Director Of Revenue Cycle Management (RCM)

Acuity Eye Group•Arcadia, CA

About The Position

The Director of Revenue Cycle Management oversees revenue cycle operations to support accurate billing, timely reimbursement, effective collections, and strong financial performance. The role leads teams, monitors results, resolves operational barriers, and ensures established processes are followed. The Director is accountable for collection goals, reduced aged accounts receivable and avoidable denials, timely billing and account resolution, accurate payment posting and patient balance processes, productive team performance, clear reporting, and measurable improvement plans. The position takes ownership of overall revenue cycle performance, identifies issues early, communicates openly with leadership, and ensures action plans are completed. Success is measured by financial results, operational efficiency, team performance, and consistent execution of established processes. This is primarily an office-classification position. The work environment has controlled temperatures, limited direct exposure to hazardous physical substances, and usually low-to-moderate noise. The role involves regular sitting, standing, walking, keyboarding, handling materials, reaching, seeing, talking, and hearing. It frequently involves lifting or carrying materials typically weighing less than 20 pounds and occasionally requires stooping, kneeling, bending, or crouching. Computer keyboard, calculator, and other standard office equipment are used. The employee must not engage in the practice of ophthalmology or interfere with the clinician-patient relationship; clinicians retain sole responsibility for professional services provided to patients.

Requirements

At least 8 years of healthcare revenue cycle experience, preferably in physician practice management.
Prior leadership experience overseeing billing, accounts receivable, collections, or multiple revenue cycle functions.
Strong knowledge of insurance billing, reimbursement, denials, appeals, and payer requirements.
Experience analyzing financial and operational reports and using data to improve performance.
Strong leadership, communication, organization, and problem-solving skills.
Ability to thrive in a dynamic team environment, adapt to changing priorities, and collaborate effectively to meet departmental goals.

Nice To Haves

Experience working with California-based insurance payers.
Experience with the Nextech Practice Management System and Electronic Medical Records (EMR).

Responsibilities

Oversee billing, insurance accounts receivable, denial management, payment posting, patient collections, and account resolution.
Ensure claims are submitted accurately and on time, and follow-up is completed before payer deadlines.
Monitor unbilled encounters, aging accounts receivable, denials, zero-pay claims, underpayments, and other revenue opportunities.
Develop and implement action plans to improve reimbursement and prevent avoidable revenue loss.
Manage and support revenue cycle managers and team leads, establishing clear ownership of daily operations.
Set performance expectations, productivity goals, and quality standards; review results and address performance gaps.
Coach, train, and support staff to improve accuracy, productivity, and consistency.
Ensure managers and team leads complete assigned action items and promptly communicate barriers.
Monitor key performance indicators, including collections, accounts receivable aging, denial rates, days in accounts receivable, and billing turnaround time.
Review trends, identify risks, and provide leadership with timely, accurate reporting.
Track progress against established goals and ensure corrective actions are completed.
Maintain consistent workflows, documented procedures, and appropriate controls across revenue cycle functions.
Partner with physicians, practice managers, IT, vendors, and other departments to resolve issues affecting reimbursement.
Ensure compliance with payer requirements, billing regulations, contractual obligations, and filing and appeal deadlines.
Identify system, workflow, and training issues and implement practical solutions.
Identify revenue cycle issues early, communicate openly with leadership, and ensure improvement action plans are completed.