Revenue Cycle Management Director

Job Summary

To support the growth of a transformative healthcare model, the full-time salaried Revenue Cycle Management Director will manage and scale the revenue cycle function, ensuring accurate cash flow and operational relationships with payor partners while working remotely.

Key responsibilities

• Lead end-to-end revenue cycle management, including charge capture, claim submission, and payment posting
• Design and implement new reimbursement capabilities, such as case-rate billing and Medicare Advantage readiness
• Serve as the senior operational relationship lead for national and regional health plans, ensuring effective communication and issue resolution

Required qualifications

• 7+ years of experience in healthcare revenue cycle management or payor operations, with 3+ years in a leadership role
• Proven track record of end-to-end professional billing ownership and resolving complex reimbursement issues
• Experience implementing Medicare / Medicare Advantage billing and familiarity with non-standard reimbursement models
• Strong relationships with national and regional health plans, demonstrating the ability to navigate and resolve issues effectively
• Analytical proficiency with RCM analytics, CPT / HCPCS coding, and EHR systems