· Lead enterprise-wide revenue cycle assurance, billing integrity, and reimbursement optimization strategies across multiple states, service lines, and payer markets.
· Develop and implement automated controls that identify revenue leakage, billing errors, payment variances, and compliance risks before they impact financial performance.
· Direct programs for underpayment identification, recovery, and prevention while ensuring timely resolution of overpayments, credit balances, and reimbursement discrepancies.
· Partner with Managed Care, Finance, Accounting, Compliance, Information Technology, and Operational leaders to improve reimbursement outcomes and resolve systemic payer issues.
· Analyze reimbursement methodologies, payer contracts, fee schedules, and payment trends to ensure accurate reimbursement and revenue capture.
· Oversee accounts receivable analytics, valuation reviews, reserve analysis, collectability assessments, and revenue performance reporting.
· Monitor payment posting operations and establish enterprise standards for accurate posting, reconciliation, cash application, and remittance processing.
· Lead initiatives that improve automation, scalability, and operational efficiency across revenue cycle functions.
· Translate complex reimbursement regulations, payer requirements, and financial risks into actionable workflows, system requirements, and organizational strategies.
· Support month-end, quarter-end, and year-end financial activities through revenue analysis, reserve support, and audit collaboration.
· Develop executive-level reporting that highlights reimbursement trends, revenue risks, financial opportunities, and operational performance metrics.
· Recruit, mentor, and develop high-performing leaders, analysts, and revenue cycle professionals while fostering a culture of accountability, innovation, and continuous improvement.