Director, Revenue Cycle Management

Revenue Cycle Ownership:

• Own the full revenue cycle end-to-end: charge capture, claim submission, denial management, payment posting and patient collections across both professional and DME billing lines
• Drive RCM internalization — evaluate current vendor relationships, build the business case for what to bring in-house, and execute the transition without disrupting cash flow.
• Maintain and improve clean claim rates, net collection rates, and days in AR across all payors and service lines

Payor Operations and Contracting Collaboration:

• Partner with the contracting team to translate newly negotiated payor terms into billing workflows — ensuring rate changes, service authorizations, and code requirements are operationalized correctly from Day 1
• Provide denial data and reimbursement gap analysis to the contracting team to inform renegotiation priorities
• Manage all payor-facing billing operations including claims compliance, appeals, and audit responses

Team Leadership & Operations:

• Define org structure, hire top talent, and drive performance with clear KPIs and accountability frameworks
• Build and maintain a real-time RCM reporting dashboard, surfacing net collection rate, denial rate by payor, days in AR, and contribution margin impact
• Work cross-functionally with clinical operations to eliminate billing errors at the source — not just correct them downstream