Director of Revenue Cycle Management

AlignMed • UNAVAILABLE, PA

4d • Remote

About The Position

The Director of Revenue Cycle Management is a key leader responsible for optimizing the financial performance of the organization’s physician billing and revenue cycle operations. Acting as the primary liaison with the RCM vendor, the Director provides strategic oversight of revenue cycle activities and works with internal and external stakeholders to maximize collections, improve operational efficiency, and ensure timely, accurate reimbursement.

The role leads complex, multi-state revenue cycle operations for a provider organization, with a focus on physician billing, payer relationships, credentialing, and regulatory requirements. It also supports the establishment and expansion of operations in new states. The Director serves as an Authorized Official with appropriate signatory authority on behalf of the organization.

The position is remote. AlignMed Partners is a national medical group serving residents of skilled nursing and senior living facilities. Its physicians, nurse practitioners, and physician assistants are supported by a clinical leadership team with extensive post-acute and long-term care experience. The organization’s mission is to elevate healthcare outcomes for patients, providers, and partners.

Requirements

• 8 to 10 years of senior-level Revenue Cycle Management (RCM) experience in healthcare operations.
• Proven experience managing RCM for a multi-state remote physician practice or provider group, rather than experience limited to basic coding or billing tasks.
• Demonstrated success serving as an Authorized Official with signatory authority.
• Direct experience establishing new TINs and managing credentialing setups across multiple states.
• Deep understanding of CMS accounts, Medicare billing eligibility, and credentialing standards.
• Strong track record managing and scaling internal credentialing specialists or billing staff.

Nice To Haves

• Prior experience in large competitor organizations.

Responsibilities

• Act as the primary liaison with the billing and collections partner to ensure communication, accountability, and performance tracking.
• Conduct comprehensive billing analyses to identify trends, mitigate collection declines, and optimize the collection lifecycle.
• Develop and execute solutions to maximize clean collections and reduce revenue leakage.
• Lead the creation and registration of new business entities and Taxpayer Identification Numbers (TINs) to facilitate expansion.
• Manage setup of new remote practice operations in expansion states, coordinating legal, regulatory, and financial compliance.
• Serve as an Authorized Official with signatory authority and manage CMS account provisioning.
• Direct day-to-day provider credentialing, provider enrollment, and credentialing database management.
• Inform co-leaders about relevant payer credentialing and enrollment updates, regulations, and standards.
• Ensure compliance with federal, state, and commercial payer regulations.
• Manage and expand the internal payer credentialing team, including Credentialing Specialists, to support projected growth of 50 to 100 new providers.
• Perform Office of Inspector General (OIG) database screenings and other background checks to verify candidate eligibility to bill Medicare and Medicaid.

Benefits

• Health, dental, and vision plans.
• 100% employer-paid ArmadaCare supplemental plan reimbursing many out-of-pocket medical, wellness, and pharmacy expenses, with up to $8,000 reimbursement for designated expenses and tiered pharmacy reimbursements for single and family plans.
• Paid time off, 6 paid holidays, paid sick time, and bereavement leave.
• Continuing Medical Education time off and reimbursement allotments.
• 401(k) plan.
• Company-paid group life insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed