Director, Revenue Cycle

Marathon Health

5d•$120,000 - $160,000

About The Position

The Director of Revenue Cycle is a strategic leader responsible for overseeing the full spectrum of revenue cycle operations across Marathon Health’s national footprint. This role drives enterprise-wide financial performance, regulatory compliance, and operational excellence in billing, coding, claims management, collections, and payer relations. The Director will lead cross-functional initiatives to optimize revenue cycle workflows, enhance data transparency, and support scalable growth aligned with Marathon’s evolving business models. Reporting to senior leadership, the Director will serve as a key advisor on reimbursement strategy, payer contracting, coding practices, and financial forecasting. This role will also represent Marathon Health externally with clients, partners, and payers, and internally as a mentor and leader of high-performing teams.

Requirements

Bachelor’s degree required in Business, Healthcare Administration, or related field; Master’s degree preferred, and a minimum of 10 years progressive experience in healthcare revenue cycle management, including 5+ years in leadership roles, or equivalent combination of education and experience.
Proven success in leading enterprise-wide RCM initiatives and managing large, geographically dispersed teams.
Deep understanding of payer policies, coding standards (CPT, ICD-10), and regulatory compliance.
Experience with value-based care models, capitated arrangements, and telehealth billing.

Nice To Haves

Strong financial acumen and ability to interpret complex data sets.
Extensive experience with Electronic Health Record (EHR) systems is required; familiarity with Athena is strongly preferred.
Exceptional communication, negotiation, and stakeholder management skills.
Understands the importance of client and patient satisfaction and proactively addresses concerns related to billing, claims, and reimbursement.
Invests in team development, coaching, and succession planning to build a high-performing and engaged workforce.
Committed to continuous improvement, standardization, and best practices across all revenue cycle functions.
Uses analytics and performance metrics to guide decisions, identify opportunities, and measure success.
Able to translate organizational goals into actionable revenue cycle strategies that drive growth and efficiency.

Responsibilities

Operational Oversight
Oversee all aspects of billing, coding, claims submission, denial management, collections, and payment posting.
Ensure compliance with federal, state, and payer-specific regulations.
Monitor and improve KPIs such as denial rates, write-off’s, charge lag, time to cash and collection efficiency.
Lead enterprise-wide initiatives to modernize claims management, coding practices, and payer engagement.
Manage vendor(s) supporting revenue cycle operations, including EHR platforms and related services (e.g., support tickets, initiatives, updates, and performance tracking).
Cross-Functional Collaboration
Partner with Finance, Clinical Operations, Sales, Implementation, and Client Success to align revenue cycle processes with business needs.
Lead integration efforts for new clients and health plan models, including payer credentialing and claims setup.
Collaborate with IT and EMR teams to optimize system configurations and reporting capabilities.
Team Leadership & Development
Lead and mentor a team of managers, analysts, billing/coding specialists, and credentialing staff.
Foster a culture of accountability, continuous improvement, and professional development.
Client & Payer Engagement
Act as the primary revenue cycle contact for strategic clients and payer partners.
Support contract negotiations and reimbursement modeling for new business opportunities.
Lead client-facing discussions on claims performance, issue resolution, and optimization strategies.
Analytics & Reporting
Oversee development of dashboards and reporting tools to track performance and identify trends.
Present insights to operations leadership and support client relationships.
Drive data-informed decision-making across the organization.