Overview:
The Director of Revenue Cycle Management (RCM) is responsible for overseeing the end-to-end revenue cycle operations, including patient billing, claims management, collections, and accounts receivable. This role ensures timely and accurate reimbursement from both patients and third-party payers while maintaining compliance with all regulatory requirements. The Director collaborates closely with internal teams; finance, operations, IT, and clinical staff to drive performance, implement process improvements, and support organizational financial goals.

Responsibilities:

• Lead all aspects of the revenue cycle process, including eligibility, coding, charge capture, billing, collections, and payment posting.
• Ensure claims are submitted accurately and timely to all payers.
• Monitor front-end to back-end processes to reduce denials, improve clean claim rates, and optimize cash flow.
• Direct the analysis of aging reports, denial trends, and AR performance metrics (e.g., DSO, net collection rate).
• Implement strategies to resolve outstanding balances and minimize bad debt.
• Collaborate with the billing team to address discrepancies, payer rejections, and patient account issues.
• Lead, mentor, and develop a team of billing specialists.
• Establish clear performance goals and conduct regular team reviews.
• Provide training on regulatory updates, payer changes, and process improvements.
• Work with the payer contracting team and VP of RCM to ensure contract terms are properly reflected in system workflows.
• Monitor payer behavior and escalate recurring payment or denial issues.
• Support provider credentialing efforts to avoid disruptions in billing or collections.
• Partner with IT to ensure revenue cycle systems are configured to support accurate claim generation and reporting.
• Generate and present weekly, monthly, and quarterly reports to leadership highlighting performance, issues, and improvement initiatives.
• Use data analytics to identify operational bottlenecks and revenue leakage points.
• Ensure all billing practices comply with HIPAA, CMS, and payer-specific regulations.
• Coordinate audit readiness and respond to payer or government audit requests.
• Maintain awareness of coding guidelines, billing updates, and policy changes impacting reimbursement.
• Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
• Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.
• To work remotely, it is expected you will have a reliable, nonpublic high-speed internet connection with sufficient bandwidth to participate in all work-related activities. Any interruptions in service should be immediately reported to your manager.
• Reacts positively to change and performs other duties as assigned.

Qualifications:

• Bachelor’s degree in healthcare administration, finance, business, or related field.
• 7+ years of progress experience in revenue cycle management, with 3+ years in a leadership role.
• In-depth understanding of medical billing, AR follow-up, denial management, and payer reimbursement practices.
• Experience with RCM systems such as NextGen, Epic, or similar.
• Strong analytical and problem-solving skills.
• Excellent leadership and team management capabilities.
• Solid understanding of payer rules, credentialing, and contract workflows.
• Effective communication and collaboration skills across multidisciplinary teams.
• Detail-oriented with the ability to interpret complex data and make strategic decisions.
• Excellent interpersonal, oral, and written communication skills.
• Must be detail oriented and self-motivated.
• Excellent customer service skills.
• Anticipate needs in a proactive manner to increase satisfaction.
• The Company reserves the right to modify any bonus/commission structure prospectively at any time for any reason. A bonus/commission is not considered earned until it is paid, and the employee remains with the Company at the time of payment
• Take ownership of job responsibilities by initiating prompt and appropriate follow up and/or action to problems.

We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen.
We are an equal opportunity employer

• Lead all aspects of the revenue cycle process, including eligibility, coding, charge capture, billing, collections, and payment posting.
• Ensure claims are submitted accurately and timely to all payers.
• Monitor front-end to back-end processes to reduce denials, improve clean claim rates, and optimize cash flow.
• Direct the analysis of aging reports, denial trends, and AR performance metrics (e.g., DSO, net collection rate).
• Implement strategies to resolve outstanding balances and minimize bad debt.
• Collaborate with the billing team to address discrepancies, payer rejections, and patient account issues.
• Lead, mentor, and develop a team of billing specialists.
• Establish clear performance goals and conduct regular team reviews.
• Provide training on regulatory updates, payer changes, and process improvements.
• Work with the payer contracting team and VP of RCM to ensure contract terms are properly reflected in system workflows.
• Monitor payer behavior and escalate recurring payment or denial issues.
• Support provider credentialing efforts to avoid disruptions in billing or collections.
• Partner with IT to ensure revenue cycle systems are configured to support accurate claim generation and reporting.
• Generate and present weekly, monthly, and quarterly reports to leadership highlighting performance, issues, and improvement initiatives.
• Use data analytics to identify operational bottlenecks and revenue leakage points.
• Ensure all billing practices comply with HIPAA, CMS, and payer-specific regulations.
• Coordinate audit readiness and respond to payer or government audit requests.
• Maintain awareness of coding guidelines, billing updates, and policy changes impacting reimbursement.
• Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
• Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.
• To work remotely, it is expected you will have a reliable, nonpublic high-speed internet connection with sufficient bandwidth to participate in all work-related activities. Any interruptions in service should be immediately reported to your manager.
• Reacts positively to change and performs other duties as assigned