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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in hospital revenue cycle operations, including billing and collections, while effectively leading teams and managing client relationships. Proficient in operational performance analysis, issue resolution, and compliance with healthcare regulations.
Highest-signal resume keywords
Hospital Revenue Cycle OperationsLeadership ExperienceInsurance Regulations KnowledgeOperational Performance AnalysisClient Relationship Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Billing and CollectionsRevenue Cycle AnalyticsKPI GovernanceTrend AnalysisAutomated Billing WorkflowsSystemic Root-Cause AnalysisContract Compliance ValidationInvoicing ProcessesHealthcare AdministrationMulti-Team Corrective Actions
Soft Skills
Executive-Level CommunicationAnalytical SkillsOrganizational SkillsPrioritization SkillsMentoring and Coaching
Tools & Technologies
Microsoft Office (Excel, Outlook, Word)Hospital Billing SystemsEHR/RCM SystemsThriveEpicCerner
Industry Keywords
HIPAAERISAEqual Employment OpportunityGovernment Payer ProgramsThird-Party Reimbursement Policies
About the role
Key responsibilities & impact- Oversee daily operational performance, battle cards, action plans, and key KPIs across assigned clients, including A/R days, cash performance, denial trends, and accuracy measures
- Serve as the primary senior operational point of contact for clients and coordinate communication between client stakeholders and internal delivery teams
- Translate client needs, issues, and requests into prioritized operational actions and execution plans
- Identify operational risks and performance trends and guide corrective actions to prevent revenue leakage and service disruption
- Ensure accurate reporting, consolidated performance insights, and clear status updates for internal leadership and client stakeholders
- Lead operational work for domestic clients across assigned accounts
- Review dashboards and performance data to identify trends, risks, and deficiencies; lead corrective action plans
- Drive operational efficiency and reimbursement optimization through standardization, workflow alignment, issue triage, and cross-functional collaboration
- Ensure consistent execution standards across teams and client portfolios
- Maintain client relationships, resolve issues, and manage significant operational escalations with mitigation plans
- Partner with operations, finance, payer relations, technology, and strategic client management teams
- Ensure execution aligns with contractual requirements, billing standards, and service-level commitments
- Oversee customer invoicing accuracy and support monthly invoicing processes; validate documentation and address discrepancies
- Recruit, screen, and select candidates; orient new hires and maintain appropriate hiring plans
- Manage employee performance, feedback, reviews, training, development, and corrective action
- Mentor, guide, and coach direct reports
- Administer internal policies and procedures and ensure staff data accuracy
- Attend required meetings and remain current on industry trends, regulatory changes, and operational best practices
- Perform additional duties as assigned
Requirements
What you’ll need- Bachelor’s degree or equivalent combination of education and relevant experience
- 7+ years of progressive experience in hospital revenue cycle operations, with demonstrated leadership responsibility across billing and collections functions
- 5+ years of manager experience
- Advanced working knowledge of insurance regulations, reimbursement practices, coding interfaces, and automated billing workflows
- Demonstrated ability to lead complex issue resolution, systemic root-cause analysis, and multi-team corrective actions
- Strong executive-level communication skills with the ability to present operational insights, risks, and recovery plans clearly and effectively
- Excellent analytical, organizational, and prioritization skills with a proven ability to manage competing demands
- Advanced proficiency in Microsoft Office tools (Excel, Outlook, Word) and comfort interpreting multi-source reporting
- Maintain current knowledge of hospital billing systems, government payer programs, third-party reimbursement policies, and applicable federal and state regulations
- Maintain strict confidentiality of patient and client information
- Comply with Equal Employment Opportunity laws, HIPAA, ERISA, and other applicable regulations
- Preferred: Bachelor’s or Master’s degree in Healthcare Administration, Business, Finance, or related field
- Preferred: 5+ years Medicare hospital billing experience and expertise with government payers
- Preferred: Experience supporting multiple hospital billing platforms and/or EHR/RCM systems (e.g., Thrive, Epic, Cerner)
- Preferred: Advanced revenue cycle analytics experience, including KPI governance, trend analysis, and executive reporting
- Preferred: Prior experience in senior operational leadership, client escalations, service recovery, and cross-functional governance
- Preferred: Experience overseeing invoicing processes, contract compliance validation, and operational performance frameworks