Director of Revenue Cycle

The Director of Revenue Cycle provides strategic leadership, operational oversight, and continuous improvement of all revenue cycle functions across Swope Health. This role ensures accurate and compliant billing, optimal reimbursement, efficient workflows, and strong financial performance in alignment with federal, state, and payer regulations. The Director partners closely with clinical, operational, and financial leaders to support Swope Health’s mission of providing high‑quality, accessible care to the Kansas City community.

 Key Responsibilities

Revenue Cycle Leadership & Strategy

• Develop and implement a comprehensive revenue cycle strategy that supports organizational goals, financial sustainability, and regulatory compliance.
• Lead revenue cycle activities, including patient access, registration, coding, claims management, and collections.
• Establish and monitor key performance indicators (KPIs) to ensure accuracy, timeliness, and efficiency across the revenue cycle.
• Identify opportunities for process improvement, automation, and workflow optimization.
• Ensure appropriate processes and workflows to facilitate accurate capture of patient insurance coverage and opportunities for expedient patient enrollment in insurance plans patients qualify for.

Compliance & Regulatory Oversight

• Ensure all revenue cycle operations comply with federal and state laws, including HIPAA, CMS guidelines, HRSA requirements, and payer-specific regulations.
• Maintain current knowledge of billing and coding standards for medical, dental, and behavioral health services.
• Oversee internal audits and implement corrective action plans as needed.

Financial Management

• Monitor accounts receivable performance, denial rates, and cash flow; implement strategies to reduce write-offs and improve collections.
• Evaluate payer contracts and reimbursement methodologies; provide recommendations to leadership. Collaborate with the CFO and finance team to forecast revenue, analyze trends, and support budgeting processes.

Team Development & Leadership

• Supervise, mentor, and develop revenue cycle staff, including managers and supervisors.
• Foster a culture of accountability, continuous learning, and high performance.
• Ensure adequate staffing, training, and professional development across all revenue cycle functions.

Cross‑Functional Collaboration

• Work closely with clinical operations, IT, compliance, and quality teams to ensure accurate documentation, coding integrity, and efficient workflows.
• Partner with the EHR/EMR team to optimize system functionality, reporting, and data integrity.
• Serve as a key resource for leadership regarding revenue cycle performance and operational impacts.

Qualifications

Required

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field.
• Minimum of 5 years of progressive revenue cycle experience in a healthcare setting.
• Minimum of 2 years in a leadership or management role.
• Strong knowledge of medical billing, coding, payer rules, and reimbursement methodologies.
• Demonstrated experience with EHR/EMR systems and revenue cycle technology.
• Excellent analytical, communication, and leadership skills.

Preferred

• Master’s degree in Healthcare Administration, Business, or related field.
• Experience in an FQHC, community health center, or nonprofit healthcare environment.
• Professional certifications such as CRCR, CPC, CPB, or HFMA credentials.

 Work Environment

• Full‑time, exempt position, on-site at Swope Health.
• Occasional travel between Swope Health locations within the Kansas City area.

About Swope Health Services:

Each year, Swope Health serves over 50,000 patients, encompassing more than 290,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community.

Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.

Swope Health Services supports its team members with:

Medical benefits (including a Health Savings Account option), dental and vision

401(k) retirement plan with company match

Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability

Flexible Spending Account

Paid Days Off beginning at 12 days annually, effective the first day of employment

Eight annual company-paid holidays; One annual paid personal day

Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status or disability