[Hiring] Director of Revenue Cycle Management @AlignMed

Role Description

The Director of Revenue Cycle Management is a key leader responsible for optimizing the financial performance of the organization’s physician billing and revenue cycle operations. This position provides strategic oversight of revenue cycle activities and works collaboratively with internal and external stakeholders to maximize collections, improve operational efficiency, and ensure timely and accurate reimbursement.

• Lead and oversee complex, multi-state revenue cycle operations for a provider organization.
• Focus on physician billing, payer relationships, credentialing, and regulatory requirements.
• Support the establishment and expansion of revenue cycle operations in new states.
• Serve as an Authorized Official with appropriate signatory authority on behalf of the organization.

This is a remote position. The salary range is $165,000 - $175,000.

Responsibilities

• Revenue Cycle Management and Billing Analysis
  • Liaison with RCM Vendor: Act as the primary interface and liaison with our billing and collections partner to ensure seamless communication, accountability, and performance tracking.
  • Billing Analysis: Perform regular, comprehensive billing analyses to identify trends, mitigate collection declines, and optimize the collection lifecycle.
  • Collections Optimization: Strategize and execute solutions to maximize clean collections, aiming for zero leakage and high-efficiency billing outcomes.
• Multi-State Operations and State Expansion
  • TIN Establishment: Lead the creation and registration of new business entities and Taxpayer Identification Numbers (TINs) to facilitate corporate expansion.
  • State Setup: Manage the setup of new remote practice operations in expansion states, coordinating legal, regulatory, and financial compliance.
  • CMS & Portal Access: Serve as an authorized official with signatory authority and manage CMS account provisioning.
• Payer Credentialing and Enrollment
  • Credentialing Leadership: Direct day-to-day credentialing operations, including provider credentialing, provider enrollment, and database management.
  • Regulatory updates: Inform co-leaders of pertinent updates to payer credentialing and enrollment processes, regulations, and standards.
  • Compliance: Ensure complete compliance with federal, state, and commercial payer regulations.
  • Team Management: Manage and expand the internal payer credentialing team to scale for a projected growth of 50 to 100 new providers.
• Candidate Screening and Background Verification
  • Compliance Screening: Perform Office of Inspector General (OIG) database screenings and other critical background checks to verify candidate eligibility to bill Medicare and Medicaid.

Qualifications

• 8 to 10 years of senior-level Revenue Cycle Management (RCM) experience in healthcare operations.
• Proven experience managing RCM for a multi-state remote physician practice or provider group.
• Demonstrated success serving as an authorized official with signatory authority.
• Direct experience establishing new TINs and managing credentialing setups across multiple states.

Target Competencies and Preferred Skills

• Prior experience in large competitor organizations is highly desirable.
• Deep understanding of CMS accounts, Medicare billing eligibility, and credentialing standards.
• Strong track record of managing and scaling internal credentialing specialists or billing staff.

Benefits

• Health, Dental, and Vision plans.
• 100% employer-paid ArmadaCare Plan: supplemental plan which provides reimbursement for many out-of-pocket medical, wellness, and pharmacy expenses, with an eight thousand max reimbursement for designated expenses and tiered pharmacy reimbursements for single and family plans.
• Paid Time Off, 6 Paid Holidays, Paid Sick Time, Bereavement Leave.
• Continuing Medical Education time off and reimbursement allotments.
• 401(k) plan and company-paid group life insurance.

Posted Salary Range

USD $165,000.00 - USD $175,000.00 /Yr.