Director, Revenue Cycle

AccordCare & Family of Companies•Marietta, GA

About The Position

AccordCare is seeking a Director of Revenue Cycle Management to lead billing, collections, and reimbursement operations for our non-skilled home care service line. This role owns the full revenue cycle for our private pay, managed care, and Medicaid waiver / consumer-directed home care business — a book of business that runs alongside, but is distinct from, the separate RCM function supporting our skilled, Medicare-certified home health services. Reporting to the CFO, this is a hands-on leadership role for someone who can bring structure, accountability, and deep payer expertise to a growing multi-state platform.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field.
10+ years of progressive revenue cycle management experience, including 3+ years in a leadership role.
Deep, hands-on experience in non-skilled home care billing and collections (private pay, Medicaid waiver / consumer-directed, managed long-term care).
Hands-on experience with the AlayaCare EMR.
Multi-state or multi-site RCM experience.
Strong working knowledge of EVV compliance requirements.
Demonstrated ability to build, lead, and hold a team accountable to clear performance metrics.

Nice To Haves

Direct experience across the Georgia, Florida, and/or New York home care payer and regulatory environments.
Private equity-backed company experience.
Experience partnering with a NetSuite ERP environment.
A track record of building or turning around an RCM function through a period of transition.

Responsibilities

Own end-to-end revenue cycle performance for the non-skilled home care line of business across Georgia, Florida, and New York — spanning intake and authorization, billing, collections, and cash posting.
Lead and develop the home care billing and collections team, setting clear performance standards and holding the team accountable to them.
Drive the key RCM metrics that define a healthy revenue cycle: DSO, AR aging beyond 90 days, clean-claim rate, denial rate, and cash collections against expectation.
Manage billing and claims across the payer mix specific to non-skilled home care — private pay, Medicaid waiver and consumer-directed programs, managed long-term care (MLTC) plans, and other state-specific payer programs.
Serve as the primary RCM owner of the AlayaCare EMR for the home care service line, including visit verification, billing configuration, and claims-submission workflows.
Ensure accurate interfacing and reconciliation between AlayaCare and NetSuite (ERP) for revenue and cash posting.
Partner with intake, scheduling, and field operations to eliminate authorization gaps, visit-verification issues, and billing delays at the source.
Own denial management and appeals for home care payer requirements, identifying root causes and driving fixes upstream.
Maintain compliance with state-specific home care licensing, billing, and consumer-directed program requirements across GA, FL, and NY, including EVV (Electronic Visit Verification).
Partner with the CFO and FP&A on cash forecasting, reserve methodology, and monthly reporting related to home care revenue.
Coordinate with the home health RCM team on shared infrastructure and cross-training where the service lines intersect, while maintaining clear ownership of the non-skilled book of business.
Support system, workflow, and payer-contract improvements as the platform scales.