Director of Revenue Cycle Management

About the role

The Director of Revenue Cycle Management (RCM) will provide strategic and operational leadership across the full revenue cycle and provider enrollment functions. This role is responsible for ensuring accurate, compliant, and efficient reimbursement while optimizing cash flow and reducing denials across all markets.

Responsibilities

• Own and optimize the end-to-end revenue cycle, including insurance verification, charge capture, billing, payment posting, AR follow-up, and patient collections
• Drive improvements in cash flow, net collections, and operational efficiency
• Identify and resolve bottlenecks to support scalability
• Oversee provider credentialing, re-credentialing, and payer enrollment across all states and payers
• Maintain payer readiness across all markets
• Establish and monitor key RCM KPIs, including: Deliver regular reporting with actionable insights and clear recommendations, Proactively identify risks and implement solutions, Lead denial reduction efforts through root-cause analysis, appeals, and payer escalation, Partner cross-functionally to address upstream drivers of denials, Ensure accurate and timely resolution of claims, Advise and support partner practices on Collaborative Care Model (CoCM) (CPT 99492–99494)
• Oversee workflows for documentation, time tracking, and payer requirements
• Maintain compliance with CMS, Medicaid, and commercial payer guidelines
• Develop and enforce standard operating procedures (SOPs)
• Lead RCM technology optimization across EHR, clearinghouse, and billing platforms
• Partner with Product and Engineering to improve automation and system performance

Requirements

7–10+ years of experience in Revenue Cycle Management, with progressive leadership experience

Deep expertise in medical billing, payer operations, and multi-state credentialing

Experience in behavioral health and/or CoCM billing strongly preferred

Proven ability to improve collections, reduce denials, and optimize AR performance

Strong analytical mindset with the ability to translate data into action

Experience working with RCM systems, EHRs, and billing platforms

Demonstrated success leading cross-functional initiatives in a scaling organization

Excellent communication, leadership, and organizational skills

CPC certification a plus