VP of Revenue Cycle Management

About the role

The VP, Revenue Cycle Management & Revenue Integrity is a senior executive leader responsible for the end-to-end performance of Aspire's revenue cycle across all markets, service lines, and care settings. This role owns enterprise revenue integrity, cash collections, and revenue cycle contribution to EBITDA. This leader will drive a best-in-class, centralized revenue cycle function that supports a multi-state, high-growth specialty platform, with particular emphasis on biologics, in-office procedures (IOPs), and complex payer environments.

Responsibilities

• Accountable for the end-to-end performance of the revenue cycle, including front-end (patient access, eligibility, authorizations), mid-cycle (coding, charge capture), and back-end (billing, AR, denials, collections)
• Direct oversight of all revenue cycle functions, including: Credentialing provider and payer enrollment, Pre-certification and authorization processes, Charge capture and coding integrity, Payment posting and reconciliation, Accounts receivable and denial management, Financial counseling and patient collections
• Own enterprise revenue performance, including Net Patient Service Revenue (NPSR), cash collections, and revenue cycle contribution to EBITDA
• Led revenue cycle operations across a multi-state platform, ensuring compliance with federal, state, and payer-specific regulations across all markets
• Oversee revenue cycle performance for specialty services, including biologics (buy-and-bill), in-office procedures (IOPs), and ancillary services, ensuring accurate coding, documentation, and reimbursement optimization
• Serve as executive owner of revenue cycle systems, including NextGen EMR/EPM and Waystar clearinghouse, driving system optimization, automation, and workflow efficiency
• Establish and maintain a best-in-class KPI and analytics framework, including but not limited to: Days in A/R, Net and Gross Collection Rates, Denial Rates and First Pass Resolution, Cash Collections per Day and per Visit, Cost to Collect, NPSR per Visit by Financial Class
• Develop and deliver weekly, monthly, and executive-level reporting, including Board and lender-facing materials
• Lead enterprise denial management strategy, including root cause analysis, prevention workflows, and payer escalation
• Drive identification and recovery of underpayments and reimbursement variances across all payer classes
• Partner with Finance, Operations, and Clinical leadership to identify opportunities to improve cash flow, reimbursement yield, and operational efficiency
• Lead integration of acquired practices, including EMR transition, payer alignment, credentialing, and workflow standardization, with execution of 30-60-90 day stabilization plans
• Support financial planning, including budgeting, forecasting, and revenue projections for new providers, service lines, and markets
• Develop and implement a scalable Centralized Billing Office (CBO) model to support growth and operational consistency
• Negotiate and support payer contracting initiatives, ensuring reimbursement terms are optimized and clearly modeled
• Ensure compliance with all applicable federal and state regulations, payer guidelines, and coding standards
• Build, lead, and develop a high-performing revenue cycle team, including hiring, training, performance management, and succession planning
• Communicate effectively across all levels of the organization, proactively identifying risks and providing actionable solutions

Requirements

• 10+ years of progressive experience in revenue cycle management within a healthcare organization
• 5+ years of leadership experience managing teams across multiple functions and/or locations
• Experience in a multi-site or multi-state healthcare environment required
• Experience within a specialty physician practice (Allergy, ENT, ASC, or procedural-based care) strongly preferred
• Demonstrated success in improving cash collections, reducing A/R days, and optimizing revenue cycle performance
• Experience leading RCM transformation, centralization, or turnaround initiatives preferred
• Proficiency with NextGen EMR/EPM, Waystar, or similar systems strongly preferred
• Strong knowledge of medical billing, coding, and payer regulations, including CMS guidelines
• Advanced proficiency in Microsoft Excel and data analysis tools
• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s degree preferred