[Hiring] Interim Director of Revenue Cycle Management @Community Care Network Of Va

Role Description

The Interim Director of RCM will provide operational leadership and stabilization of the Central Business Office (CBO), ensuring continuity of billing, collections, and revenue optimization during the incumbent’s leave. This role will focus on maintaining cash flow performance, resolving operational bottlenecks, and providing executive-level oversight of revenue cycle KPIs. This is a hands-on strategic operator who can quickly assess, prioritize, and drive performance improvements across the full RCM lifecycle.

This is a temporary interim position established to provide leadership coverage during an employee leave of absence. The assignment is anticipated to last approximately 6–12 months, but may end earlier or continue longer based on organizational needs and the status of the employee's leave.

This temporary full-time position is eligible for company-sponsored benefits in accordance with applicable plan terms, conditions, and eligibility requirements.

Nothing in this job description, the posting of this position, or the anticipated duration of the assignment creates a contract of employment or guarantees employment for any specific period of time. The assignment may conclude upon the return of the employee on leave, organizational restructuring, business necessity, or other lawful business reasons.

Employment with Cenevia remains at-will, meaning either the employee or Cenevia may terminate the employment relationship at any time, with or without notice, and with or without cause, to the extent permitted by applicable law.

Essential Functions

• 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
  • Monitor clearinghouse, EDI, and payer processing issues
• KPI Monitoring & Performance Management
  • Maintain and report on key metrics:
  • Days in A/R
  • Net collection rate
  • Denial rates / first-pass yield
  • Cash collections vs targets
  • 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
  • Focus on:
  • 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.
• Equivalent combinations of education, certifications, and directly related experience may be considered.

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.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.

Status

Full-Time | Exempt | Temporary Interim Assignment | Benefits Eligible

Compensation

Salary is commensurate with experience, relevant certification/education, and relevant RCM software proficiency.

Benefits Offered

• Simple IRA Matching
• Health Insurance
• Paid Time Off
• Paid Holidays
• Dental Insurance
• Vision Insurance
• Life Insurance
• Employee Assistance Program
• Tuition Reimbursement
• Disability insurance
• Fitness Program