director of revenue cycle management

TriasMD

<div><p>TriasMD is seeking a Director of Revenue Cycle Management (RCM) to lead and optimize the end-to-end revenue cycle across its growing network of ambulatory surgery centers (ASCs) and affiliated physician practices.</p><p>
This role will serve as the internal owner of revenue cycle performance, responsible for overseeing outsourced RCM vendors, partnering with operations and clinical leadership, and implementing data-driven processes to improve collections performance, reduce denials, and accelerate cash flow.</p><p>
The Director will play a critical role in building a scalable revenue cycle infrastructure for a private equity-backed, multi-site healthcare platform experiencing rapid growth.</p><p>
This role reports to the Chief Financial Officer.</p><p><b>
Key Responsibilities</b></p><p><b>
Revenue Cycle Strategy &amp; Performance</b></p><ul><li>
Own the end-to-end revenue cycle, including front-end intake, coding, billing, collections, and denial management.</li><li>
Establish and manage RCM performance dashboards tracking key metrics including:<ul><li>
Net collection rate</li><li>
Denial rate</li><li>
AR days</li><li>
AR aging</li><li>
Charge lag</li><li>
First-pass claim acceptance</li></ul></li><li>
Develop and execute initiatives to improve collections performance and reduce revenue leakage.</li></ul><p><b>
Vendor Management &amp; Accountability</b></p><ul><li>
Serve as the primary internal owner of outsourced RCM vendor performance.</li><li>
Manage billing vendors and ensure compliance with service level agreements (SLAs).</li><li>
Conduct regular vendor performance reviews focused on:<ul><li>
denial trends</li><li>
collections performance</li><li>
turnaround times</li><li>
payer follow-up effectiveness</li></ul></li><li>
Partner with vendors to identify and resolve operational issues impacting claims and reimbursement.</li></ul><p><b>
Denial Management &amp; Root Cause Analysis</b></p><ul><li>
Lead denial analytics to identify root causes across the revenue cycle.</li><li>
Distinguish between preventable operational denials and payer-related issues.</li><li>
Implement structured processes to reduce high-volume denial categories, including:<ul><li>
authorization failures</li><li>
eligibility verification issues</li><li>
coding errors</li><li>
claim submission errors.</li></ul></li></ul><p><b>
Front-End Revenue Cycle Optimization</b></p><p>
Partner closely with operations to strengthen front-end processes, including:</p><ul><li>
insurance eligibility verification</li><li>
prior authorization workflows</li><li>
patient financial counseling</li><li>
point-of-service collections.</li></ul><p>
Implement systems and workflows that reduce first-pass denials and billing errors.</p><p><b>
Aged Accounts Receivable Recovery</b></p><ul><li>
Lead targeted initiatives to reduce aged accounts receivable.</li><li>
Oversee recovery strategies for &gt;90-day AR balances.</li><li>
Identify opportunities to recover collectible legacy AR and improve follow-up workflows.</li></ul><p><b>
Process Improvement &amp; Automation</b></p><p>
Identify and implement improvements in revenue cycle operations, including:</p><ul><li>
automation of eligibility verification</li><li>
clearinghouse claim edits and scrubbing controls</li><li>
automation of authorization tracking</li><li>
improved documentation and coding workflows.</li></ul><p>
Evaluate emerging technology solutions and automation tools to improve efficiency.</p><p><b>
Cross-Functional Collaboration</b></p><p>
Serve as the bridge between:</p><ul><li>
Operations</li><li>
Clinical teams</li><li>
Finance</li><li>
RCM vendors</li></ul><p>
Ensure operational workflows support efficient revenue cycle performance and reduce preventable denials.</p><p><b>
Key Performance Metrics</b></p><p>
The Director of RCM will be accountable for improving the following metrics:</p><ul><li>
Net Collection Rate (target: <b>97%+</b>)</li><li>
Denial Rate (target: <b>&lt; 5% initially, trending toward &lt; 2%</b>)</li><li>
Net AR Days (target: <b>&lt; 40 days</b>)</li><li>
AR &gt;90 days (target: <b>&lt; 25%</b>)</li><li>
Charge lag (target: <b>&lt; 3 days</b>)</li></ul><p>
</p><p><b>Qualifications</b></p><p><b>
Required</b></p><ul><li>
8+ years of experience in healthcare revenue cycle management</li><li>
3+ years in ASC, surgical specialty, or physician practice RCM</li><li>
Experience managing outsourced RCM vendors</li><li>
Deep understanding of:<ul><li>
ASC billing</li><li>
payer contracting and reimbursement</li><li>
denial management</li><li>
coding and charge capture workflows</li></ul></li></ul><p><b>
Preferred</b></p><ul><li>
Experience in private equity-backed healthcare platforms</li><li>
Experience scaling revenue cycle operations across multi-site organizations</li><li>
Strong data and analytics capability (Power BI, Tableau, or similar tools)</li></ul><p><b>
Leadership &amp; Skills</b></p><p>
The ideal candidate will demonstrate:</p><ul><li>
Strong operational leadership</li><li>
Ability to manage cross-functional teams</li><li>
Deep analytical capability</li><li>
Strong communication skills to work with physicians, operators, and finance leaders</li></ul><p>
The candidate must be able to translate revenue cycle data into actionable operational improvements.</p><p><b>
Impact of Role</b></p><p>
This role will directly impact:</p><ul><li>
cash flow</li><li>
working capital</li><li>
EBITDA performance</li><li>
payer reimbursement integrity</li></ul><p>
and will be a key contributor to TriasMD&rsquo;s continued growth and operational scalability.</p><p><b>
Compensation</b></p><p>
Competitive base salary plus performance-based bonus aligned with revenue cycle performance improvements.</p></div><p></p>

