Revenue Cycle Operations Director

At Joint Relief Institute, we help patients avoid or delay surgery through advanced non-surgical treatment options for chronic joint pain.

As we continue to expand across the Chicagoland market, we are looking for a highly accountable Revenue Cycle Operations Director to build, optimize, and scale the financial operating systems that support our growth.

This is not a maintenance role. This is a performance improvement role.

We are looking for an operator who can identify problems, build process, create accountability, improve cash collections, reduce denials, and help create a world-class revenue cycle organization.

You will own the operational performance of the entire revenue cycle, including:

• Insurance verification
• Benefits investigation
• Prior authorizations
• Charge capture
• Coding workflows
• Claims submission
• Payment posting
• Denial management
• Appeals
• Accounts receivable
• Patient collections
• Vendor management
• Revenue cycle reporting

You will be expected to understand exactly where money enters the system, where revenue leaks occur, and what operational changes are necessary to improve performance.

Within your first 12 months:

• Denials decrease: You identify root causes and implement corrective actions.
• Cash collections improve: You accelerate payment velocity and reduce revenue leakage.
• AR aging improves: Old balances become actively managed and reduced.
• Authorization performance improves: Fewer patients fall out of the process due to operational failures.
• Operational visibility improves: Leadership can clearly see performance across the revenue cycle.
• Accountability improves: Every team member understands expectations, metrics, and ownership.

This role is highly operational.

You will spend your time:

• Reviewing KPIs
• Analyzing payer trends
• Investigating denials
• Managing vendor performance
• Improving workflows
• Auditing processes
• Building reporting
• Driving accountability
• Leading performance improvement initiatives

You should be comfortable moving between strategy discussions and detailed claim-level analysis in the same day.

Required:

• 5 years leading healthcare revenue cycle operations
• Strong Medicare experience
• Deep understanding of:
• Authorizations
• Eligibility verification
• Billing workflows
• Denials management
• Appeals
• AR follow-up
• Collections
• Experience managing vendors and/or offshore teams
• Strong analytical and reporting capabilities
• Proven history improving revenue cycle performance

Preferred:

• Orthopedic
• Musculoskeletal
• Pain management
• Interventional medicine
• Multi-site outpatient healthcare organizations

You might be a fit if:

✓ You enjoy solving operational problems.

✓ You naturally look for root causes instead of symptoms.

✓ You know how to build process and accountability.

✓ You are comfortable holding teams and vendors to performance standards.

✓ You use data to make decisions.

✓ You care about measurable outcomes.

✓ You can move quickly without sacrificing quality.

✓ You prefer fixing problems over talking about them.

This is not a purely strategic leadership role.

This is not a corporate executive position.

This is not a role for someone who wants to manage from a distance.

We are looking for a builder, operator, and problem solver who wants to have a direct impact on cash flow, operational performance, and company growth.

Chicagoland Area (In-Person)

Competitive base salary plus performance-based incentives tied to operational outcomes and revenue cycle performance.

If you’ve successfully improved collections, reduced denials, optimized authorizations, and built high-performing revenue cycle operations, we’d love to hear from you.