Director of Revenue Cycle

DIRECTOR OF REVENUE

AICA Orthopedics

Position Overview

The Director of Revenue provides strategic leadership and operational oversight for the entire revenue cycle at AICA Orthopedics, a leading integrated healthcare provider with 21 locations across metro Atlanta specializing in orthopedic, neuro-spine, and pain management services.?

This position leads a multidisciplinary team focused on maximizing revenue capture, optimizing collections performance, and transforming underperforming revenue areas into centers of excellence. With particular emphasis on personal injury and attorney-related collections, the Director develops and implements innovative strategies to ensure financial sustainability and growth.

Core Responsibilities

Strategic Leadership

• Develop and execute comprehensive revenue cycle strategies that align with organizational goals and maximize financial performance
• Lead transformation initiatives to improve collection rates, particularly in the attorney collections segment
• Establish and monitor key performance indicators for all revenue cycle functions, with specialized metrics for personal injury cases
• Create and maintain analytics dashboards that provide actionable insights for executive decision-making
• Negotiate strategic partnerships with insurance companies and develop innovative approaches to attorney collections

Operational Management

• Oversee pre-authorization, eligibility verification, claims submission, payment posting, denial management and all related revenue functions
• Direct specialized teams including attorney collections, insurance verification, medical records, and accounts receivable
• Implement and maintain quality control standards and audits across all revenue departments
• Optimize workflow structures, staffing models, and resource allocation to maximize productivity
• Lead the continuous improvement of the revenue cycle through process analysis and redesign

Team Development

• Provide mentorship, guidance, and professional development to revenue cycle team members, including the Strategic Collections Manager and supporting staff
• Cultivate a high-performance culture that balances analytical thinking with decisive action
• Conduct regular performance evaluations and maintain accountability for results
• Identify training needs and implement educational programs to enhance team capabilities
• Foster cross-functional collaboration between clinical and financial departments

Compliance & Industry Standards

• Ensure adherence to AAPC guidelines and industry coding standards
• Maintain knowledge of evolving healthcare regulations and payer requirements
• Attend professional seminars and continuing education programs to stay current on revenue cycle best practices
• Oversee proper documentation and coding practices that maximize appropriate reimbursement
• Lead annual chargemaster review and updates

Special Focus: Personal Injury Revenue Optimization

• Develop specialized strategies for managing the complex revenue cycle of personal injury cases
• Oversee the transformation of attorney collections operations into a strategic financial function
• Establish protocols for consistent and effective negotiation with law firms and insurance carriers
• Implement data-driven approaches to case tracking, settlement analysis, and performance improvement
• Balance aggressive collections tactics with relationship management to ensure sustainable revenue growth

Position Requirements

Education & Experience

• Master's degree in Finance, Accounting, Healthcare Administration, or related field
• Revenue cycle certification preferred (CRCR, CRCP, or similar)
• Minimum 7 years of progressive experience in healthcare revenue cycle management
• 3+ years of leadership experience managing multi-functional revenue teams
• Demonstrated success in transforming underperforming revenue operations
• Experience with personal injury billing and attorney collections strongly preferred

Technical Skills

• Proficiency with NextGen EHR/PM platform (preferred) or equivalent systems
• Advanced analytical capabilities and experience with business intelligence tools
• Strong understanding of medical coding, billing regulations, and reimbursement methodologies
• Expertise in data analysis, financial forecasting, and performance metrics
• Ability to develop and interpret complex financial reports and dashboards

Leadership Qualities

• Strategic thinker with proven ability to translate vision into executable plans
• Excellent communication and negotiation skills, particularly in complex settlement scenarios
• Builder's mentality with passion for creating new systems, processes, and team capabilities
• Results-oriented leader who balances analytical thinking with decisive action
• Change management expertise with ability to guide teams through transformation

Success Metrics

• Achievement of global revenue targets across all payment sources
• Improvement in attorney collection rates and average settlement percentages
• Reduction in days to resolution for personal injury cases
• Decreased denial rates and increased clean claims percentage
• Implementation of innovative recovery strategies with measurable ROI
• Development of scalable, documented processes that survive personnel changes
• Team performance against established collection and quality targets

AICA Orthopedics is a leading integrated healthcare provider in Atlanta, specializing in comprehensive orthopedic, neuro-spine, and pain management services with a multidisciplinary approach that brings together orthopedic surgeons, neurologists, chiropractors, physical therapists, and pain management experts.

Requirements

Education & Experience

• Master's degree in Finance, Accounting, Healthcare Administration, or related field
• Revenue cycle certification preferred (CRCR, CRCP, or similar)
• Minimum 7 years of progressive experience in healthcare revenue cycle management
• 3+ years of leadership experience managing multi-functional revenue teams
• Demonstrated success in transforming underperforming revenue operations
• Experience with personal injury billing and attorney collections strongly preferred

Technical Skills

• Proficiency with NextGen EHR/PM platform (preferred) or equivalent systems
• Advanced analytical capabilities and experience with business intelligence tools
• Strong understanding of medical coding, billing regulations, and reimbursement methodologies
• Expertise in data analysis, financial forecasting, and performance metrics
• Ability to develop and interpret complex financial reports and dashboards

Leadership Qualities

• Strategic thinker with proven ability to translate vision into executable plans
• Excellent communication and negotiation skills, particularly in complex settlement scenarios
• Builder's mentality with passion for creating new systems, processes, and team capabilities
• Results-oriented leader who balances analytical thinking with decisive action
• Change management expertise with ability to guide teams through transformation

Success Metrics

• Achievement of global revenue targets across all payment sources
• Improvement in attorney collection rates and average settlement percentages
• Reduction in days to resolution for personal injury cases
• Decreased denial rates and increased clean claims percentage
• Implementation of innovative recovery strategies with measurable ROI
• Development of scalable, documented processes that survive personnel changes
• Team performance against established collection and quality targets