Revenue Cycle Manager

Tenet Healthcare

<div><h3 class="jobSectionHeader"><b>Job Summary</b></h3>
<p>The <b>National</b> <b>Director Revenue Cycle</b> is responsible for end-to-end management of people, processes and systems supporting Tenet Physician Resources (TPR) patient service revenue. In this role, the Director will provide leadership across all levels of TPR to support the revenue cycle and meet/exceed established goals.
</p><p>The revenue cycle is defined as all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. The National Director is responsible for enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure. These functional areas act interdependently during a patient visit, contributing critical information required for clinical service and procuring payment. Thus, the National Director concentrates resources on improving core clinical care delivery and protecting the assets of the organization. The position will provide leadership and subject matter expertise related to the development of a compliant, comprehensive revenue cycle across TPR.</p>
<h3 class="jobSectionHeader"><b>
Responsibilities</b></h3>
<ul><li>The National Director will be responsible for improving cash collections, minimize bad debt and work with Operations Directors to ensure timely claims posting; meeting or exceeding all budgeted targets.</li>
<li>Develop a high-performance team as measured through achievement of benchmark process outcomes, audit and compliance results, financial goals and employee satisfaction.
</li><li>Recruit and build leadership and management talent throughout the revenue cycle operation.
</li><li>Ensure transparency on goals and performance improvement throughout the revenue cycle process.</li>
<li>Lead effectively across matrix structures achieving high performance outcomes, as defined above, for staff involved in revenue cycle that report to other areas of the operation, including physicians, managers and staff at point of service charge entry and cash collection.</li>
<li>Provide subject matter expertise in the functional areas of billing, collections &amp; bad debt, payment processing, denial management, accounts receivable finance operations, health information management (HIM), patient financial services, fee schedule development and maintenance, documentation and coding, and charge capture.
</li></ul><h3 class="jobSectionHeader"><b>Qualifications</b></h3>
<p><b>Required:</b></p>
<ul>
<li>Bachelor's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>8-12 years in consulting, project management, and/or general management experience in provider-based revenue cycle management.</li>
<li>Business expertise, financial acumen and interpersonal skills to effectively work through a complex organization to influence and facilitate sustainable change.</li>
<li>Advanced interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations with a wide variety of influential internal and external parties.</li>
<li>Strong leader with a collaborative nature who can develop solutions, with multiple and geographically dispersed stakeholders, to complex process and organizational issues.</li>
<li>Up to 10% national travel. We will run a MVR on the final candidate.</li>
</ul>
<p><b>Preferred:</b></p>
<ul>
<li>Master's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>Previous experience as a Revenue Cycle Director.</li>
<li>Healthcare operations management experience in a health plan, managed care organization, medical group or hospital setting.</li>
<li>Knowledge of or exposure to Athena Health (and specifically its billing, collection and EHR subsystems).</li>
</ul>
<p><b>Compensation:</b></p>
<ul>
<li>Pay: $150,000 - $200,000 annually. Compensation depends on location, qualifications, and experience.
</li><li>Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
</li><li>Management level positions may be eligible for sign-on and relocation bonuses.</li>
</ul>
<p><b>Benefits:</b></p>
<p>
The following benefits are available, subject to employment status:</p>
<ul>
<li>Medical, dental, vision, disability, life, AD&amp;D and business travel insurance</li>
<li>Manager Time Off &ndash; 20 days per year</li>
<li>Discretionary 401k with up to 6% employer match</li>
<li>10 paid holidays per year</li>
<li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li>
<li>Employee Assistance program, Employee discount program</li>
<li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.</li>
<li>For Colorado employees, paid leave in accordance with Colorado&rsquo;s Healthy Families and Workplaces Act.</li>
</ul>
<p>#LI-JR1</p>
<p>Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.<br>
Tenet participates in the E-Verify program. Follow the link below for additional information.<br>
E-Verify: http://www.uscis.gov/e-verify<br>
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
</p>
2603006136</div>
<br>
<ul><li>The National Director will be responsible for improving cash collections, minimize bad debt and work with Operations Directors to ensure timely claims posting; meeting or exceeding all budgeted targets.</li>
<li>Develop a high-performance team as measured through achievement of benchmark process outcomes, audit and compliance results, financial goals and employee satisfaction.
</li><li>Recruit and build leadership and management talent throughout the revenue cycle operation.
</li><li>Ensure transparency on goals and performance improvement throughout the revenue cycle process.</li>
<li>Lead effectively across matrix structures achieving high performance outcomes, as defined above, for staff involved in revenue cycle that report to other areas of the operation, including physicians, managers and staff at point of service charge entry and cash collection.</li>
<li>Provide subject matter expertise in the functional areas of billing, collections &amp; bad debt, payment processing, denial management, accounts receivable finance operations, health information management (HIM), patient financial services, fee schedule development and maintenance, documentation and coding, and charge capture.</li></ul>
<br>
<div><p><b>Required:</b></p>
<ul>
<li>Bachelor's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>8-12 years in consulting, project management, and/or general management experience in provider-based revenue cycle management.</li>
<li>Business expertise, financial acumen and interpersonal skills to effectively work through a complex organization to influence and facilitate sustainable change.</li>
<li>Advanced interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations with a wide variety of influential internal and external parties.</li>
<li>Strong leader with a collaborative nature who can develop solutions, with multiple and geographically dispersed stakeholders, to complex process and organizational issues.</li>
<li>Up to 10% national travel. We will run a MVR on the final candidate.</li>
</ul>
<p><b>Preferred:</b></p>
<ul>
<li>Master's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>Previous experience as a Revenue Cycle Director.</li>
<li>Healthcare operations management experience in a health plan, managed care organization, medical group or hospital setting.</li>
<li>Knowledge of or exposure to Athena Health (and specifically its billing, collection and EHR subsystems).</li>
</ul>
<p><b>Compensation:</b></p>
<ul>
<li>Pay: $150,000 - $200,000 annually. Compensation depends on location, qualifications, and experience.</li>
<li>Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.</li>
<li>Management level positions may be eligible for sign-on and relocation bonuses.</li>
</ul>
<p><b>Benefits:</b></p>
<p>
The following benefits are available, subject to employment status:</p>
<ul>
<li>Medical, dental, vision, disability, life, AD&amp;D and business travel insurance</li>
<li>Manager Time Off &ndash; 20 days per year</li>
<li>Discretionary 401k with up to 6% employer match</li>
<li>10 paid holidays per year</li>
<li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li>
<li>Employee Assistance program, Employee discount program</li>
<li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.</li>
<li>For Colorado employees, paid leave in accordance with Colorado&rsquo;s Healthy Families and Workplaces Act.</li>
</ul>
<p>#LI-JR1</p></div>

