Director, Revenue Cycle Management

National Vision•Duluth, GA

About The Position

This role is responsible for optimizing and managing the entire revenue lifecycle across our retail brands, including billing, collections, reconciliations, and reporting. This role will lead a team accountable for vision insurance plan and billing setup, application of insurance benefits in point-of-sale system, claims submission, payment posting, denial management, and payer operations. The ideal candidate blends deep managed vision care and RCM expertise with strong analytical ability, cross-functional leadership, and a passion for improving processes in a fast-paced retail healthcare environment. This leader will partner closely with Finance, Accounting, IT, and Operations teams to achieve their goals.

Requirements

9+ years of experience in managed vision care or optical revenue cycle management, including leadership of multi-functional RCM teams (required).
Several years in a management role (required).
Four-year college degree or equivalent experience. Bachelor’s degree in Accounting, Finance, Business Administration, or Healthcare Administration (Managed Care) (required).
Demonstrated experience implementing RCM technologies, workflow automation, and process redesign (required).
Proven ability in analytical and critical thinking to integrate complex data sources, evaluate both qualitative and quantitative information, and identify patterns and trends, enabling the development of actionable recommendations that drive measurable improvements in performance and support effective organizational transformation (required).
Strong knowledge of managed vision care, healthcare or retail revenue cycle processes, billing systems, and financial reporting (required).
General understanding of finance and accounting processes, insurance regulatory compliance, and HR management of non-exempt employees (required).
Strong analytical, communication, and leadership skills (required).
Ability to collaborate with team members and counterparts to understand impacts to upstream and downstream business processes, address challenges, adapt implementation methodologies, and ensure alignment with business objectives (required).

Nice To Haves

Master's Degree MBA (preferred).
Ability to manage multiple complex workstreams (preferred).

Responsibilities

Develop and implement revenue cycle strategies aligned with organizational goals and financial objectives.
Own the full revenue lifecycle—from point of sale and billing through payer reimbursement and customer payments.
Lead and develop high-performing teams overseeing plan setup, billing, coding, claims, payment posting, and denials.
Build cross-functional relationships with Store Operations, Finance, Merchandising, IT, and the rest of the Managed Care team to ensure end-to-end process integrity.
Contribute to cross-functional efforts to deliver excellent customer experiences through a consumer-centric mindset.
Serve as a subject matter expert on billing regulations, payer requirements, and revenue integrity.
Strengthen payor relationships to improve reimbursement timelines, reduce denials, and resolve systemic issues.
Ensure compliance with coding standards, payer policies, and state/federal regulations.
Direct end-to-end revenue cycle operations, including claims processing, payment posting, collections, denial management, and rebilling.
Monitor pricing, plan setup, coding accuracy, charge capture, and documentation compliance for all products and services.
Maximize revenue through the accurate and complete capture of all charges.
Identify root causes of revenue leakage and implement solutions to improve accuracy and speed of reimbursement.
Oversee reconciliation of revenue accounts and investigate variances between billing and payments.
Ensures effective and timely denial management and appeals.
Partner with IT and product teams to enhance POS and RCM technology capabilities.
Lead continuous improvement efforts, creating scalable SOPs and leveraging automation where possible.
Maintains current knowledge regarding payer requirements and policies, ensures system updates are completed accordingly, and keeps the team informed and updated regarding changes and requirements.
Maintain accurate financial documentation for audits and regulatory reporting and compliance.
Ensures an accurate and timely month-end close process.
Ensure adherence to GAAP, managed care regulations, and other payor-specific requirements.
Implement and monitor internal controls to safeguard revenue processes.
Develop dashboards that provide visibility into billing cycle performance (e.g., coding error rates, billing turnaround times, collection rates, etc.).
Partner with Finance and Accounting to ensure accurate revenue recognition and forecasting.
Provide strategic analysis and interpretation of critical revenue cycle data, identifying process improvement opportunities and monitoring performance against targets.
Conduct risk assessments to achieve KPI targets, report identified risks to senior management, and provide strategic recommendations for mitigation.
Provide actionable insights to senior leadership through trend analysis and forecasting.
Develop and implement programs and work plans to increase team accuracy, efficiency, and effectiveness and ensure delivery of industry-level KPIs.
Attract, retain and develop top RCM talent.
Establish clear goals, accountability and professional development plans.
Foster a culture of continuous improvement, operational excellence and customer-centricity.