Healthcare Administration, Business or related field.
• 7 years of experience managing a revenue cycle or billing team in a healthcare setting, preferably hospice or home health.
• 10 years of hands-on experience with Medicare billing, claims processing, and collections.
• Strong knowledge of Medicare hospice reimbursement rules, eligibility, and compliance standards, preferred.
• Proven track record of managing and improving Key Performance Indicators (KPIs) and monthly cash collections
• Advanced Excel skills.
• Ability to pass DHS background study

Physical Requirements
The physical requirements described are representative of those that must be met to successfully perform the essential responsibilities of this position. Reasonable accommodation may be made.

• Prolonged periods sitting at a desk and working on a computer.
• Pushing/Pulling and Lifting/carrying up to 10 pounds.
   

The starting salary range for this role is $115,000-$130,000 annual base salary.  An employee’s actual annual salary will be based on but not limited to: geographic location, relevant education, applicable certifications, depth of experience, and special skillsets. The total compensation package for this position may also include the opportunity to participate in employee benefits including our medical/dental/vision/pet insurance, disability and life insurance, paid time off, and 401(k) retirement plans, subject to applicable plan terms, and/or eligibility for other compensation.

Salary : $115,000 - $130,000