
RCM Director
Posted 23 hours ago

Posted 23 hours ago
• The RCM Director oversees the performance of Credentialing, Access, and Billing (RCM).
• Develop and manage a fully integrated operational model encompassing Credentialing, Access, and Billing.
• Ensure that providers are enrolled, contracted, and billable in the most efficient manner.
• 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 enhance contracting positions in 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 discipline.
• Over 7 years of leadership experience in credentialing, access (VOB/PA), and/or revenue cycle management.
• Extensive knowledge of multi-state payor environments, including Medicare, Medicaid, and commercial insurance plans.
• Proven track record in payor contracting and rate negotiations.
• Strong understanding of end-to-end revenue cycle performance and cash flow drivers.
• Familiarity with Electronic Medical Records (EMR) and Revenue Cycle Management (RCM) platforms, preferably Athena, along with automation/AI tools.
• Demonstrated capacity to build systems, lead teams, and achieve measurable financial and operational results.
• Medical, dental, and vision insurance.
• 401(k) plan with company matching.
• A supportive and collaborative work atmosphere.
• A mission-driven organization dedicated to making a positive impact on people's lives.
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