RCM Director

Legacy Community Health•Houston, TX

2d•Hybrid

About The Position

At Legacy Community Health, you're not just joining a team; you're becoming a cherished member of our family. Here, your passion for healthcare meets a supportive environment where you can truly make a difference. As our new Director of Revenue Cycle Management, you will be at the forefront of ensuring our financial operations are not only efficient but also aligned with our core mission of delivering accessible healthcare to those who need it most. Role Highlights: You will oversee every facet of the revenue cycle, including patient access, billing, coding, and collections, ensuring a seamless process. Impact: Your work will directly support Legacy’s mission of providing accessible healthcare, making a tangible difference in the lives of our community. Collaboration: Engage with clinical, IT, and finance teams to enhance workflows, fostering a collaborative and innovative environment. Growth Opportunities: Take part in continuous development and mentorship programs, nurturing your team to achieve their highest potential. Work Environment: Thrive in a supportive, team-oriented atmosphere that values work-life balance and personal fulfillment.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s degree preferred.
Minimum of 7 years of progressive experience in revenue cycle management, with at least 3 years in a leadership role.
In-depth knowledge of medical billing, coding (CPT, ICD-10), payer regulations, and healthcare reimbursement methodologies.
Proficiency with electronic health records (EHR) and revenue cycle software systems; experience with eClinicalWorks (eCW) is a plus.
Strong analytical, leadership, and communication skills.

Nice To Haves

Experience in an FQHC or similar healthcare setting strongly preferred.
Master’s degree preferred.
Proficiency with electronic health records (EHR) and revenue cycle software systems; experience with eClinicalWorks (eCW) is a plus.

Responsibilities

Lead and manage the comprehensive revenue cycle process, ensuring every step from registration to collections is optimized.
Develop and implement innovative strategies to enhance revenue capture, minimize denials, and boost cash flow.
Ensure strict compliance with federal, state, and payer-specific regulations, including Medicaid, Medicare, and commercial insurance.
Collaborate closely with clinical, IT, and finance teams to streamline workflows and improve data integrity.
Monitor KPIs and provide insightful reports to executive leadership, driving informed decision-making.
Lead, mentor, and grow a high-performing RCM team, fostering a culture of accountability and continuous improvement.
Act as the primary liaison with third-party payers and external vendors, managing relationships and resolving reimbursement issues.
Oversee audits, manage payer relationships, and spearhead initiatives to address reimbursement challenges.