VP of Revenue Cycle Management

Aspire Allergy & Sinus•Austin, TX

3d•Onsite

About The Position

Our PATIENTS make us. Our VALUES guide us. Our CULTURE defines us. Our TEAM sets us apart. Aspire Allergy & Sinus are a group of highly experienced Allergists, surgeons, medical providers, and support teams. By redefining the allergy and sinus care model that is geared toward a better patient experience, we allow our specialists to do what they do best: diagnose and treat patients. We are headquartered in Austin, Texas and have over 65 clinic locations in Texas, Florida, Colorado, New Mexico, Arizona and we are still growing! We hope to have you join and grow with us at Aspire Allergy & Sinus family and continue to share our core values: Practicing precision everywhere, Sharing responsibility, Delivering a Memorable Experience and Exemplify Integrity! Who We Are Looking For? The VP, Revenue Cycle Management & Revenue Integrity is a senior executive leader responsible for the end-to-end performance of Aspire’s revenue cycle across all markets, service lines, and care settings. This role owns enterprise revenue integrity, cash collections, and revenue cycle contribution to EBITDA. This leader will drive a best-in-class, centralized revenue cycle function that supports a multi-state, high-growth specialty platform, with particular emphasis on biologics, in-office procedures (IOPs), and complex payer environments. The VP will partner closely with Finance, Operations, Credentialing, Compliance, and IT to ensure optimal reimbursement, scalable processes, and consistent execution across the organization. This position requires full-time onsite work in Austin, TX.

Requirements

10+ years of progressive experience in revenue cycle management within a healthcare organization
5+ years of leadership experience managing teams across multiple functions and/or locations
Experience in a multi-site or multi-state healthcare environment required
Strong knowledge of medical billing, coding, and payer regulations, including CMS guidelines
Advanced proficiency in Microsoft Excel and data analysis tools
Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s degree preferred
Deep understanding of end-to-end revenue cycle operations within a multi-site, multi-state healthcare organization
Strong expertise in payer reimbursement methodologies, including commercial, Medicare, Medicaid, Managed Medicaid, and Tricare
Advanced knowledge of specialty physician billing, including biologics (buy-and-bill), procedural services (ENT/allergy), and ancillary revenue streams
Demonstrated experience with NextGen EMR/EPM, Waystar, or comparable revenue cycle platforms, including system optimization and workflow automation
Strong analytical capabilities with the ability to interpret complex financial and operational data, identify trends, and drive performance improvements
Experience developing and managing enterprise-level KPI dashboards and reporting frameworks
Proven ability to lead denial management and revenue integrity initiatives, including root cause analysis and process redesign
Strong financial acumen, including understanding of NPSR, EBITDA impact, cost-to-collect, and revenue forecasting
Ability to operate effectively in a fast-paced, high-growth, private equity-backed environment
Excellent leadership, communication, and interpersonal skills, with the ability to influence cross-functional stakeholders
Strong project management and organizational skills, with the ability to manage multiple priorities and deadlines
High level of integrity, accountability, and commitment to confidentiality

Nice To Haves

Experience within a specialty physician practice (Allergy, ENT, ASC, or procedural-based care) strongly preferred
Demonstrated success in improving cash collections, reducing A/R days, and optimizing revenue cycle performance
Experience leading RCM transformation, centralization, or turnaround initiatives preferred
Proficiency with NextGen EMR/EPM, Waystar, or similar systems strongly preferred

Responsibilities

Accountable for the end-to-end performance of the revenue cycle, including front-end (patient access, eligibility, authorizations), mid-cycle (coding, charge capture), and back-end (billing, AR, denials, collections)
Direct oversight of all revenue cycle functions, including:
Credentialing provider and payer enrollment
Pre-certification and authorization processes
Charge capture and coding integrity
Payment posting and reconciliation
Accounts receivable and denial management
Financial counseling and patient collections
Own enterprise revenue performance, including Net Patient Service Revenue (NPSR), cash collections, and revenue cycle contribution to EBITDA
Lead revenue cycle operations across a multi-state platform, ensuring compliance with federal, state, and payer-specific regulations across all markets
Oversee revenue cycle performance for specialty services, including biologics (buy-and-bill), in-office procedures (IOPs), and ancillary services, ensuring accurate coding, documentation, and reimbursement optimization
Serve as executive owner of revenue cycle systems, including NextGen EMR/EPM and Waystar clearinghouse, driving system optimization, automation, and workflow efficiency
Establish and maintain a best-in-class KPI and analytics framework, including but not limited to:
Days in A/R
Net and Gross Collection Rates
Denial Rates and First Pass Resolution
Cash Collections per Day and per Visit
Cost to Collect
NPSR per Visit by Financial Class
Develop and deliver weekly, monthly, and executive-level reporting, including Board and lender-facing materials
Lead enterprise denial management strategy, including root cause analysis, prevention workflows, and payer escalation
Drive identification and recovery of underpayments and reimbursement variances across all payer classes
Partner with Finance, Operations, and Clinical leadership to identify opportunities to improve cash flow, reimbursement yield, and operational efficiency
Lead integration of acquired practices, including EMR transition, payer alignment, credentialing, and workflow standardization, with execution of 30-60-90 day stabilization plans
Support financial planning, including budgeting, forecasting, and revenue projections for new providers, service lines, and markets
Develop and implement a scalable Centralized Billing Office (CBO) model to support growth and operational consistency
Negotiate and support payer contracting initiatives, ensuring reimbursement terms are optimized and clearly modeled
Ensure compliance with all applicable federal and state regulations, payer guidelines, and coding standards
Build, lead, and develop a high-performing revenue cycle team, including hiring, training, performance management, and succession planning
Communicate effectively across all levels of the organization, proactively identifying risks and providing actionable solutions