Director, Revenue Cycle Operations – Improvement

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

📋 Description

• Collaborate with Revenue Cycle and Operations leadership to spearhead the order-to-cash transformation strategy.

• Propel quantifiable enhancements in bad debt, collection costs, denial rates, held A/R, A/R aging, DSO, and asset recovery.

• Oversee two direct-report functions while working in conjunction with Intake, Resupply, and Field Operations.

• Act as a tactical project leader for specific recovery initiatives and a strategic change agent for sustainable continuous improvement.

• Take ownership of and enhance performance metrics related to bad debt, cash-to-gross revenue, denial rates, held A/R, A/R aging, DSO, write-offs, revenue integrity, cost of collections, and asset recovery/capex efficiency.

• Develop and prioritize a portfolio of order-to-cash transformation initiatives.

• Lead the Brightree System Configuration function, ensuring accurate alignment of price tables, payer configurations, and system rules with contract and coding standards.

• Collaborate with Managed Care policy and configuration teams to convert payer policy, contract, reimbursement, and regulatory updates into Brightree configuration and documentation.

• Detect and rectify system-generated causes of revenue leakage and denials.

• Directly manage the RCM Projects team through the Manager, RCM Projects, and both domestic and global resources.

• Implement worklist-driven cleanup initiatives across stops, held claims, denial management, billing, cash posting, and payer adjustments.

• Define, prioritize, and lead bulk-resolution recovery projects such as rental stop management cleanups and bulk CMN/PAR recoveries.

• Participate as a standing member of the Denials Committee to identify root causes of denials and write-offs.

• Lead large-scale denial-resolution projects and enhance denial workflows and claim prioritization based on propensity-to-pay metrics.

• Establish and manage the Ops-RCM collaboration framework across Field Operations, Intake, Resupply, and Revenue Cycle.

• Collaborate with IT to implement bots, automation, technology programs, and new tools aimed at improving revenue cycle performance.

• Work with Brightree Data Services on related initiatives.

• Create management systems and metrics, coaching RCM managers on business-review disciplines covering A/R aging, write-offs, backlog, productivity, adjustments, paid-not-posted cash, and unfunded remits.

• Establish consistent reporting cadences and standards for early detection of emerging issues.

• Evaluate and enhance revenue cycle processes, including cash posting, credit balances, lockbox correspondence, audits and appeals, and rental stop management.

• Foster underdeveloped capabilities such as Asset Recovery until they reach a mature and sustainable state.

⛳️ Requirements

• Bachelor's degree in healthcare administration, business, finance, or a related discipline; an MBA or advanced degree is advantageous.

• Over 8 years of progressive experience in revenue cycle, healthcare finance, or operations leadership.

• Proven accountability for outcomes related to bad debt, DSO, denial rates, or cost-of-collections.

• Experience in DME/HME and complex respiratory or enteral settings is highly preferred.

• Successful track record in leading large-scale transformation or process-improvement initiatives.

• Direct leadership experience with the ability to influence cross-functional teams without direct authority.

• Practical experience with Brightree or a similar HME/DME billing and order management system, including system configuration and price table governance.

• Demonstrated history of establishing or enhancing management systems and metrics disciplines within a revenue cycle or shared-services organization.

• Strong analytical capabilities, including the ability to analyze claims, denials, and write-off data to uncover root causes and bulk-resolution opportunities.

• Experience in collaborating with IT/automation teams on bots, workflow automation, or new technology implementations within a revenue cycle context.

• Experience managing global and/or offshore resource models for revenue cycle operations.

• Familiarity with asset recovery/equipment recovery processes in a home medical equipment environment.

• Experience contributing to a denials committee or similar cross-functional governance body.

• Strong skills in change management and stakeholder engagement across field operations and corporate functions.

• Six Sigma, Lean, PMP, or other process-improvement/project-management certifications are a plus.

• Ability to meet specified physical demands, including standing, walking, bending, kneeling, stooping, crouching, crawling, twisting, climbing, maneuvering in small spaces, and frequently lifting or moving 20 pounds or more.

🏝️ Benefits

• Comprehensive Medical, Dental, and Vision Package.

• 401(k) Plan with Company Match.

• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays.

• Standard life insurance coverage with optional enhancements.

• Employee Assistance Program: Free counseling and coaching sessions.

• Emotional Well-being and Work-Life Balance Resources.

• Company-paid Short & Long-Term Disability with optional supplements.

• Accidental Death and Dismemberment Insurance.

• FSA and HSA: Manage healthcare expenses.

• Commuter Spending Programs.

• Volunteer and Engagement Opportunities.

• Employee Referral Bonuses.

• Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans.