VP of Revenue Cycle Management

Department: Revenue Cycle

Location: Austin, TX

Description

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.

What Will You Be Doing?

• 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
  
  
  

Skills, Knowledge and Expertise

• 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
  
  
  

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
• 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
• 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
  

Benefits:

• Medical, Dental and Vision Insurance
• Half-Day Fridays! - Enjoy an extended weekend
• Generous Paid Time Off and Paid Holidays One floating holiday
• Life Insurance
• 401(k) Generous Employer Match
• Employee Discounts on clinical treatments
• Gym Membership Discounts
• Reward Program
• ... AND MORE