Director of Revenue Cycle

Alliance Residential Company•Grand Rapids, MI

7h•Hybrid

About The Position

The Director of Revenue Cycle is the enterprise owner of revenue cycle performance across all Alliance Physical Therapy Partners entities. This role exists to accelerate cash flow, reduce financial risk, and build a scalable, KPI‑driven revenue cycle organization capable of supporting sustained growth in excess of 20% annually. Success is defined by predictable cash performance, disciplined execution, transparency, and the development of a high‑performing, engaged revenue cycle team that scales alongside the business. The role has enterprise‑wide responsibility across 17+ states, supports 20,000+ weekly patient encounters, and leads centralized onshore, remote, and offshore teams. It serves as a core partner to Finance, Operations, Clinical Leadership, Growth, and M&A teams. The Director of Revenue Cycle is accountable for delivering outcomes such as reducing and sustaining Insurance DSO < 35 days, reducing and sustaining Patient DSO < 50 days, maintaining AR >120 days < 10%, limiting bad debt to < 2% of net revenue, achieving collections at or above 100% of net revenue, and improving forecast accuracy and predictability of cash timing. The role also involves optimizing end‑to‑end workflows across billing & charge capture, claims management & denial prevention, and patient statements & collections, leveraging technology, automation, analytics, and vendor partners to drive scale and efficiency. Furthermore, the Director will lead revenue cycle integration for acquisitions and de novos, anticipate capacity constraints and timing risks tied to growth, and ensure rapid stabilization and performance consistency post‑close. Finally, the position is responsible for leading and developing a geographically distributed workforce, building a culture of accountability, development, and engagement, achieving and sustaining Employee Net Promoter Score (eNPS) > 30, and developing succession, depth, and scalability within the RCM organization.

Requirements

10+ years of provider‑based healthcare revenue cycle experience
7+ years of people leadership experience
Proven experience managing remote and offshore teams
Strong knowledge of government and commercial payors
Demonstrated success leading RCM in a growth‑oriented organization
Builds scalable systems in complex, high‑growth environments
Anticipates downstream risks and capacity constraints
Deep understanding of revenue cycle economics and cash flow drivers
Uses data to drive performance, prioritization, and trade‑offs
Designs efficient workflows and leverages automation and analytics
Evaluates vendors and technology with a ROI mindset
Develops leaders, coaches performance, and drives accountability
Leads distributed and offshore teams effectively
Drives disciplined execution through clarity and communication
Leads transformation without disruption to cash performance
People First mentality
Operates with integrity, transparency, and accountability
Builds trust‑based relationships across the organization
Brings a strong work ethic and “get it done” mindset

Responsibilities

Work effectively and collaboratively with Executive Leadership to evolve and execute the RCM strategic plan, own enterprise revenue cycle strategy, execution, and results
Evaluate RCM organizational design, capacity models, and vendor performance
Drive continuous improvement through data‑driven decision making, maximizing productivity and efficiency
Ensure compliance with government and commercial payor requirements
Serve as the escalation point for revenue cycle risks and performance gaps
Responsibility ensuring adherence to all laws, regulations, policies, procedures, best practices relative to revenue cycle activities
Establish and maintain daily, weekly, monthly, and quarterly KPI rhythms
Ensure enterprise‑wide transparency into RCM performance
Clearly link individual and team performance to enterprise outcomes
Maintain full ownership of revenue cycle reporting integrity
Reduce and sustain Insurance DSO < 35 days
Reduce and sustain Patient DSO < 50 days
Maintain AR >120 days < 10%
Limit bad debt to < 2% of net revenue
Achieve collections at or above 100% of net revenue
Improve forecast accuracy and predictability of cash timing
Optimize end‑to‑end workflows across: Billing & charge capture, Claims management & denial prevention, Patient statements & collections
Leverage technology, automation, analytics, and vendor partners to drive scale and efficiency
Lead revenue cycle integration for acquisitions and de novos
Anticipate capacity constraints and timing risks tied to growth
Ensure rapid stabilization and performance consistency post‑close
Lead and develop a geographically distributed workforce
Build a culture of accountability, development, and engagement
Achieve and sustain Employee Net Promoter Score (eNPS) > 30
Develop succession, depth, and scalability within the RCM organization