Director of Revenue Cycle

Job Title: Director of Revenue Cycle

Location: On Site - Niles, Illinois

Salary: $100,000-$110,000 base bonus

Skills: Revenue Cycle Management, Medicaid & MCO Billing, EMR Systems, Leadership, Home Care Compliance

About the Company / Opportunity:

Join a leading provider in the home health care services industry, dedicated to delivering compassionate and professional care to elderly and medically vulnerable individuals. In this Director-level role, you will play a pivotal part in optimizing revenue cycle functions, supporting operational expansion, and ensuring financial health across multi-site home care operations. This is an opportunity to impact both organizational growth and the quality of essential healthcare services in a mission-driven environment.

Responsibilities:

• Oversee daily revenue cycle operations, including client intake, eligibility verification, coding, billing, collections, and denials management.
• Manage reimbursement processes for both Medicaid and commercial payers within the home care services sector.
• Monitor and analyze key performance indicators such as days in AR, denial rates, cash collections, and net revenue yield.
• Ensure strict compliance with HIPAA and all relevant state and federal regulations.
• Lead and develop managers and frontline staff across multiple service locations, fostering a culture of accountability and excellence.
• Partner with operations and clinical leadership to resolve documentation and charge capture issues, improving billing accuracy.
• Optimize workflows within EMR/RCM systems and supervise third-party billing vendors.
• Support audits, payer reviews, and internal compliance initiatives to ensure financial integrity and transparency.
• Implement continuous process improvements to enhance efficiency and scalability as the organization grows.
• Demonstrate an understanding of the relationship between billing systems and payroll operations in home care.

Must-Have Skills:

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field.
• 5-10 years of experience in healthcare revenue cycle management, with a strong preference for home care settings.
• Proven expertise in Medicaid and MCO billing, reimbursement, and regulatory compliance.
• Extensive hands-on experience with EMR systems and RCM technologies.
• Strong leadership background managing multi-site teams and operational KPIs.
• Excellent problem-solving abilities and a collaborative, supportive management style.

Nice-to-Have Skills:

• Experience with Axiscare or similar home care management software.
• Advanced understanding of commercial payer rules and evolving payer requirements for home care services.
• Direct experience supporting payer audits, reviews, and internal compliance initiatives.
• Implemented process improvements that have resulted in measurable operational or financial gains.
• Strong grasp of how home care billing interacts with payroll processing platforms.