TPR National Director, Revenue Cycle - Remote based in the US

Rock Dental Brands

<div><p>It's fun to work in a company where people truly BELIEVE in what they're doing!</p><p>
We're committed to bringing passion and customer focus to the business.</p><p><br>
Director of Revenue Cycle Management</p><p><b>
Location: Little Rock, AR | Reports to: Chief Financial Officer</b></p><p></p><p>
Company Overview</p><p><b>
Rock Dental Brands is a doctor-founded, doctor-led DSO supporting over 100 practices across multiple states. With a commitment to operational excellence and clinical autonomy, we&rsquo;re rapidly growing while staying true to our mission of delivering high-quality, accessible oral health care. As we scale, we are seeking a high-caliber, results-oriented Director of Revenue Cycle Management (RCM) to own the operational oversight and performance of our end-to-end revenue cycle.</b></p><p></p><p>
The Director of RCM will be the primary architect and operator of our revenue-related functions. This role is designed for a &quot;player-coach&quot; who possesses the strategic mindset of an executive and the tactical expertise to manage daily billing, insurance verification, claims, collections, and payer relations. The ideal candidate is a data-driven leader capable of optimizing a multi-state RCM engine to support our continued expansion.</p><p></p><p><b>
Key Responsibilities</b></p><p><b>
Operational Mastery &amp; Execution</b></p><ul><li><p>
End-to-End Oversight: Manage all RCM phases: front-end (verification/pre-auth), mid-cycle (coding/charge capture), and back-end (billing/AR/collections).</p></li><li><p>
KPI Ownership: Drive performance across key metrics, including Days in AR, Net Collection Rate, Clean Claim Rate, and Denial Percentage.</p></li><li><p>
Process Optimization: Identify bottlenecks in the current workflow and implement RCM best practices and automation tools to increase efficiency and cash flow.</p></li><li><p>
Payer Management: Lead payer contracting efforts and maintain deep knowledge of reimbursement methodologies and multi-state compliance regulations.</p></li></ul><p></p><p><b>
Tactical Leadership</b></p><ul><li><p>
Team Development: Lead and mentor a high-performing RCM team. You will be responsible for building a culture of accountability, setting clear performance standards, and upskilling staff.</p></li><li><p>
Cross-Functional Partnership: Act as the bridge between RCM and Practice Operations, ensuring clinic staff understand their impact on the revenue cycle.</p></li><li><p>
Vendor Management: Maintain rigorous oversight of third-party RCM vendors and clearinghouses to ensure they meet established Service Level Agreements (SLAs).</p></li></ul><p></p><p><b>
Data &amp; Reporting</b></p><ul><li><p>
Financial Insights: Translate complex billing data into actionable weekly and monthly reports for the CFO and executive leadership.</p></li><li><p>
Risk Mitigation: Proactively identify trends in denials or payment delays and implement corrective action plans.</p></li><li><p>
Dashboard creation and updating for all aspects of RCM functions to measure efficiency and performance.</p></li><li><p>
Compliance: Ensure all processes remain HIPAA-compliant and adhere to internal audit standards and state-specific dental regulations.</p></li></ul><p></p><p><b>
Qualifications</b></p><ul><li><p>
Experience: 7&ndash;10+ years of progressive RCM leadership experience. Specific experience in a multi-site healthcare or DSO environment is highly preferred.</p></li><li><p>
Education: Bachelor&rsquo;s degree in Finance, Health Administration, or a related field.</p></li><li><p>
Technical Proficiency: Advanced knowledge of RCM technology platforms, EHR/PMS integrations, and Excel. Experience with RCM automation is a significant plus.</p></li><li><p>
Mindset: A &quot;builder&quot; mentality. You should enjoy the challenge of refining processes in a fast-paced, high-growth environment.</p></li><li><p>
Analytical Skills: Strong financial acumen with the ability to spot trends within large datasets and pivot strategy accordingly.</p></li></ul><p></p><p><b>
Why this role?</b></p><p>
This is a unique opportunity for a high-performing RCM professional to have a &quot;seat at the table&quot; and directly influence the financial health of a premier DSO. You will have the autonomy to shape the department and the support of an executive team that values RCM as a core pillar of business success.</p></div>

