Director, RCM Operations

XIFIN • Charleston, SC

17h • $128,000 - $168,000 • Onsite

About The Position

At XiFin, we help diagnostic providers, laboratories, and healthcare organizations strengthen their financial and operational performance so they can stay focused on one thing—patient care. The Director, RCM Operations, plays a pivotal role in ensuring customer success by overseeing the full revenue cycle for assigned accounts and ensuring optimal performance across both onshore and offshore operational teams. As XiFin’s subject matter expert in Revenue Cycle Management (RCM), you will lead continuous improvement initiatives, guide teams through operational challenges, and influence workflow and system optimization. This role requires strong leadership, operational excellence, and the ability to navigate and communicate effectively at all levels—internally and externally. This position will be located in one of our offices in either Charleston, SC, Dallas, TX, or San Diego, CA. US travel is expected for this role, no less than 25%. This position is not eligible for employment sponsorship now or in the future. Applicants must have current and ongoing authorization to work in the United States.

Requirements

• Think strategically while remaining deeply engaged in technical detail
• Are comfortable operating in fast-moving, complex environments and driving clarity where requirements are complex
• Demonstrate strong ownership and accountability for product outcomes
• Able to balance business priorities, technical constraints, and regulatory requirements in product decision-making
• Communicate effectively with both highly technical and non-technical audiences
• Bachelor’s degree in Business, Healthcare Management, Healthcare IT, or equivalent experience.
• 10+ years of revenue cycle operations experience, preferably in a high-volume or complex healthcare environment.
• Demonstrated expertise in RCM metrics, data analytics, and KPI reporting.
• Advanced proficiency in Microsoft Excel and strong working knowledge of other MS Office tools.
• Experience leading and developing multi-location teams (onshore/offshore).
• Proven ability to manage large volumes of cases, deadlines, operational escalations, and competing priorities.

Nice To Haves

• Experience supporting or collaborating with implementation teams on software onboarding or workflow design
• Healthcare technology experience (e.g., revenue cycle, diagnostics, interoperability, compliance) strongly preferred; Financial technology or other highly regulated SaaS experience considered a strong plus.

Responsibilities

• Lead and oversee end-to-end revenue cycle operations for assigned client accounts.
• Manage and monitor task completion for client software installations, ensuring smooth onboarding and implementation.
• Identify reimbursement issues quickly and drive timely resolution to support customer financial performance.
• Monitor, interpret, and communicate key customer success metrics and trends.
• Ensure adherence to billing compliance, regulatory standards, and customer reporting requirements.
• Complete client billing oversight and direct customer facing collaboration and partnerships.
• Act as the RCM subject matter expert to guide system configuration, workflow refinement, and approved operational adjustments.
• Trend errors, denials, and A/R aging to proactively identify opportunities for process improvement.
• Partner with cross-functional teams—including Product, Implementations, and Support—to ensure operational readiness and client satisfaction.
• Lead, mentor, and develop onshore and offshore operational teams to ensure a positive, productive, and high-performing environment.
• Establish, maintain, and report on KPIs; provide regular coaching and actionable feedback to staff.
• Promote a culture of accountability, collaboration, and continuous learning.
• Manage project risks and issues, including identifying, analyzing, tracking, escalating, and mitigating any items that may impact timelines or service delivery.
• Communicate proactively with internal teams and clients to ensure alignment and transparency.

Benefits

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future
• Health Savings Account (HSA) with company contributions
• Wellness incentives that reward your preventative healthcare activities
• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!

What This Job Offers

• Job Type: Full-time
• Career Level: Director