Director of Revenue Cycle Optimization

Why You’ll Love Working Here

As the Director of Revenue Cycle Optimization at UNC Health Appalachian, you’ll have the opportunity to shape strategies that strengthen financial performance, improve operational efficiency, and enhance the patient financial experience across our organization. You’ll collaborate with senior leaders and revenue cycle teams throughout UNC Health to drive meaningful improvements, ensure appropriate reimbursement, and support the long-term success of healthcare services throughout the High Country.

Benefits: Comprehensive medical/dental/vision coverage, retirement with employer match, paid time off, tuition reimbursement, paid parental leave, wellness incentives, and employee discounts.

• Position Summary
  • The Director of Revenue Cycle Optimization is responsible for optimizing overall revenue cycle operations and maximizing cash flow across all facilities at UNCHealth Appalachian. This position reports to the Associate Vice President of Revenue Services and interacts with other senior leaders on the organization’s financial performance and collaborates closely with other revenue cycle departmental directors across UNCHealth to ensure appropriate reimbursement for the UNCH-App services. The position provides strategic oversight for revenue cycle improvement initiatives, programs, and policies designed to attain organizational revenue goals, ensure regulatory compliance, and improve patient financial experience. The position will both directly oversee and indirectly influence positions involved in ambulatory, acute, post-acute, and behavioral care to assure Revenue Cycle processes are completed. The position may also provide direct oversight of leaders and/or front-line teammates engaged in strategic or start-up initiatives.

• Position Qualifications
  • Minimum Education
    • • Bachelor’s degree in business, healthcare administration, accounting, finance, or a related field required.
      • Master’s degree in business, healthcare administration, accounting, finance, or a related field preferred.
  • Experience
    • • Three or more years of leadership experience in a healthcare revenue cycle environment.
  • Required Registration/License/Certification
  • Knowledge, Skills and Abilities
    • • Thorough knowledge of hospital and professional revenue cycle operations and key performance indicators.
      • Strong understanding of federal and state regulatory requirements related to revenue cycle operations.
      • Proficiency with computer applications, electronic health records, and practice management systems.
      • Basic knowledge of medical terminology.
      • Demonstrated leadership skills in working with large cross-departmental teams and delivering desired results.
      • Effective problem-solving, multitasking, and prioritization skills.
      • Excellent written and verbal communication skills, with the ability to convey complex information to all levels of organizational stakeholders.
      • Expertise in financial analysis and data representation.
      • Competence in resource management, including finances, personnel, and time.
  • Physical Demands
    • • Lifts, positions, pushes, pulls, and/or transfers up to and greater than 30 pounds
      • Manual dexterity and mobility
      • Prolonged, extensive or considerable sitting/standing/walking
      • Bending, squatting, twisting, and turning
      • Near acuity: ability to see clearly at 20 inches or less
  • Working Conditions
  • • Rarely exposed to the risk of bloodborne diseases
    • Infrequently may be exposed to hazards from electrical/mechanical/power equipment, odorous chemicals and specimens, and unpleasant elements (accident, injury, slippery surfaces, uneven surfaces), etc.
    • Subject to irregular hours (days, evenings, nights, weekends, holidays) and emergencies
    • Continuous sitting, standing and walking long periods = to or greater than > 8 hours per shift
    • Speaking, reading, and writing, expanded > 8 hours per day
    • May be exposed to vibration and cramped spaces
    • Lifts, carries, pushes, and/or pulls > 30 lbs.
    • Infrequently bends, squats, kneels, twists, turns, and reaches
    • Frequently per minute: hand, finger, and wrist repetition and moderate dexterity
    • May be exposed to ionizing/nonionizing radiation exposure, including x-ray and microwave

    What Sets Us Apart

    Career Growth: Access continuing education, training, and advancement opportunities across multiple hospital and clinic settings. Impactful Work: Play a crucial role in supporting safe, efficient, and compassionate patient care across our health system. Community & Lifestyle: Boone offers an exceptional quality of life with year-round outdoor recreation, local dining, and a strong sense of community — ranked among the best small towns in America by Forbes and Southern Living. Inclusive Culture: We embrace diversity, equity, and inclusion — ensuring every team member feels valued, respected, and empowered.

    Ready to start a rewarding career where compassion and connection matter?
    Apply today to join UNC Health Appalachian and help make a difference in the lives of our patients and community.

    About UNC Health Appalachian

    UNC Health Appalachian, the leader in High Country healthcare, consists of three hospitals, 13 medical practices, Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. We are committed to improving health, enhancing quality of life, and making life better for our community.

    About UNC Health

    UNC Health is a state entity affiliated with the University of North Carolina system, operating 14 hospitals, 18 hospital campuses, and over 500 clinics. Over the past three years, UNC Health has provided $400+ million in uncompensated or charity care to North Carolina residents.

    UNC Health Appalachian values diversity and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. We welcome applications from all backgrounds and are committed to a fair and inclusive hiring process.

    Employment at UNC Health Appalachian is contingent upon the successful completion of a background check and drug screening. For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.

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