Director, Revenue Cycle - Rock Dental Brands

Family Centers

<div><p>Onsite</p><p>
Full Time, 35 hours</p><p>
Greenwich, CT</p><p></p><p><b><br>
Overview</b></p><p>
The Director of Revenue Cycle provides strategic and operational leadership for all revenue cycle functions at Family Centers. This role oversees billing, coding, collections, payer enrollment, and denial management to ensure financial sustainability and compliance with applicable regulations, including HRSA and Federally Qualified Health Center (FQHC).</p><p>
Working closely with the Chief Financial Officer and organizational leadership, the Director of Revenue Cycle leads initiatives to improve revenue integrity, optimize reimbursement, strengthen internal controls, and enhance the overall efficiency of revenue cycle operations across Family Centers&rsquo; multi-site clinics.</p><p><b>
The Role</b></p><ul><li>
Lead and implement revenue cycle strategies that support the organization&rsquo;s financial goals and long-term sustainability.</li><li>
Oversee all revenue cycle operations including charge capture, coding, billing, collections, payer enrollment, credentialing oversight, and denial management.</li><li>
Monitor KPIs such as days in accounts receivable, payer reimbursement trends, and denial rates, and implement improvement strategies.</li><li>
Ensure compliance with FQHC regulations, HRSA requirements, and sliding fee scale policies.</li><li>
Review payer contracts to ensure reimbursements align with negotiated rates and identify opportunities for improvement.</li><li>
Maintain strong internal controls related to revenue management and safeguarding of financial assets.</li><li>
Collaborate with leadership to improve workflows, resolve operational issues, and increase overall efficiencies.</li><li>
Recruit, train, and manage revenue cycle staff while promoting accountability, professional development, and cross-training.</li><li>
Oversee departmental policies, procedures, and performance standards to ensure consistency and compliance.</li><li>
Utilize electronic health record and billing systems to monitor performance, analyze trends, and identify improvement opportunities.</li><li>
Prepare and present revenue cycle performance reports and financial metrics to senior leadership.</li><li>
Other duties as assigned</li></ul><p><b>
Requirements</b></p><ul><li>
Bachelor&rsquo;s degree plus at least 10 years of healthcare revenue cycle experience, encompassing leadership responsibility.</li><li>
Demonstrated knowledge of healthcare billing practices, payer reimbursement processes, and revenue cycle operations.</li><li>
Understanding of Medicare, Medicaid, CPT, CDT, and ICD-10 coding standards.</li><li>
Experience managing teams and driving performance improvement.</li><li>
Proficiency with Microsoft Office and healthcare billing systems.</li></ul><p><b>
Preferred</b></p><ul><li>
At least 5 years of experience working in a Federally Qualified Health Center (FQHC) or community health center setting.</li><li>
Professional certification such as CRCR, HFMA, or similar.</li><li>
Experience with Epic or comparable electronic health record systems.</li><li>
Demonstrated success improving revenue cycle performance and operational efficiency.</li></ul><p><b>
About Family Centers</b></p><p>
Family Centers is a private, nonprofit organization providing health, education, and human services to children, adults, and families throughout Fairfield County. Our team of more than 300 professionals and over 500 trained volunteers collaborate to deliver a wide range of responsive and innovative programs. Through our comprehensive network of services, more than 26,000 children, adults, families, and communities each year receive the care, encouragement, and resources they need to realize their potential.</p><p><b>
Benefits &amp; Perks</b></p><p>
At Family Centers, we believe in taking care of our compassionate staff who care for our community. We offer a comprehensive benefits package designed to support employee health, financial wellbeing, and work-life balance.</p><p>
Full-time employees enjoy:</p><ul><li>
Generous Paid Time Off &ndash; Up to 15 vacation days annually (increases to 25 days after 10 years), 11 paid holidays, up to 3 personal days, and up to 10 sick days</li><li>
Half-Day Summer Fridays (in select programs)</li><li>
Medical, Dental &amp; Vision Coverage Options</li><li>
Health Savings Account (HSA) with monthly employer contributions</li><li>
Flexible Spending Accounts (FSA &amp; DCA)</li><li>
403(b) Retirement Plan with up to 6% employer contribution</li><li>
Employer-Paid Long-Term Disability, Life &amp; AD&amp;D Insurance</li><li>
Employee Assistance Program (EAP)</li><li>
Voluntary benefits including Critical Illness Insurance, Pet Insurance, and supplemental Life Insurance</li><li>
Tuition Assistance (eligible after 6 months of service)</li></ul><p>
Family Centers has been consistently recognized as one of the Top Workplaces in Western Connecticut by Hearst Connecticut Media and holds a perfect 100 Encompass rating from Charity Navigator.</p><p>
For more information and to apply, please visit <b>www.familycenters.org</b> or our LinkedIn page.</p><p>
Family Centers is committed to providing equal employment opportunities to all applicants and employees as indicated in applicable federal and/or state laws.</p></div><p></p>

