Director, RCM

US Eye•University Park, FL
•Remote

About The Position

The Director of Revenue Cycle provides strategic leadership and oversight of end-to-end revenue cycle functions, including financial clearance, payer enrollment and credentialing, charge capture, coding, billing, collections, cash management, accounts receivable, denial management, and revenue integrity. The Director leads managers, supervisors, and frontline staff to integrate and optimize revenue cycle operations, maximize cash flow, ensure compliance, and support organizational goals. This role analyzes revenue cycle data, develops and implements policies and procedures, collaborates across departments, and drives continuous process improvements. It is a full-time remote position with typical hours of Monday through Friday, 8:00 A.M. to 5:00 P.M. Travel to the office may be necessary as needed.

Requirements

  • Bachelor’s degree in a related field, or equivalent healthcare revenue cycle experience in a leadership role.
  • A minimum of 5 years of healthcare revenue cycle leadership experience if qualifying through equivalent experience.
  • Exceptional verbal and written communication skills, including the ability to present complex information to executive leadership and cross-functional teams.
  • Organizational and leadership skills, including the ability to manage multiple priorities in a fast-paced environment.
  • Integrity, professionalism, confidentiality, and high ethical standards.
  • Expertise in organizational billing systems and related technology platforms.
  • Strong attention to detail, analytical skills, and problem-solving abilities.
  • Ability to drive change, improve processes, and deliver results across end-to-end revenue cycle functions.
  • Flexibility and adaptability to the evolving needs of the department and organization.
  • Ability to meet the physical demands described, including frequent standing, sitting, handling or feeling objects, reaching, and talking or hearing; occasional climbing or balancing, kneeling, and crouching; and lifting moderately heavy objects weighing 50–90 pounds.
  • Ability to travel between locations as necessary.

Responsibilities

  • Provide strategic direction and leadership for revenue cycle functions, including prior authorization, referrals, insurance verification, charge capture and reconciliation, coding, billing, cash management, accounts receivable, denial management, and revenue integrity.
  • Oversee daily revenue cycle operations and team performance to ensure accurate and efficient processing of patient billing and claims and to maximize collections and cash flow.
  • Analyze revenue cycle data, prepare and present reports, and identify trends and opportunities for performance improvement.
  • Identify and implement continuous process improvements, including workflow optimization, technology adoption, and compliance initiatives.
  • Develop, implement, and maintain revenue cycle policies and procedures, and ensure staff training and compliance with regulatory and organizational standards.
  • Supervise, mentor, and develop revenue cycle managers, supervisors, and staff; conduct performance evaluations and support professional development.
  • Ensure timely and accurate billing and claims submission, and oversee denial management and appeals to minimize revenue leakage.
  • Monitor and report on cash flow, key performance indicators, and outstanding accounts receivable; provide updates to leadership and stakeholders.
  • Collaborate with clinical, financial, and IT departments to optimize revenue cycle processes and support organizational objectives.
  • Implement and leverage technology solutions to improve revenue cycle performance, data accuracy, and workflow efficiency.
  • Resolve complex issues using analytical and problem-solving skills while ensuring compliance with federal, state, and payer requirements.
  • Lead or participate in cross-functional initiatives and projects as assigned.
  • Perform other duties as assigned.
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