RCM Manager or Director

Chestnut Health•Oak Brook, IL

1d•Onsite

About The Position

Chestnut Health is a high-growth, post-startup, provider-based healthcare organization headquartered in Oak Brook, IL. We deliver physiatry and rehabilitation services directly to patients in skilled nursing facilities (SNFs). We are growing quickly in Illinois and across multiple states, and we are building a leadership team that can scale that growth. We are at an exciting stage: big enough to have momentum, small enough that your work shapes the company. Leaders here roll up their sleeves, solve real problems, and then build the teams to carry the work forward. The Role Chestnut Health is looking for a revenue cycle leader to take ownership of our back-end revenue cycle as we expand. You will assess how revenue cycle operations work today, build the plan to strengthen them, and execute that plan yourself. As the company grows, you will build and lead the team around you. This is a hands-on role. You will start as an individual contributor, working daily in the details of A/R, denials, and payer relationships.

Requirements

7–10 years of healthcare revenue cycle experience, with a background in large-scale physician groups
Strong back-end RCM experience: A/R, denials and appeals, credentialing, and payer contracting
EMR implementation experience
Proven ability to work hands-on as an individual contributor and then lead a team
Data-driven, with strong reporting and analytical skills
Comfortable with startup culture, ambiguity, and fast-changing priorities
Bachelor's degree [or equivalent experience]

Nice To Haves

Skilled nursing facility (SNF) or rehab/post-acute RCM experience
Experience managing a large A/R portfolio across multiple sites or states
Familiarity with Medicare Part B, Medicare Administrative Contractor (MAC) rules, and commercial payers
Revenue cycle certification such as CRCR or CPC
Master's degree or MBA

Responsibilities

Assess current back-end revenue cycle processes and develop a plan to improve cash flow, reduce denials, and shorten A/R days
Own accounts receivable management, including follow-up, aging, and collections
Manage denials and appeals, identify root causes, and put prevention processes in place
Oversee provider credentialing and enrollment with payers
Lead payer contracting and ongoing payer relationships
Take part in EMR implementation, including workflow design, billing configuration, and testing
Build reporting and dashboards to track performance (days in A/R, denial rate, clean claim rate, net collection rate, cash collections)
Work closely with the Director of Operations & Finance and executive leadership on forecasting and revenue performance
Document policies and procedures, and ensure billing and coding compliance
Recruit, train, and lead a revenue cycle team as the organization grows