Revenue Cycle Director

Orthodontic Experts Management LLC•Des Plaines, IL

1d•$120,000 - $135,000•Onsite

About The Position

The Director of Revenue Cycle strategically leads, plans, and optimizes multi-site billing and collection operations for a growing orthodontic organization. The role oversees centralized revenue cycle management functions, including insurance credentialing, electronic claims submission, payment posting, and accounts receivable follow-up across affiliated practice locations. It requires strong managerial, leadership, and critical-thinking skills, along with deep knowledge of dental and medical coding compliance, PPO and Medicaid payer contracts, and the operational needs of new office transitions and acquisitions. The Director partners with operational and executive leaders to support organizational growth, profitability, and operational excellence. The role monitors performance and reimbursement trends, improves revenue cycle workflows and technology, ensures compliance and revenue integrity, and leads the development and performance of revenue cycle teams. The position is fully onsite, based at 1700 W Higgins Rd, Suite 320, Des Plaines, IL 60018, and is scheduled Monday through Friday, 8:00 AM to 5:00 PM, with flexibility required.

Requirements

Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or a related field.
Minimum of 5–7 years of progressive experience in healthcare dental billing or revenue cycle management, including at least 3 years in a Director or high-level managerial capacity within a multi-site DSO, OSO, or medical group.
Advanced knowledge of dental practice management software, such as Ortho2, and clearinghouses.
Deep expertise in CDT coding, insurance verification loops, PPO coordination of benefits (COB), and Medicaid managed care plans.
Advanced Microsoft Excel capability, including VLOOKUPs and Pivot Tables, to synthesize billing data into actionable reports.
Strong cross-departmental communication capabilities and a proven track record of managing scaling operations during corporate growth.

Nice To Haves

Master’s degree or MBA in Healthcare Administration or Finance.
Certified Revenue Cycle Executive (CRCE), Certified Professional Coder (CPC), or Certified Medical Coder (CMC) designation.
Direct experience managing orthodontic ledger structures, including auto-debits, recurring payment contracts, and insurance banding drops.

Responsibilities

Direct and oversee centralized billing, collections, insurance verification, credentialing, payment posting, and related revenue cycle functions.
Partner with operations and executive leadership to develop and execute revenue cycle strategies supporting growth, profitability, and operational excellence.
Provide regular reporting and analysis on revenue cycle performance, reimbursement trends, financial risks, and improvement opportunities.
Serve as the primary liaison between Revenue Cycle, Finance, Operations, Clinical Leadership, and Executive Leadership.
Provide revenue cycle leadership and support during onboarding and integration of newly affiliated practices.
Establish, monitor, and report key performance indicators, including collections, denial rates, aging accounts receivable, delinquency, reimbursement performance, and cash flow.
Analyze payer contracts, reimbursement methodologies, and financial performance, and recommend actions regarding contract viability, network participation, and revenue optimization.
Direct denial management, appeals, underpayment recovery, and reimbursement issue resolution.
Monitor payer policies, reimbursement changes, and industry trends, addressing risks and opportunities affecting revenue.
Drive process improvements, automation initiatives, and technology enhancements across the revenue cycle.
Oversee patient payment plan compliance and patient and insurance refund processes.
Ensure compliance with payer contracts, federal and state regulations, organizational policies, and industry best practices.
Oversee internal audits, quality assurance reviews, and corrective action initiatives to maintain billing accuracy, compliance, and revenue integrity.
Monitor payer and regulatory changes and ensure timely communication and implementation.
Oversee provider credentialing, recredentialing, and payer enrollment activities.
Serve as the escalation point for complex payer disputes, reimbursement issues, and contract interpretation matters.
Lead recruitment, onboarding, development, and retention of billing leaders and revenue cycle staff.
Coach and mentor employees, manage performance, and establish clear expectations and accountability standards.
Oversee staffing models, workload allocation, productivity standards, and outsourced or offshore revenue cycle resources.
Foster accountability, collaboration, continuous improvement, and high performance.
Develop succession planning, cross-training, and professional development initiatives.
Perform other duties as assigned.