
RCM Director
Posted 6 days ago

Posted 6 days ago
This is a fully remote position, open to applicants in Illinois.
• The RCM Director is accountable for the performance of Credentialing, Access, and Billing (RCM).
• Develop and oversee a fully integrated operating model encompassing Credentialing, Access, and Billing.
• Ensure that providers are enrolled, contracted, and billable in the most efficient manner possible.
• Promote consistent, high-quality verification of benefits (VOB) and prior authorization performance across all markets.
• Enhance cash collections, predictability, and overall revenue cycle performance.
• Strengthen relationships with payors and improve contracting positions across various geographies.
• Implement scalable standard operating procedures (SOPs), workflows, and technology solutions, including AI tools.
• Collaborate with Market Leaders to educate field personnel on their influence on RCM efficiency.
• Bachelor's degree in Healthcare Administration, Business, or a related field.
• Over 7 years of leadership experience in credentialing, access (VOB/PA), and/or revenue cycle management.
• Comprehensive understanding of multi-state payor environments, including Medicare, Medicaid, and commercial plans.
• Proven track record in payor contracting and rate negotiation.
• Strong knowledge of end-to-end revenue cycle performance and cash drivers.
• Experience with EMR and RCM platforms (Athena preferred) as well as automation and AI tools.
• Demonstrated capability to build systems, lead teams, and achieve measurable financial and operational results.
• Medical, dental, and vision insurance.
• 401(k) plan with company match.
• A supportive and collaborative work environment.
• A mission-driven organization that positively impacts people's lives.
LexisNexis
Futures
Hunt St
CRC Insurance Services
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