Director of Revenue Cycle

Tobii Dynavox

<div><div>Why join us?</div><div></div><div><br>
We&rsquo;re on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to <div>express themselves, connect with the world, and live richer lives</div>.</div><div><br>
At Tobii Dynavox, you can grow your career within <div>a dynamic, global company</div> that has a clear, impactful purpose - with the flexibility to also do what truly matters to you outside of work. What&rsquo;s more, you&rsquo;ll be part of a work culture where collaboration is the norm and individuality is welcomed.</div><div></div><div><br>
As a member of our team, you&rsquo;ll have the power to make it happen. You&rsquo;ll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers&rsquo; lives.</div><div>
JOB SUMMARY:</div><div>
The Senior Director, Revenue Cycle Operations is responsible for the strategic leadership, performance, and optimization of the company&rsquo;s end‑to‑end revenue cycle, ensuring accurate, compliant, and timely reimbursement across Medicare, Medicaid, and commercial payers. This executive leader manages Billing &amp; Collections, claims management, denial management, accounts receivable, appeals, and revenue analytics. In the role they will implement continuous improvement processes, tools and ways of working.</div><div></div><div>
The role drives initiatives to enhance operational efficiency to accelerate cash collections, reduce revenue leakage, and build scalable processes to support the company&rsquo;s continued national growth. It ensures alignment between payer strategy and operational execution through close partnership with Finance, Technology, Funding Operations, and Payer Strategy.</div><div></div><div>
The Senior Director drives a culture of accountability, operational excellence, innovation, and continuous improvement while developing high‑performing teams across all revenue cycle functions.</div><div></div><div>
KEY RESPONSIBILITIES:</div><div>
Strategic &amp; Operational Leadership</div><ul><li>
Establish and execute a clear North America revenue cycle strategy with defined KPIs, milestones, and deliverables.</li><li>
Billing &amp; Collections, and all downstream revenue cycle activities.</li><li>
Drive execution of growth and efficiency targets, ensuring alignment with corporate goals.</li><li>
Foster a culture of accountability, ownership, performance, and continuous improvement.</li><li>
Lead recruitment, coaching, and development of directors and revenue cycle leadership.</li></ul><div></div><div>
Core Revenue Cycle Oversight</div><ul><li>
Provide executive oversight of:<ul><li>
Claims billing and submission</li><li>
Payer billing compliance</li><li>
Denial management and appeals</li><li>
Accounts receivable and cash collections</li><li>
Revenue reporting and analytics</li></ul></li><li>
Ensure efficient, compliant operations that maximize reimbursement and reduce revenue leakage.</li></ul><div></div><div>
Billing Accuracy &amp; Reimbursement Optimization</div><ul><li>
Improve clean claim submission rates and reduce claim errors/rework.</li><li>
Ensure proper coding, documentation, and adherence to payer requirements.</li><li>
Strengthen processes that optimize first‑pass acceptance rates.</li></ul><div></div><div>
Denial Prevention &amp; Resolution</div><ul><li>
Lead root‑cause analysis and operational improvements to reduce denials.</li><li>
Develop strategies for appeals, escalation, and collaboration with Payer Strategy.</li><li>
Address systemic payer issues through data‑driven insights.</li></ul><div></div><div>
Revenue Integrity &amp; Compliance</div><ul><li>
Ensure compliance with Medicare, Medicaid, and commercial payer rules governing DME reimbursement.</li><li>
Maintain audit readiness and oversee internal/external audit support.</li><li>
Ensure documentation, authorization, and billing requirements are consistently met.</li><li>
Monitor regulatory changes and risks impacting reimbursement.</li></ul><div></div><div>
Funding &amp; Order-to-Cash Integration</div><ul><li>
Partner closely with Funding leadership, and Payer Strategy to optimize processes across the Order‑to‑Cash lifecycle.</li><li>
Ensure consistency across zones, teams, and operational workflows.</li></ul><div></div><div>
Revenue Analytics &amp; Performance Management</div><ul><li>
Lead the development of revenue cycle reporting for executive use.</li><li>
Provide insights into:<ul><li>
Productivity of team</li><li>
Billing productivity</li><li>
AR aging and performance</li><li>
Denial and reimbursement trends</li><li>
Payer‑specific performance</li></ul></li><li>
Use analytics to identify operational gaps and drive improvement initiatives.</li></ul><div></div><div>
Technology &amp; Process Improvement</div><ul><li>
Partner with Technology and Data teams to optimize revenue cycle systems.</li><li>
Drive automation of billing, authorization, and claims workflows.</li><li>
Improve reporting, dashboards, and integration with operational platforms.</li><li>
Champion innovation and future‑proof tools, processes, and systems.</li></ul><div></div><div>
Key Performance Indicators (KPIs)</div><div>
Success in this role is measured through:</div><ul><li>
Days Sales Outstanding (DSO)</li><li>
Clean Claim Rate</li><li>
First‑Pass Acceptance Rate</li><li>
Denial Rate by Payer</li><li>
Net Collection Rate</li><li>
Appeals rate vs Revenue</li><li>
AR Aging (particularly &gt;90‑day reduction)</li><li>
Funding process compliance &amp; efficiency</li><li>
Achievement of OKRs across all revenue cycle teams</li></ul><div></div><div>
MINIMUM QUALIFICATIONS:</div><div>
Education &amp; Experience</div><ul><li>
Bachelor&rsquo;s degree in Business Administration or related field, or equivalent experience.</li><li>
10+ years of leadership experience in healthcare revenue cycle operations.</li><li>
Experience in DME, home medical equipment, healthcare services, or healthcare technology.</li><li>
Deep understanding of Medicare, Medicaid, and commercial payer reimbursement.</li><li>
Proven success scaling revenue operations in high‑growth healthcare organizations.</li></ul><div>
Leadership Competencies</div><ul><li>
Visionary strategic leader who sets clear direction and motivates teams.</li><li>
Resilient and able to persevere through challenges while maintaining long‑term focus.</li><li>
Decisive decision‑maker with strong judgment.</li><li>
Influential communicator skilled at aligning stakeholders across functions.</li><li>
Strong interpersonal, presentation, collaboration, and executive communication skills.</li></ul><div>
Technical Skills</div><ul><li>
Strong technical proficiency with MS Office, Teams/Zoom, Teams/Zoom Excel, PowerPoint, and revenue cycle systems is required.</li></ul><div></div><div>
WORK ENVIRONMENT REQUIREMENTS:</div><ul><li>
Primarily based in the Pittsburgh office two to three days each week.</li><li>
Primarily desk‑based role with low/moderate noise level.</li><li>
Occasional domestic and international travel up to 10% may be required.</li></ul><div>
Apply today!</div><div></div><div>
We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we&rsquo;d love to hear from you.</div><div></div><div>
Where we stand:</div><div></div><div>
We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger.</div><div></div><div>
Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.</div><div></div><div><br>
Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled</div></div>

