Interim Director of Revenue Cycle Management (Short-Term Interim Role)

Key Responsibilities (Interim Focus)

• Revenue Cycle Oversight & Stabilization
• Oversee end-to-end RCM: billing, collections, cash posting, denials, A/R, refunds, and month-end close
• Ensure uninterrupted daily operations and service levels
• Step into tactical problem-solving for high-risk revenue areas
• Maintain and report on key metrics
• Monitor clearinghouse, EDI, and payer processing issues
• KPI Monitoring & Performance Management
• Maintain and report on key metrics
• Provide weekly dashboard and monthly executive summaries
• Identify performance risks and implement rapid corrective actions
• Team Leadership & Continuity
• Provide leadership to billing managers/supervisors
• Maintain productivity expectations and staffing coverage
• Support issue escalation and decision-making
• Reinforce accountability, morale, and communication
• Revenue Integrity & Cash Acceleration
• A/R clean-up strategy
• Denial reduction
• Payor issue escalation
• Prioritize largest financial opportunities for short-term gain
• Ensure billing accuracy to minimize rework
• Executive & Stakeholder Communication
• Serve as interim RCM leader for CEO and executive team
• Provide clear, concise updates and recommendations
• Act as liaison with vendors, clearinghouses, and payors
• Compliance & Risk Management
• Ensure adherence to:
• CMS and payer guidelines
• Internal policies and controls
• Maintain audit readiness

Qualifications

• Bachelor's degree from an accredited college or university in Healthcare Administration, Business Administration, Health Information Management, Finance, or a related field; master's degree preferred.
• 15+ years of progressive healthcare Revenue Cycle Management leadership experience.
• Significant Federally Qualified Health Center (FQHC) RCM experience, including familiarity with FQHC reimbursement methodologies, compliance requirements, and payer regulations; experience supporting Virginia FQHC operations strongly preferred.
• Demonstrated expertise across the full revenue cycle, including registration, charge capture, coding, billing, claims management, denial management, payment posting, accounts receivable follow-up, refund management, reporting, and revenue optimization.
• Advanced proficiency as an eClinicalWorks (eCW) Superuser, including backend system administration, workflow configuration, reporting, analytics, and automation capabilities.
• Extensive experience developing, monitoring, and driving achievement of Revenue Cycle Management key performance indicators (KPIs), service-level agreements, operational dashboards, and client performance reporting.
• Experience leading large, geographically dispersed and virtual RCM teams, including management of supervisors and client-facing service delivery operations.
• Experience supporting multiple healthcare clients and managing complex client relationships.
• Strong knowledge of payer reimbursement methodologies, revenue integrity principles, compliance requirements, and healthcare regulatory standards.
• Certified Professional Coder (CPC) preferred.
• Certified Professional Biller (CPB) preferred.
• Waystar experience strongly preferred.

Other Skills and Abilities

• Strong leadership experience leading and developing large teams of people towards increased morale, engagement, productivity, and positive outcomes.
• Supportive of and accountable to staff.
• Ability to work across billing departments to assure equity and fairness.
• Ability to perform revenue cycle management functions.
• Advanced eClinicalWorks (eCW) proficiency, including Superuser-level knowledge of backend configuration, reporting, workflow optimization, and automation capabilities.
• Experience utilizing Waystar for claims management, eligibility, remittance processing, denial management, and payer connectivity.
• Extensive Federally Qualified Health Center (FQHC) Revenue Cycle Management experience.
• Familiarity with Virginia Medicaid and payer requirements impacting FQHC operations preferred.
• Knowledge of dental and medical RCM process, billing, coding, and auditing.
• Knowledge of various clearinghouses.
• Familiarity with CMS and other payors as well as payor rules specific to FQHCs.
• Strong Excel experience.
• Strong problem-solving skills with the ability to diagnose problems and identify and implement solutions.
• Exemplary communication and interpersonal skills.
• Strong decision-making skills.
• Time management, prioritization, and multitasking capabilities.
• Willingness and expertise to assist team as needed with RCM lifecycle processes and reports.
• Results driven, accountable, and responsive.
• Demonstrated experience developing and maintaining effective working relationships across the organization.

Supervisory Responsibilities

• Manages supervisors that oversee the employees in the billing department’s day-to-day workflow.
• Responsible for the overall direction, coordination, and evaluation while utilizing sound and fair judgement of each employee.
• Carries out managerial responsibilities in accordance with the organization's policies and applicable laws.
• Responsibilities include, but are not limited to, interviewing, hiring, and training employees; planning, assigning, and directing work.

Competencies

• Business Acumen - Understands business implications of decisions; displays orientation to profitability; demonstrates knowledge of market and competition; aligns work with strategic goals.
• Client Focus – Anticipating, understanding, and fulfilling customer needs and expectations by providing excellent direct and indirect service.
• Communication – Conveying and receiving information and ideas efficiently and effectively through a variety of organizational mediums.
• Initiative - Seeking new/additional responsibilities, projects, tasks; Acting independently in new/routine situations.