Senior Director, Revenue Cycle Management (RCM)
About The Position
Ready to lead with impact and transform the healthcare experience behind the scenes? ActivStyle is seeking a strategic, results-driven leader to guide our Revenue Cycle Management function—where performance meets purpose. As a trusted provider of home-delivered medical supplies, ActivStyle empowers individuals to live with dignity, independence, and comfort. Behind every delivery is a seamless revenue cycle—and that's where you come in. We're looking for a visionary leader who thrives on solving complex challenges, driving measurable results, and making a meaningful impact in healthcare. In this critical leadership role, you'll drive strategic and operational excellence across billing, collections, and cash application functions—ensuring strong cash flow, improved rate to collect, reduced denials, and scalable, compliant processes. You'll play a key role in navigating complex payer environments including Medicaid, Managed Care Organizations (MCOs), and CHOW-related billing challenges while building a high-performing team and strengthening workflows. Leveraging technologies like Waystar, CarePro, and PowerBI, you'll bring data-driven insights and continuous improvement to every aspect of the revenue cycle.
Requirements
- 8–12+ years of progressive leadership experience in Revenue Cycle Management
- Strong experience in DME, healthcare services, or payer-driven environments
- Deep knowledge of Medicaid & MCO billing, denial management and appeals, and AR management and collections strategies
- Proven track record of improving cash collections, denial rates, and operational efficiency
- Experience navigating CHOW transitions or complex payer environments
- Results-Oriented: Drives measurable improvement in cash and AR performance
- Analytical: Uses data to identify trends, root causes, and opportunities
- Operational Excellence: Builds scalable, efficient workflows
- People Leadership: Develops high-performing teams with accountability
- Change Leadership: Able to lead through transformation and ambiguity
- Proficient computer skills and knowledge of Microsoft Office
- Ability to prioritize and manage multiple projects
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Nice To Haves
- Experience with systems such as Waystar, Brightree/CarePro or similar platforms
- Experience building offshore or third-party support models (e.g., AccuServe or similar)
- PowerBI or advanced data analytics experience
Responsibilities
- Own and improve key RCM metrics including Rate to Collect, Days Sales Outstanding (DSO), Denial Rate & Appeal Success Rate, and Cash Posting Timeliness & Accuracy
- Develop and execute strategies to optimize cash acceleration and AR quality
- Partner with Finance to ensure alignment between AR reporting, cash forecasting, and EBITDA impact
- Lead CHOW vs. Non-CHOW revenue cycle strategy to minimize disruption and protect timely filing
- Oversee all billing functions across Medicare, Medicaid, and MCO payers
- Ensure accurate claim submission aligned with DME compliance standards including documentation, authorization, and eligibility verification
- Drive standardization of workflows to reduce rework and front-end errors
- Partner with intake and operations to improve clean claim rate
- Build and implement a structured denial management program including root cause analysis by financial class and payer, work queues and ownership models, and appeal strategy and automation
- Lead collections strategy focused on timely filing adherence, high-dollar AR prioritization, and payer-specific follow-up strategies
- Establish performance expectations tied to collection effectiveness by financial class or payer
- Oversee all cash posting and reconciliation processes
- Ensure accurate and timely posting of ERA/EFT payments and manual payments and adjustments
- Partner with Finance to monitor negative AR balances and ensure clean reconciliation between subledger and GL
- Drive automation of remits and reduction of manual posting
- Lead, develop, and scale a multi-layered RCM organization across Billing, Collections, and Cash Applications
- Implement spans and layers aligned to performance accountability
- Establish clear productivity and quality expectations across teams
- Build incentive programs tied to collection outcomes and KPI performance
- Leverage systems such as Waystar (denials, analytics, automation) and CarePro (billing platform)
- Implement workflow optimization and automation initiatives to improve efficiency
- Drive data visibility through dashboards and reporting (daily/weekly/monthly)
- Partner with Operations (intake, documentation, fulfillment), Finance (cash forecasting, AR reporting), and IT (EDI, system integrations, automation)
- Align upstream and downstream processes to improve end-to-end revenue cycle performance
- Ensure adherence to DME billing regulations, payer-specific requirements, and internal audit standards
- Mitigate risk related to timely filing, documentation gaps, and billing errors
Benefits
- We are proud to be an equal opportunity workplace and an affirmative action employer.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
