Director of Revenue Cycle Management (RCM)

Positition Summary: The Director of Revenue Cycle Management (RCM) will lead and oversee the entire revenue cycle process, ensuring efficient billing, coding, collections, and payer relations. This individual will manage both domestic and international RCM teams, as well as our third-party EHR/RCM provider, to drive best practices, maximize reimbursements, and improve operational efficiencies. The Director will work closely with leadership, finance, and clinic operations teams to ensure seamless revenue cycle performance while maintaining compliance with all regulatory standards.

Key Responsibilities:

• RCM Leadership: Develop and implement a comprehensive revenue cycle strategy aligned with Allevio Care's financial and operational goals.
• Billing & Coding Oversight: Manage billing and coding operations, ensuring compliance with regulatory guidelines and optimizing reimbursement processes.
• Vendor & Partner Management: Act as the primary liaison with our third-party EHR/RCM provider, ensuring effective collaboration, issue resolution, and continuous improvement in system functionality.
• International Team Management: Oversee and coordinate the efforts of international billing and coding teams, ensuring efficiency, accuracy, and adherence to best practices.
• Revenue Optimization: Identify opportunities for revenue cycle improvements, including streamlining workflows, reducing denials, and enhancing collection processes.
• Compliance & Risk Management: Ensure all revenue cycle operations comply with federal and state regulations, payer requirements, and industry standards.
• Data-Driven Decision Making: Utilize key performance indicators (KPIs) and reporting tools to track revenue cycle performance, identify trends, and implement corrective actions.
• Cross-Department Collaboration: Work closely with clinic administrators, finance teams, and leadership to ensure a seamless revenue cycle and address operational challenges.

Qualifications:

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field
• Minimum of 7-10 years of experience in revenue cycle management, preferably in multi-location or specialty healthcare settings.
• Strong knowledge of medical billing, coding (CPT, ICD-10), payer contracts, and reimbursement methodologies.
• Experience managing third-party RCM vendors and international billing teams.
• Proven ability to analyze financial and operational data to drive performance improvements.
• Excellent leadership, communication, and problem-solving skills.
• Strong knowledge of regulatory compliance, including HIPAA, CMS, and payer policies.
• Proficiency in EHR/RCM systems (AdvancedMD experience a plus)