Senior Director, Revenue Cycle Management

This is a fully remote position, open to applicants in Idaho, +9 more states.

📋 Description

• Provide strategic direction and leadership across all aspects of revenue operations.

• Develop and implement scalable workflows in authorizations, billing, accounts receivable, and collections to achieve sustainable financial performance.

• Utilize data-driven insights to guide organizational policy and ensure compliance across the company.

• Lead a high-performing team to ensure that operational objectives align with the organization’s broader financial goals and regulatory standards.

• Execute company-wide strategies aimed at reducing Days in A/R, enhancing cash flow, and maximizing net collection rates.

• Ensure the precision of payment postings, adjustments, and reconciliations of the general ledger.

• Design and manage robust authorization workflows specific to ABA.

• Facilitate collaborative efforts between clinical, finance, and compliance departments.

• Oversee the strategy for private-pay invoicing and collections.

• Serve as the primary escalation point and negotiator for high-level payer disputes.

• Regulate the institutional application of CPT codes, modifiers, and payer-specific billing regulations.

• Develop proactive systems to identify and recover underpayments.

• Establish and track executive KPIs to assess departmental health.

• Leverage RCM data and EHR reporting tools to uncover macro trends in payer behavior.

• Direct structured, trend-based denial prevention and appeals processes.

• Lead the ongoing improvement of the RCM technology stack.

• Drive the execution of new payer mandates and system upgrades.

• Mentor and guide the billing and authorization teams.

⛳️ Requirements

• High school diploma or GED equivalent is required.

• A bachelor’s degree in business administration, a health-related field, or equivalent professional experience is preferred.

• At least five years of experience in healthcare, hospital, billing, and collections in a supervisory role is necessary.

• Extensive knowledge of technology, particularly spreadsheet and word processing software, as well as hospital and physician billing software.

• Preferred experience in ABA.

• Experience with CentralReach is preferred.

• Familiarity with Medicaid billing for both primary and secondary reimbursement is required.

• Experience in physician billing is essential.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health benefits package.

• Opportunities for professional development and advancement.

• A collaborative and supportive work environment.