Vice President of Revenue Cycle Management (RCM) at Pain Specialist of America LLC

Austin, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

13 May, 26

Salary

0.0

Posted On

12 Feb, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Payer Contracting, Financial Performance, Compliance, Operational Excellence, Technology Optimization, Performance Management, Team Development, Data-Driven Decision Making, Cash Flow Improvement, Denial Management, Multi-State Team Leadership, Healthcare Regulations, Automation, Strategic Planning, Change Management

Industry

Medical Practices

Description

Description Pain Specialists of America (PSA) is seeking a transformational and strategic Vice President of Revenue Cycle Management (VP, RCM) to lead and optimize enterprise-wide revenue operations across our Texas-based pain management and ambulatory surgery center (ASC) platform. This executive leader will oversee end-to-end revenue cycle strategy, payer contracting collaboration, revenue integrity, technology optimization, and performance management for a rapidly growing organization serving 30+ providers across several clinic locations and multiple ASCs. The VP, RCM will drive scalable infrastructure, operational excellence, automation, and financial performance while ensuring compliance, accountability, and patient-centered financial transparency. Key Responsibilities Enterprise Revenue Strategy Develop and execute enterprise-wide RCM strategy aligned with organizational growth and M&A initiatives Own KPIs including Net Collection Rate, Days in AR, Days to Bill, Denial Rate, Cash Acceleration, and TOS Collections Build scalable RCM infrastructure to support de novo expansion and acquisitions Present monthly revenue performance reports to executive leadership and Board Operational Leadership Oversee all revenue cycle functions including: Front-end (eligibility, authorization, financial counseling) Coding & charge capture Billing & claims management AR & denials management ASC billing operations Credentialing & enrollment oversight (in collaboration with contracting) Lead multi-state remote RCM teams with clear accountability structures and productivity measures Revenue Integrity & Compliance Ensure compliance with CMS, commercial payers, state regulations, and ASC billing requirements Oversee internal audits including charge reconciliation, documentation lag, and payer variance analysis Partner with Compliance and Legal on regulatory updates and risk mitigation Implement denial root cause analysis and corrective action workflows Technology & Automation Optimize PM/EHR systems (HST Pathways, eClinicalWorks, etc.) Lead clearinghouse, RPA, and AI-driven automation initiatives Drive interoperability improvements and reporting analytics Oversee vendor management (clearinghouses, eligibility tools, payment platforms, third party/outsource) Payer Strategy & Contracting Collaboration Collaborate with executive leadership on payer rate modeling and contract negotiations Analyze fee schedules and reimbursement benchmarking Lead escalation pathways for systemic payer issues (recoupments, ERA/ACH failures, underpayments) Support network expansion for any new clinic and/or ASC locations Team Development & Culture Build high-performance leadership bench across: AR Denials Authorization Credentialing Coding Patient Financial Services Establish structured career pathways and 30-60-90 day onboarding plans Drive accountability, engagement, and cross-training across remote teams Promote a culture of excellence, transparency, and continuous improvement Requirements 10+ years progressive healthcare revenue cycle leadership experience 5+ years in executive-level RCM role (Director, AVP, VP) Multi-site physician practice and ASC experience required Demonstrated success improving cash flow, reducing AR, and scaling operations Strong payer negotiation support and reimbursement modeling experience Deep knowledge of CMS, Medicare Advantage, Commercial, Workers’ Comp, and managed care contracts Experience leading remote, multi-state teams Preferred: Private equity-backed healthcare platform experience Pain management or surgical specialty background Experience with HST Pathways, eClinicalWorks, Waystar Lean / Six Sigma or EOS leadership experience Core Competencies Strategic & Financial Acumen Transformational Leadership Operational Discipline Executive Presence Change Management Cross-Functional Collaboration Data-Driven Decision Making Performance Metrics The VP, RCM will be evaluated on: Days in AR target benchmarks by specialty Denial Rate reduction year-over-year Days to Bill 2 days for clinics / 3 days for ASC TOS Collections growth Clean Claim Rate 98% Clinics and ASC Auth/Referral related Cx/RS 3% EBITDA contribution via revenue optimization #IND100

Responsibilities

The VP, RCM will lead and optimize revenue cycle operations across the organization, overseeing strategy, payer collaboration, and performance management. They will also ensure compliance and drive operational excellence while managing remote teams.