RCM Manager or Director

Chestnut Health is a high-growth, post-startup, provider-based healthcare organization headquartered in Oak Brook, IL. We deliver physiatry and rehabilitation services directly to patients in skilled nursing facilities (SNFs). We are growing quickly in Illinois and across multiple states, and we are building a leadership team that can scale that growth. We are at an exciting stage: big enough to have momentum, small enough that your work shapes the company. Leaders here roll up their sleeves, solve real problems, and then build the teams to carry the work forward. The Role Chestnut Health is looking for a revenue cycle leader to take ownership of our back-end revenue cycle as we expand. You will assess how revenue cycle operations work today, build the plan to strengthen them, and execute that plan yourself. As the company grows, you will build and lead the team around you. This is a hands-on role. You will start as an individual contributor, working daily in the details of A/R, denials, and payer relationships. Key Responsibilities Assess current back-end revenue cycle processes and develop a plan to improve cash flow, reduce denials, and shorten A/R daysOwn accounts receivable management, including follow-up, aging, and collectionsManage denials and appeals, identify root causes, and put prevention processes in placeOversee provider credentialing and enrollment with payersLead payer contracting and ongoing payer relationshipsTake part in EMR implementation, including workflow design, billing configuration, and testingBuild reporting and dashboards to track performance (days in A/R, denial rate, clean claim rate, net collection rate, cash collections)Work closely with the Director of Operations & Finance and executive leadership on forecasting and revenue performanceDocument policies and procedures, and ensure billing and coding complianceRecruit, train, and lead a revenue cycle team as the organization grows What Success Looks Like First 90 days: Complete an assessment of current RCM performance and present a prioritized improvement planFirst year: Measurable improvement in A/R days and denial rates, and a stable EMR/billing workflowLonger term: A functioning revenue cycle team and a scalable process as we enter new states Who Thrives Here Results-driven, independent, and diligent. You bring solutions, not just problems, and you do not need to be chased. You are comfortable managing complexity and leading through change. Requirements Required Qualifications 7-10 years of healthcare revenue cycle experience, with a background in large-scale physician groupsStrong back-end RCM experience: A/R, denials and appeals, credentialing, and payer contractingEMR implementation experienceProven ability to work hands-on as an individual contributor and then lead a teamData-driven, with strong reporting and analytical skillsComfortable with startup culture, ambiguity, and fast-changing prioritiesBachelor's degree [or equivalent experience] Preferred Qualifications Skilled nursing facility (SNF) or rehab/post-acute RCM experienceExperience managing a large A/R portfolio across multiple sites or statesFamiliarity with Medicare Part B, Medicare Administrative Contractor (MAC) rules, and commercial payersRevenue cycle certification such as CRCR or CPCMaster's degree or MBA Systems & Tools EMR and billing/practice management systems Reporting and analytics tools (Excel required) Benefits 401(k)Dental insuranceHealth insuranceVision insurance