Director of Revenue Cycle

Description

At CLS Health, we are redefining healthcare delivery. As Houston’s largest physician-owned, physician-led healthcare system, our mission is to provide patient-centered care through innovation and operational excellence. With over 200 providers in 35 locations and 40+ specialties, we’re building a scalable healthcare system that empowers physicians and delivers unmatched quality and access for patients.

Job Summary:

CLS Health is seeking a results-driven Director of Revenue Cycle to manage and optimize the end-to-end revenue cycle operations across our 35+ clinic locations, multiple tax IDs, and 200+ providers. This position reports to senior leadership and is accountable for leading the revenue cycle team to ensure accurate, timely, and compliant billing, collections, and accounts receivable management in alignment with company policies and financial goals.

Duties/Responsibilities:

• Oversee all functional areas of the revenue cycle, including patient access, insurance verification, charge capture, coding, billing, collections, and denial management.
• Implement and enforce policies, procedures, and workflows to maximize revenue capture and reduce aged A/R.
• Monitor and report on key performance indicators (KPIs), including days in A/R, clean claim rate, denial trends, and collection performance.
• Collaborate with cross-functional teams to resolve revenue cycle-related issues, streamline workflows, and improve operational efficiency.
• Ensure compliance with all applicable federal, state, and payer regulations, including HIPAA, Medicare, and Medicaid billing rules.
• Lead and mentor revenue cycle staff, including managers and frontline team members, ensuring ongoing training and performance evaluation.
• Support implementation and optimization of revenue cycle technologies (e.g., EMR/PM systems, clearinghouses, dashboards).
• Address escalated patient inquiries and billing concerns in a professional and timely manner.
• Participate in payer audits and support managed care contracting initiatives with data and analysis as needed.
• Provide regular reports to senior leadership outlining trends, variances, risk areas, and opportunities for improvement
• Performs other related duties as assigned.

Requirements

• Strong knowledge of revenue cycle processes, healthcare billing, and regulatory requirements.
• Excellent analytical, problem-solving, and decision-making skills.
• Proven ability to lead and manage a diverse team.
• Strong communication and interpersonal skills.
• Proficiency in revenue cycle management software and financial systems.

Education and Experience: 

• Bachelor's degree in Business, Finance, Healthcare Administration, or related field (Master’s preferred).
• Minimum of 5 years of experience in healthcare revenue cycle management, including 3+ years in a leadership role.
• Strong working knowledge of medical billing, coding (CPT/ICD-10), payer policies, and healthcare regulations.
• Proficiency in revenue cycle software specifically eClinicalWorks
• Demonstrated ability to lead high-performing teams and drive measurable outcomes.