Senior Director, Revenue Cycle Operations

Central Coast Orthopedics

<p><b>About Central Coast Orthopedic Medical Group </b></p><p>Central Coast Orthopedic Medical Group is a leading orthopedic practice serving the Central Coast. Our skilled physicians and staff deliver exceptional care and advanced treatments in a collaborative and supportive environment that values professionalism and growth.</p><p><b>Position Summary </b></p><p>The Revenue Cycle Manager (RCM) oversees all financial processes related to patient revenue for a busy orthopedic medical group. This role ensures timely and accurate billing, coding, claims processing, reimbursement, and collections. The RCM is responsible for optimizing revenue cycle operations, improving cash flow, ensuring regulatory compliance, and collaborating with clinical and administrative teams to support a seamless patient financial experience.</p><p><b>Key Responsibilities </b></p><p>Revenue Cycle Oversight</p><ul><li>Manage all end-to-end revenue cycle functions, including patient registration, insurance verification, coding, charge entry, billing, payment posting, A/R management, and collections.</li><li>Develop, implement, and monitor processes that improve clean claim rates and reduce denials.</li><li>Analyze financial performance metrics such as days in A/R, denial rates, collection rates, and net revenue recovery.</li></ul><p>Coding &amp; Compliance</p><ul><li>Ensure accurate orthopedic coding (ICD-10, CPT, HCPCS) and documentation in alignment with payer policies and regulatory requirements.</li><li>Partner with providers to ensure complete and compliant clinical documentation.</li><li>Oversee internal audits to reduce risk and optimize reimbursement.</li></ul><p>Staff Leadership</p><ul><li>Lead, train, and mentor revenue cycle staff, including billing specialists, coders, and front-office team members.</li><li>Set clear performance metrics and conduct regular performance evaluations.</li><li>Create a collaborative environment focused on accuracy, accountability, and continuous improvement.</li></ul><p>Payer &amp; Financial Management</p><ul><li>Serve as primary liaison with insurance carriers to resolve complex billing issues and negotiate reimbursement when appropriate.</li><li>Monitor payer policy changes specific to orthopedics (e.g., prior authorizations, surgical bundling, implants).</li><li>Work with leadership to develop financial forecasts, revenue projections, and budget planning.</li><li>Act as a Liason for patients with billing questions</li></ul><p>Operational Improvement</p><ul><li>Identify workflow bottlenecks and implement process enhancements using KPIs and data-driven decision-making.</li><li>Lead initiatives to improve patient collections, including transparent billing practices and payment plan programs.</li><li>Ensure the practice&rsquo;s EHR and practice management systems are optimized for orthopedic workflows.</li></ul><p>Regulatory &amp; Policy Compliance</p><ul><li>Maintain compliance with HIPAA, CMS, and commercial payer regulations.</li><li>Ensure adherence to orthopedic-specific billing rules, including global surgical periods and procedure-specific billing guidelines.</li></ul><p><b>Qualifications </b></p><p><b>Required</b></p><ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).</li><li>3&ndash;5+ years of revenue cycle management experience in a specialty or multi-specialty medical group.</li><li>Strong knowledge of orthopedic billing and coding guidelines.</li><li>Proven leadership experience.</li><li>Proficiency with EHR and practice management systems (ModMed, Epic, Athenahealth, NextGen, eClinicalWorks, or similar).</li></ul><p><b>Preferred</b></p><ul><li>Certified Professional Coder (CPC), Certified Professional Biller (CPB), or similar certification.</li><li>Experience with value-based care programs and orthopedic-specific reimbursement models.</li><li>Familiarity with workers&rsquo; compensation and personal injury billing processes.</li></ul><p><b>Work Environment </b></p><ul><li>Office-based with standard business hours, fully on-site</li><li>Occasional travel to clinics</li><li>Join a team that values collaboration, integrity, and excellence in patient care. Apply today to make a meaningful impact at Central Coast Orthopedic Medical Group</li></ul><p>Job Type: Full-time</p><p>Pay: $80,000.00 - $120,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>Revenue Cycle Management: 3 years (Required)</li></ul><p>Work Location: In person</p>

