Director of Revenue Cycle Management

Company Overview
Our Danbury, CT–based organization is a growing provider of prescription only durable medical equipment (DME), serving patients and providers across 14 states. We specialize in post-surgical orthopedic, spine, pain management, and podiatry solutions, as well as advanced lymphedema therapy equipment supporting vascular, oncology, wound care, and lymphedema clinics. Our mission is to deliver high-quality products, exceptional service, and improved patient outcomes.

Position Summary
The Revenue Cycle Manager is responsible for overseeing and optimizing all aspects of the revenue cycle, from patient intake and insurance verification through billing, coding, collections, and coordination with our third-party billing partners. This role ensures accurate and timely reimbursement, regulatory compliance, and effective financial operations. The Manager will lead a six-member team of revenue cycle and administrative staff and work closely with operations to support high-quality service delivery and strong financial performance.

Key Responsibilities

Leadership & Department Management

• Manage daily operations of the billing and collections team, including staffing, training, performance management, and workflow oversight.
• Establish clear performance goals, KPIs, and quality standards for the department.
• Maintain and update departmental policies, procedures, and productivity benchmarks.
• Partner with senior leadership to identify and implement process improvements.

Revenue Cycle Operations

• Oversee patient intake, benefits verification, authorization requirements, billing, coding, collections, and payment posting.
• Ensure accurate adjudication and timely follow-up on claims across Commercial, Medicare, Workers’ Compensation, No-Fault, Out-of-Network, and TPA payers.
• Conduct proactive follow-up on denials, underpayments, and appeals to maximize reimbursement.
• Manage insurance aging reports and ensure timely resolution of outstanding balances.

Financial Performance & Reporting

• Monitor and analyze revenue cycle metrics and denial trends to identify root causes and opportunities for improvement.
• Develop action plans that reduce denials, accelerate cash flow, and strengthen financial results.
• Prepare and present regular reports to senior management regarding collections, AR aging, payer performance, and revenue trends.

Technology & Systems Management

• Utilize and optimize the Company’s EMR and Waystar platforms for efficient claims management.
• Identify opportunities to leverage automation and system features to improve accuracy and throughput.

Compliance & Regulatory Integrity

• Ensure all revenue cycle functions adhere to Medicare, Commercial payer, HIPAA, and DMEPOS regulatory requirements.
• Conduct periodic audits to assess billing accuracy and compliance risk.
• Coordinate with payers and internal teams on credentialing updates and provider enrollment requirements.

Qualifications

Education

• Associate or Bachelor’s degree required; Healthcare Administration, Business, Finance, or related field preferred.

Experience

• Minimum of 7 years of healthcare revenue cycle experience, preferably within DME or a related specialty.
• At least 3 years in a supervisory or management role.

Skills

• Deep understanding of DME billing, benefits verification, authorization workflows, documentation requirements, and denial management.
• Strong analytical skills with experience in KPI tracking, financial reporting, and workflow optimization.
• Demonstrated ability to implement process improvements and lead organizational change.
• Proficiency with revenue cycle software, EHR/EMR systems, and clearinghouse platforms.
• Strong communication, leadership, and team-building capabilities.

Job Type: Full-time

Pay: $80,000.00 - $100,000.00 per year

Benefits:

• 401(k) matching
• Health insurance
• Paid time off

Ability to Commute:

• Danbury, CT 06810 (Required)

Work Location: In person

Salary : $80,000 - $100,000