Director of Revenue

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

📋 Description

• Deliver strategic and operational oversight across revenue cycle functions, encompassing medical billing, claims submission, payment posting, accounts receivable, collections, denial management, appeals, and optimization of reimbursements.

• Manage revenue cycle services for various healthcare client organizations, ensuring consistent performance, accountability, and responsiveness to each client's distinct needs.

• Act as a primary client-facing leader by facilitating regular performance meetings with client executives and stakeholders.

• Analyze financial results, address concerns, communicate operational challenges, and execute corrective action plans.

• Lead, mentor, and cultivate a geographically dispersed revenue cycle team.

• Set clear expectations, establish standardized workflows, ensure performance accountability, and foster a culture of continuous improvement.

• Track and assess key performance indicators, including denial rates, days in accounts receivable, clean claim rates, reimbursement trends, and collections.

• Utilize data to pinpoint opportunities for enhancement.

• Collaborate with billing, utilization review, credentialing, and operational teams to eliminate reimbursement obstacles, improve payer processes, and ensure adherence to relevant healthcare billing requirements.

• Maintain a hands-on understanding of daily revenue cycle functions to troubleshoot complex issues, support staff during operational challenges, and directly assist with critical workflows when necessary.

⛳️ Requirements

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

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

• Proven experience in leading revenue cycle teams, supervising 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 ability to communicate effectively with executive-level stakeholders.

• Strong understanding 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 occasionally to Baltimore, Maryland, as business demands arise.

• Preferred: Prior leadership experience within a third-party revenue cycle management organization.

• Preferred: Experience managing 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, residential treatment, partial hospitalization, and intensive outpatient services.

• Preferred: Experience 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 role with an established healthcare revenue cycle management organization.

• Flexibility to work remotely.

• Occasional travel to Baltimore, Maryland.

• Compensation based on experience and education.