Director of Revenue Cycle

Luminary Hospice•Chicago, OH

9d•Remote

About The Position

Luminary Hospice is seeking a Director of Revenue Cycle to own the full revenue cycle for its growing, multi-state, multi-site hospice organization, from eligibility verification through final account resolution. This leader is accountable for ensuring the organization is paid accurately, compliantly, and on time. The role manages a third-party revenue cycle management (RCM) billing vendor, partners with local agencies to promote consistent best practices, and builds an operation that can scale as the organization adds locations, states, and payers. It is a hands-on position requiring detailed knowledge of hospice reimbursement and the ability to investigate individual accounts and identify root causes. The Director sets revenue cycle strategy, policies, staffing, and goals; manages performance and risk reporting to executive leadership; and oversees revenue cycle operations, vendor performance, local agency partnership, systems, processes, and team development. The role works with Finance on month-end close, reserves, cash forecasting, and Cap liability, while maintaining compliance with Hospice Conditions of Participation, CMS/MAC and state Medicaid rules, HIPAA, and internal policies. The position reports to the Vice President of Finance. Nashville, Tennessee is preferred, or the candidate may be located in market; the role is remote with light travel. Luminary Hospice describes itself as a mission-driven organization focused on compassionate, personalized end-of-life care that preserves dignity and supports patients, families, and caregivers.

Requirements

Bachelor's degree in healthcare administration, business, finance, or a related field, or equivalent experience.
10+ years of healthcare revenue cycle experience, including 5+ years in leadership.
Hospice revenue cycle experience is required.
Experience leading the full revenue cycle for a multi-site hospice organization, preferably across multiple states.
Expert knowledge of the Medicare Hospice Benefit and hospice billing, from eligibility and NOE through payment, denials, and final resolution.
Experience managing a third-party RCM or billing vendor through SLAs, scorecards, and audits.
Experience working with agency or field leadership to reduce claim holds and improve documentation.
Proven ability to build or turn around revenue cycle operations.
Strong analytical skills and a track record of leading teams through change and growth.

Nice To Haves

Master's degree in healthcare administration, business, or finance.
Experience with hospice acquisitions, de novo locations, or system conversions.
Experience with multiple MACs, state Medicaid programs, Hospice Cap, and medical review.
Experience with hospice EMRs (HCHB, WellSky, Axxess, MatrixCare) and revenue cycle automation.
Certification such as CHFP, CRCR, CHPCA, or CHPC.

Responsibilities

Own the full hospice revenue cycle across all sites and states, including KPIs such as cash, DSO, unbilled days, NOE timeliness, claim holds, denials, aging, and write-offs.
Set revenue cycle strategy, policies, staffing, and goals, and report performance and risks to executive leadership.
Lead eligibility and benefit verification, authorizations, and financial clearance for room and board and Medicaid-pending patients.
Own pre-billing audits and revenue integrity across levels of care, SIA, and rate maintenance.
Oversee NOE/NOTR filing, monthly claim submission, RTP correction, timely filing, payer follow-up, denials, and appeals for ADR, TPE, and other medical reviews.
Drive timely resolution of claim holds, including unsigned orders, missing CTIs or face-to-face encounters, NOE issues, and eligibility gaps.
Oversee payment posting, adjustments, recoupments, credit balances, refunds, and reconciliation of cash to bank deposits, remittances, and the general ledger.
Own Medicare and Medicaid enrollment for all provider numbers, Hospice Cap monitoring and reporting, and revenue cycle readiness for new sites and acquisitions.
Manage the third-party RCM billing vendor, including scope of work, SLAs, performance scorecards, and operating reviews.
Hold the vendor accountable for submission timeliness, follow-up, posting accuracy, backlog, and cash results; address and escalate performance gaps.
Maintain independent oversight through account-level audits and validation of vendor-reported metrics, and advise on contract terms and renewal.
Partner with local agency leaders to ensure revenue cycle best practices are followed consistently at every location.
Train agency teams on admission paperwork, election statements, CTI and face-to-face timeliness, orders, and documentation requirements.
Conduct regular agency reviews of claim holds, unbilled days, NOE timeliness, and denials, with clear ownership and follow-up.
Standardize workflows, SOPs, and controls across sites, and build dashboards that turn data into action.
Identify EMR and clearinghouse system and workflow gaps, and evaluate automation and AI opportunities responsibly.
Build and develop the revenue cycle team through clear expectations, coaching, and performance management.
Work with Finance on month-end close, reserves, cash forecasting, and Cap liability.
Maintain compliance with Hospice CoPs, CMS/MAC and state Medicaid rules, HIPAA, and internal policies.