Job Description

Location: Hybrid | Onsite 2 days per month (Texas-based preferred)

Schedule: Monday–Friday, standard business hours

Employment Type: Direct Hire

Salary Range: $143,000–$177,000 + 20% Annual Performance Bonus

Relocation Assistance: Available for top candidates

Overview

Medix is hiring on behalf of a leading national health system for a Director of Revenue Cycle Operations to provide strategic oversight and leadership for enterprise-wide hospital billing and accounts receivable operations. This individual will manage large, multi-facility revenue cycle teams and ensure efficient, compliant, and high-performing financial operations across all inpatient, outpatient, and specialty service lines.

This is an exciting opportunity for a current Hospital Billing (HB) A/R Manager or Director ready to take the next step into a system-level leadership role. The ideal candidate will bring extensive experience in Epic, collections strategy, vendor management, and hospital-based accounts receivable within a large health system environment.

Key Responsibilities

• Provide strategic guidance and direction for system-wide financial services; build and sustain a high-performing financial services culture.
• Lead large teams in areas of Billing, Collections, Denials, Underpaid, Correspondence, Cash Management, Vendor Management, and Customer Service .
• Oversee revenue operations supporting up to 17 Acute Care Facilities, 163 Outpatient Facilities, and 300+ physicians , encompassing diverse service lines such as emergency, trauma, transplant, imaging, rehab, and behavioral health.
• Develop and execute both short- and long-term operational plans aligned with departmental and organizational goals.
• Maintain oversight of $2.6B+ in accounts receivable , $4.3B in annual cash collections , and 2B annual billed claims while driving net revenue improvement.
• Analyze operational performance metrics and provide strategic recommendations through data-driven reporting and trending analyses.
• Oversee 35–55 staff members, ensuring performance excellence, employee development, and effective change management.
• Establish and monitor performance measures, goals, and sustainable outcomes for all revenue cycle functions.
• Manage financial performance by ensuring that revenue, expenses, and FTEs meet or exceed budgetary expectations.
• Foster cross-functional collaboration with departments such as Revenue Integrity, CDI, Case Management, Quality, and Physician Leadership .
• Ensure compliance with all payer, coding, and regulatory requirements, and uphold ethical and compliant billing practices.
• Serve as an internal consultant on reimbursement, revenue integrity, and operational best practices across the health system.

Required Qualifications

• Bachelor’s Degree required.
• 5–10 years of hospital system and A/R vendor-related experience.
• 5+ years of management or supervisory experience in hospital billing operations.
• Strong Epic system experience required.
• Proven expertise in Hospital Billing (HB) A/R management , collections, and vendor oversight.
• Demonstrated success managing revenue cycle operations for a large, complex hospital system .

Ideal Candidate Profile

• Experienced HB A/R Manager or Director ready for a promotion into a larger leadership role.
• Brings deep operational knowledge of hospital-based collections and vendor management .
• Collaborative leader skilled at motivating teams through organizational change.
• Analytical and data-driven, with a record of measurable performance improvement.
• Has worked within a large integrated health system using Epic as the core EHR.

Why Join Medix & Our Client

• Join a nationally recognized health system committed to innovation and operational excellence.
• Lead large-scale financial operations impacting patient care and system-wide performance.
• Competitive compensation with a 20% performance bonus and relocation support .
• Collaborative culture emphasizing growth, accountability, and professional development.

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