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. 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.