Director of Revenue Cycle Management
New
J
JobgetherHealthcare
Based in United StatesFull-TimeDirector
Salary$185,000–$215,000
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Job Details
- Experience
- 8+ years
- Required Skills
- Data Analysis
Requirements
- 8+ years of progressive Revenue Cycle Management experience, with demonstrated end-to-end ownership across eligibility and enrollment, charge capture, coding, claims submission, denial management, and collections.
- Deep, hands-on knowledge of Medicaid and Medicare billing and revenue cycle operations, ideally including fee-for-service, risk-based arrangements, and other healthcare reimbursement structures.
- Proven experience building, hiring, and leading RCM teams in a high-growth or early-stage environment.
- Strong analytical capabilities, with the ability to independently query and investigate claims data, identify trends and revenue leakage, generate actionable insights, and translate findings into measurable improvements.
- Experience implementing and optimizing RCM technology and solutions such as Candid, Waystar, or comparable platforms.
- Strong understanding of healthcare billing compliance, payer requirements, claims processes, authorizations, denials, and collections.
- Excellent communication and collaboration skills, with the ability to work effectively across Finance, Accounting, Operations, Product, and Engineering.
- A strong ownership mindset, with the ability to take initiative, solve complex problems, and drive measurable outcomes with limited oversight.
- Comfortable operating in a fast-paced, entrepreneurial, and low-bureaucracy environment where priorities can evolve quickly.
- Resilient, practical, and highly execution-oriented, with the ability to balance strategic planning and hands-on problem solving.
- Strong commitment to improving healthcare access and outcomes for individuals with complex needs and underserved populations.
Responsibilities
- Own the Revenue Cycle Management function end to end across Medicaid and Medicare, covering eligibility, authorization, claims submission, denials, appeals, and collections.
- Develop and execute the RCM strategy, including team building, hiring and management, KPI development, performance reporting, and continuous process improvement.
- Analyze claims and revenue data hands-on to identify collection gaps, uncover root causes, and drive remediation initiatives that improve collection rates and reduce days sales outstanding.
- Manage patient billing, coinsurance collection, denial management, and appeals processes while reducing rejection and denial rates.
- Centralize eligibility verification, authorization processes, and payer reporting within the RCM function.
- Build strong working relationships with payers and provider groups to resolve claims issues and manage reporting requirements.
- Partner closely with Finance on revenue reconciliation, cash application, collections reporting, and financial visibility.
- Ensure billing and revenue cycle activities remain compliant with applicable Medicaid and Medicare requirements.
- Evaluate, select, implement, and optimize RCM platforms and technology solutions to support multi-program billing and organizational growth.
- Collaborate with Operations, Product, and Engineering to develop tools, workflows, and systems that improve RCM efficiency and scalability.
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