Director of Revenue

This is a fully remote position, open to applicants in Maryland.

📋 Description

• Deliver strategic and operational guidance across all revenue cycle functions, which encompass medical billing, claims submission, payment posting, accounts receivable, collections, denial management, appeals, and reimbursement optimization.

• Manage revenue cycle services for various healthcare client organizations, ensuring consistent performance, accountability, and responsiveness to the unique needs of each client.

• Act as a primary contact for clients, leading regular performance meetings with client executives and stakeholders to review financial outcomes, address concerns, communicate operational challenges, and implement corrective action plans.

• Direct, mentor, and develop a geographically dispersed revenue cycle team, setting clear expectations, standardized workflows, performance accountability, and fostering a culture of continuous improvement.

• Track and assess key performance indicators, such as denial rates, days in accounts receivable, clean claim rates, reimbursement trends, and collections, utilizing data to pinpoint areas for enhancement.

• Work collaboratively with billing, utilization review, credentialing, and operational teams to overcome reimbursement obstacles, enhance payer processes, and ensure compliance with relevant healthcare billing regulations.

• Maintain practical knowledge of daily revenue cycle operations to resolve complex issues, support staff during operational difficulties, and directly assist with critical workflows when necessary.

⛳️ Requirements

• A minimum of 7 years of experience in healthcare revenue cycle management, utilization management, or related healthcare operations, including at least 5 years in a leadership role.

• In-depth understanding of comprehensive healthcare revenue cycle operations, including billing, claims management, accounts receivable, collections, denial management, utilization review, insurance authorizations, and appeals.

• Proven experience leading revenue cycle teams, overseeing managers or department leaders, and implementing operational enhancements that bolster financial performance.

• Experience managing revenue cycle performance across multiple healthcare facilities, organizations, or client accounts, with the capacity to communicate effectively with executive-level stakeholders.

• Strong knowledge of Medicaid and commercial insurance reimbursement, payer requirements, authorization processes, and healthcare revenue cycle performance metrics.

• Capability to effectively manage a remote team.

• Availability during standard Eastern Time business hours, approximately 8:00 AM–5:00 PM ET.

• Willingness to travel periodically to Baltimore, Maryland, as business needs arise.

• Preferred: Prior leadership experience within a third-party revenue cycle management company, with responsibility for multiple external healthcare clients.

• Preferred: Experience overseeing billing, utilization review, and reimbursement operations for behavioral health or substance use disorder treatment organizations.

• Preferred: Familiarity with ASAM levels of care, including withdrawal management (detoxification), residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) services.

• Preferred: Experience in managing client relationships, leading recurring revenue cycle performance meetings, and presenting financial and operational results to client executives.

• Preferred: Experience with Kipu, Alleva, CollaborateMD, or similar healthcare management and billing platforms.

• Preferred: Knowledge of multi-state Medicaid programs, managed care organizations, and behavioral healthcare reimbursement requirements.

🏝️ Benefits

• Full-time leadership opportunity with a well-established healthcare revenue cycle management organization.

• Flexibility to work remotely.

• Occasional travel to Baltimore, Maryland.

• Compensation aligned with experience and education.