Backpack Healthcare

<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><h2 class="jobSectionHeader"><b>Sr. Revenue Cycle Manager</b></h2>
<p><b>
Location:</b> Remote<br>
<b>Department:</b> Finance<br>
<b>Reports to:</b> VP Finance</p>
<p><b>
Compensation: </b>$80,000/year</p>
<p></p>
<h3 class="jobSectionHeader"><b>Build the Revenue Engine Behind Mission-Driven Care</b></h3>
<p>
Backpack Medical Group is seeking an experienced <b>Sr. Revenue Cycle Manager</b> to lead and operationalize our end-to-end revenue cycle across a multi-state behavioral health organization.</p>
<p>
This is a high-impact leadership role responsible for stabilizing, strengthening, and scaling billing operations that support care delivery to underserved Medicaid populations.</p>
<p>
You will directly manage a team of 3&ndash;4 billing specialists and take full ownership of billing operations &mdash; from patient intake through claim resolution, posting, and collections.</p>
<p><b>
Mandatory Requirement:</b> Advanced experience with eClinicalWorks (ECW)<br>
<b>Strongly Preferred:</b> Behavioral health and Medicaid experience &amp; Lean Six Sigma Certification</p>
<p></p>
<h2 class="jobSectionHeader"><b>What You'll Accomplish in the First 60 Days</b></h2>
<p>
You'll immediately focus on stabilizing and strengthening our revenue cycle infrastructure by:</p>
<ul>
<li><p>Stabilizing urgent revenue cycle gaps</p>
</li>
<li><p>Building foundational reporting infrastructure</p>
</li>
<li><p>Correcting system mappings and configuration issues</p>
</li>
<li><p>Implementing controls to eliminate:</p>
<ul>
<li><p>Aged claims</p>
</li>
<li><p>Posting errors</p>
</li>
<li><p>Patient and payer balance backlogs</p>
</li>
</ul></li></ul><p>This role is both strategic and hands-on &mdash; ideal for someone who thrives on fixing broken processes and building scalable systems.</p>
<p></p>
<h2 class="jobSectionHeader"><b>Ideal Candidate Profile</b></h2>
<p>
We're looking for a leader who is:</p>
<ul>
<li><p>A systems thinker who can stabilize complex workflows</p>
</li>
<li><p>Hands-on (not purely strategic)</p>
</li>
<li><p>Comfortable repairing inefficient or broken processes</p>
</li>
<li><p>Data-driven and audit-oriented</p>
</li>
<li><p>Highly organized and detail-obsessed</p>
</li>
<li><p>A strong communicator across finance, clinical, and technical teams</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Purpose of the Role</b></h2>
<p>
This performance agreement outlines expectations and success metrics for the Sr. Revenue Cycle Manager/ Director at Backpack Medical Group.</p>
<p>
This role is critical to:</p>
<ul>
<li><p>Strengthening billing infrastructure</p>
</li>
<li><p>Improving collections performance</p>
</li>
<li><p>Accelerating cash flow</p>
</li>
<li><p>Standardizing revenue cycle operations</p>
</li>
<li><p>Supporting scalable behavioral health services for underserved Medicaid populations</p>
</li>
</ul><p>You will be accountable for end-to-end revenue cycle performance, team leadership, process standardization, and cash acceleration &mdash; directly aligning billing performance with organizational growth and mission delivery.</p>
<p></p>
<h1 class="jobSectionHeader"><b>Scope of Responsibilities</b></h1>
<h2 class="jobSectionHeader"><b>Revenue Cycle Oversight</b></h2>
<p>
Provide operational ownership across the full billing lifecycle, including:</p>
<ul>
<li><p>Eligibility and prior authorization verification</p>
</li>
<li><p>Claim creation, transfer, and submission through <b>eClinicalWorks (ECW)</b></p>
</li>
<li><p>Payment posting, reconciliation, and deposit tracking</p>
</li>
<li><p>Patient balance follow-up and payer balance resolution</p>
</li>
<li><p>Denial management and aged accounts recovery</p>
</li>
</ul><p>Ensure billing compliance across:</p>
<ul>
<li><p>Credentialing status</p>
</li>
<li><p>Supervision requirements</p>
</li>
<li><p>CPT / ICD / POS combinations</p>
</li>
<li><p>Fee schedule mapping</p>
</li>
<li><p>Payer contract terms</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Team Leadership &amp; Operational Management</b></h2>
<ul>
<li><p>Directly supervise and lead 3&ndash;4 billing specialists</p>
</li>
<li><p>Maintain productivity standards, quality audits, and KPI accountability</p>
</li>
<li><p>Develop and document SOPs and internal controls</p>
</li>
<li><p>Manage billing ticket prioritization to ensure timely responses to internal and external inquiries</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Immediate Infrastructure &amp; Stabilization (First 60 Days) ️</b></h2>
<p>
Lead development and operationalization of key infrastructure:</p>
<ul>
<li><p>Validate payer data across systems</p>
</li>
<li><p>Identify and correct posting errors</p>
