Director of Revenue Cycle

Job Description

Job Description

Location : Nashville, TN (Hybrid)

AP Health is a private practice comprised of advanced practice providers. We provide perioperative services to hospitals, surgeons, and surgery centers. We partner with facilities to offer service line coverage with highly trained and knowledgeable Advanced Practice Providers to first assist in surgery.

This position of Revenue Cycle Director will own and manage our third party billing and collections for the leading facility-based Surgical Advanced Practice Provider.

What will you do :

Oversee the full revenue cycle process, including encounter management, data reconciliation, medical coding, claim billing and submission, payment posting, denial management and accounts receivable.

Lead, advise, and grow the Professional Fee Billing (PFB) department

Work with the COO to develop processes and procedures for the efficient and successful flow of information between the PFB department and the participating stakeholders

Provide critical input into associated policies and procedures, internal education programs, system updates, compliance edits, tools, and resources to effectively address findings and enhance overall compliance

Communicate routinely to department leadership and key stakeholders any significant issues, status of projects, barriers encountered, and successes achieved, ensuring transparency and alignment

Manage relationships with customers, third-party payers, clearinghouses, and vendors to ensure timely and accurate claims processing

Deliver education and guidance to providers and staff on proper documentation and revenue cycle best practices

What do you need :

Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field

8+ years of progressive experience in healthcare revenue cycle management, including at least 3–5 years in a leadership role

In-depth knowledge of medical billing, coding, reimbursement methodologies, payer contracting, and claims adjudication processes

Proven experience managing denial prevention and resolution, accounts receivable, and payer relations

Strong understanding of HIPAA regulations and compliance standards

Demonstrated ability to analyze and interpret financial and operational data to drive decision-making

Proficiency in EMR / EHR systems and revenue cycle platforms

Excellent leadership, communication, and team development skills

Ability to collaborate effectively across clinical, administrative, and executive teams

Benefits :

Comprehensive and flexible medical, dental, and vision insurance

Short and long-term disability, basic and supplemental life

401K retirement plan with company matching

Participation in the company’s Employee Stock Option Plan (ESOP)

Paid state license, malpractice, and other agreed upon licenses and dues

Tuition reimbursement

Annual $1,500 allotment accompanied by 3 paid days off for Continuing Medical Education (CME)

Generous PTO and "life / work" balance

Excellence at Work : AP Health is a certified?Great Place to Work™- a national designation based on employee feedback about trust, workplace culture, and experience.