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Director Of Rcm Jobs in Maple Grove, MN (NOW HIRING)

... directors to ensure continuous open communication about hospital operations that impact delivery of ... As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services ...

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Director Of Rcm information

What does a director of RCM do?

A Director of RCM (Revenue Cycle Management) oversees all aspects of the revenue cycle within a healthcare organization. This includes managing patient registration, billing, claims processing, and collections to optimize revenue and ensure compliance with regulations. They develop strategies to reduce denials, improve cash flow, and streamline processes across departments. Additionally, they often lead teams, analyze financial data, and implement new technologies to enhance efficiency and accuracy.

What are the key skills and qualifications needed to thrive as a director of RCM, and why are they important?

To thrive as a Director of Revenue Cycle Management (RCM), you need expertise in healthcare finance, medical billing, coding, and typically a bachelor's degree in healthcare administration or a related field. Familiarity with RCM software platforms, EHR systems, and relevant certifications like Certified Revenue Cycle Executive (CRCE) are highly valued. Strong leadership, problem-solving abilities, and effective communication skills help manage teams and drive process improvements. These skills are crucial for optimizing revenue streams, ensuring compliance, and maintaining the financial health of healthcare organizations.

What are some common challenges directors of RCM face when overseeing revenue cycle operations, and how can they proactively address them?

Directors of Revenue Cycle Management (RCM) often encounter challenges such as maintaining compliance with evolving healthcare regulations, ensuring timely reimbursements, and coordinating cross-departmental workflows. Proactively addressing these issues involves implementing robust training programs for staff, leveraging technology to track key performance indicators, and fostering strong communication between billing, coding, and clinical teams. Staying current with payer requirements and collaborating closely with IT and compliance teams can also help mitigate risks and improve overall revenue cycle efficiency.

What is the difference between Director Of Rcm vs Revenue Cycle Manager?

AspectDirector Of RcmRevenue Cycle Manager
CredentialsTypically requires a bachelor’s degree in healthcare administration, finance, or related field; certifications like CPC or RHIT are commonUsually holds a bachelor’s degree; certifications like CPC or RAC may be preferred
Work EnvironmentOversees multiple departments, strategic planning, and high-level decision-making in healthcare organizationsManages daily revenue cycle operations, billing, and collections at departmental level
Employer & Industry UsageCommonly found in hospitals, large clinics, and health systemsTypically employed in hospitals, physician practices, and outpatient facilities

The main difference is that the Director Of Rcm focuses on strategic oversight and leadership of the entire revenue cycle, while the Revenue Cycle Manager handles day-to-day operations and departmental management. Both roles require healthcare finance knowledge and certifications, but the Director role involves higher-level planning and decision-making.

How much does a director of RCM make?

A Director of Revenue Cycle Management (RCM) typically earns between $100,000 and $180,000 annually, depending on experience, location, and the size of the organization. They often oversee billing, collections, and coding teams, requiring strong leadership and healthcare industry knowledge.

What cities near Maple Grove, MN are hiring for Director Of Rcm jobs?

Cities near Maple Grove, MN with the most Director Of Rcm job openings:

Infographic showing various Director Of Rcm job openings in Maple Grove, MN as of September 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Remote job distribution.

Insurance Denials Specialist for Coding Denial Management

Saint Louis Park, MN • On-site

RAYUS Radiology
Health Care and Social Assistance • 1 - 5K employees

$20.70 - $29.93/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago


RAYUS Radiology rating

7.7

Company rating: 7.7 out of 10

Based on 53 frontline employees who took The Breakroom Quiz


Job description

RAYUS now offers DailyPay! Work today, get paid today!
The pay range for this position is $20.70 - $29.93 based on direct and relevant experience.
RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist II, you will investigate and determine the reason for a denied or unpaid claim, and take necessary steps to expedite the medical billing and collections of the accounts receivable. At RAYUS our passion for our patients, customers and purpose requires teamwork and dedication from all of our associates. Working in a team environment, you'll communicate with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner. This position is full-time working Monday - Friday 8:00am - 4:30pm and is 100% remote.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(90%) Insurance Denial Follow-up
  • Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states
  • Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements
  • Communicates with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner to expedite the billing and collection of accounts receivable
  • Documents all communications with coworkers, patients, and payer sources in the billing system
  • Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections
  • Prioritizes work load, concentrating on "priority" work which will enhance bottom line results and achievement of the most important objectives
  • Contributes to a team environment
  • Recognizes and communicates trends in workflow to departmental leaders
  • Meets or exceeds RCM Quality Assurance standards
  • Ensures timely follow-up and completion of all daily tasks and responsibilities

(10%) Performs other duties as assigned
SUMMARY OF QUALIFICATIONS:
Required:
  • High School diploma or equivalent
  • 2 years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance Denials Specialist within the organization
  • Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook
  • Proficient with using computer systems and typing

Preferred:
  • Graduate of an accredited medical billing program
  • Bachelor's degree strongly preferred
  • Knowledge of ICD-10, CPT and HCPCS codes

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.
We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.
We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.
DailyPay implementation is contingent upon initial set-up period.

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