Executive Director, RCM Operations

Dasco HME LLC•Westerville, OH

2d•Hybrid

About The Position

DASCO is seeking a strategic and results-driven Executive Director of Revenue Recovery to lead enterprise-wide efforts in optimizing cash flow, minimizing aged accounts receivable, and improving payer performance. This executive will oversee revenue cycle recovery operations including insurance and patient collections, denial resolution, cash application, refund processing, and vendor performance management. The Executive Director will play a key role in shaping strategy, guiding teams, and partnering with finance, operations, and compliance leaders to support DASCO’s mission of providing life-changing care through home medical equipment.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (Master’s preferred).
10+ years of experience in healthcare revenue cycle management, with 5+ years in senior leadership.
Deep understanding of DME/HME billing and payer dynamics, including Medicare, Medicaid, and commercial payers.
Proven success in reducing AR and improving recovery metrics in a complex, multi-state environment.
Strong command of denial management, payer rules, and compliance considerations (e.g., HIPAA, CMS).
Experience managing external RCM vendors and service-level agreements.
Exceptional leadership, communication, and problem-solving skills.

Nice To Haves

Familiarity with Brightree, Waystar, and payer portals.
Lean/Six Sigma or process improvement certification.
Experience with technology-enabled solutions such as RPA or AI in revenue cycle operations.

Responsibilities

Develop and execute a comprehensive revenue recovery strategy aligned with DASCO’s financial and service goals.
Lead initiatives to reduce AR aging and improve collection KPIs across payer types and lines of business.
Serve as an executive liaison with payers and key RCM vendors to escalate and resolve systemic issues impacting cash flow.
Direct and optimize the performance of all recovery-related functions, including:
Insurance AR follow-up
Denial management and appeals
Patient balance collections
Cash posting and reconciliation
Refund processing
Implement policies and best practices to ensure timely, accurate, and compliant cash collections.
Drive automation, workflow standardization, and system enhancements to reduce administrative burden and improve productivity.
Oversee third-party vendors supporting recovery operations, ensuring high accountability and ROI.
Lead contract negotiation and ongoing performance evaluation for RCM partners and mail vendors.
Analyze AR performance data, identify trends, and implement corrective action plans.
Lead root cause analysis on denials, underpayments, and operational breaks.
Report on recovery performance to executive leadership, highlighting risks and opportunities.
Build, lead, and coach a high-performing team of recovery professionals and mid-level managers.
Promote a culture of accountability, continuous improvement, and cross-functional collaboration.
Lead succession planning and talent development across recovery functions.