</li>
<li><p>Lead team through existing Claim Denial Projects</p>
</li>
<li><p>Establish payer portal access across all payers</p>
</li>
<li><p>Conduct internal systems review and adjust settings:</p>
<ul>
<li><p>Validate and correct supervision mappings</p>
</li>
<li><p>Confirm POS, payer ID, and fee schedule crosswalk accuracy</p>
</li>
<li><p>Resolve over-applied postings</p>
</li>
</ul></li></ul><p></p><h2 class="jobSectionHeader"><b>Claims Management &amp; Compliance ✅</b></h2>
<ul>
<li><p>Ensure timely claim submission</p>
</li>
<li><p>Validate coding combinations and billing readiness criteria</p>
</li>
<li><p>Track denials with documented root-cause analysis</p>
</li>
<li><p>Coordinate corrective actions across departments to prevent recurrence</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Payment Posting &amp; Reconciliation Oversight</b></h2>
<ul>
<li><p>Cross-check bank deposits and patient payments for posting accuracy</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Patient &amp; Payer Balance Resolution</b></h2>
<ul>
<li><p>Monitor patient statement generation and notification workflows</p>
</li>
<li><p>Coordinate balance resolution and write-off processes consistent with policy</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Credentialing &amp; Provider Lifecycle Alignment</b></h2>
<ul>
<li><p>Partner with Credentialing, HR, and Clinical leadership to confirm provider readiness prior to billing</p>
</li>
<li><p>Track supervision changes and effective dates</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Reporting, Analytics &amp; Strategic Initiatives</b></h2>
<ul>
<li><p>Monitor A/R aging, denial trends, posting lag, and clean claim performance</p>
</li>
<li><p>Lead targeted initiatives to reduce aged payer and patient balances</p>
</li>
<li><p>Participate in strategic billing initiatives including reimbursement testing and workflow optimization</p>
</li>
</ul><p></p><h1 class="jobSectionHeader"><b>Qualifications</b></h1>
<h2 class="jobSectionHeader"><b>Soft Skills</b></h2>
<ul>
<li><p>Investigative mindset with strong root-cause problem-solving ability</p>
</li>
<li><p>Proven leadership capability with direct team management</p>
</li>
<li><p>Excellent cross-functional communication and stakeholder alignment</p>
</li>
<li><p>Results-oriented and data-driven decision maker</p>
</li>
<li><p>Mission-aligned with improving access to care for underserved populations ❤️</p>
</li>
<li><p>Long-term partnership orientation and commitment to organizational growth</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Hard Skills</b></h2>
<ul>
<li><p>Advanced <b>eClinicalWorks (ECW)</b> billing experience (mandatory)</p>
</li>
<li><p>MS Excel reporting proficiency (mandatory)</p>
</li>
<li><p>Payment posting expertise</p>
</li>
<li><p>Denial management and A/R recovery experience</p>
</li>
<li><p>Familiarity with Waystar, Availity, payer portals, and payment platforms</p>
</li>
<li><p>Strong CPT / ICD / POS validation knowledge</p>
</li>
<li><p>5+ years of healthcare revenue cycle leadership experience with direct reports</p>
</li>
<li><p>Behavioral health billing and Medicaid experience (preferred)</p>
</li>
</ul><p></p><h3 class="jobSectionHeader"><b>Why This Role Matters</b></h3>
<p>
This is more than a billing leadership role &mdash; it's an opportunity to build operational excellence that directly expands access to behavioral health services.</p>
<p>
If you're a hands-on revenue cycle leader who thrives in complexity and wants to create scalable systems that support mission-driven care, we'd love to hear from you.</p></div></div><br>
</div>
</div></div></div></div></div></div></div></div></div></div></div></div></div><div></div><p><b>Backpack Health is an Equal Opportunity Employer. We believe that the strength of our care depends on the diversity and wellbeing of our team. We celebrate differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other traits that make each person unique. We welcome and encourage diverse candidates to apply for any position for which they are qualified and to bring their unique perspectives, experiences, and talents to our team.</b></p>
<p><b>
Backpack Health is an Equal Opportunity Employer. We believe that the strength of our care depends on the diversity and wellbeing of our team. We celebrate differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other traits that make each person unique. We welcome and encourage diverse candidates to apply for any position for which they are qualified and to bring their unique perspectives, experiences, and talents to our team.</b></p></div>

Sr. Revenue Cycle Manager

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