Director of Revenue Cycle Recruiters

What do we ask candidates about?

• Ask for a front-to-back revenue cycle example. The candidate should cover eligibility, authorization, charge capture, coding, claim submission, payment posting, denials, appeals, and patient balances. We ask where they looked when cash fell short and what evidence changed the next action.
• Review AR days, denial rate, and cash results in context. We ask for the metric, the payer or service-line issue behind it, the staff work assigned, and the later result. A dashboard alone does not show how someone directed the underlying work.
• Test experience with Epic, Oracle Health, or athenaOne when one matches your billing system. We ask which reports, edits, and work queues they used. We also ask when they involved internal IT or a vendor, rather than assuming prior system use means sound judgment.
• Explore documentation and coding oversight with concrete questions. We ask how the candidate found documentation patterns affecting coding or medical-necessity support, who reviewed the issue, and how feedback reached the relevant clinicians. Your organization completes its own credentialing and clinical assessment where applicable.
• Discuss denials by payer, reason code, location, and service. We ask for a repeating denial, the test used to find its cause, and the resulting change in registration, documentation, coding, or follow-up. This separates active problem solving from reporting.
• If you bill specialty procedures, ask about authorizations, medical-necessity documentation, modifiers, and payer-specific edits. We also ask how the candidate handled reimbursement policy changes while keeping routine claims moving and giving staff clear ownership.

Which mistakes stall the search?