[Hiring] Director of Revenue Cycle Management - Billing Operations and Integrations @Pediatric Associates Family of Companies

Role Description

The Director of Revenue Cycle Management – Billing Operations & Integrations is responsible for leading enterprise-wide billing operations, claim generation, claim quality, edit resolution, clean claim production, acquisition integrations, and revenue cycle operational readiness across the organization. Reporting to the Senior Vice President (SVP) of Revenue Cycle Management, this position provides strategic and operational oversight of centralized billing functions, ensuring claims are submitted accurately, timely, and in compliance with payer requirements while supporting organizational growth through acquisitions, practice onboarding, and technology integrations.

This leader serves as the operational owner of acquisition diligence performance, acquisition integrations and pre-bill revenue cycle performance and is responsible for developing standardized workflows, implementing enterprise billing best practices, and driving automation initiatives that improve claim quality, reduce rework, and accelerate reimbursement. Is responsible for onboarding acquisitions, implementing systems, designing, applying and managing effective billing operations.

The Director partners closely with Revenue Integrity, Coding, Patient Access, Information Technology, Managed Care, Finance, and Operational Revenue Cycle leaders to optimize workflows, support system conversions, and establish scalable processes across a centralized business office (CBO) environment.

Qualifications

• Minimum bachelor’s degree or equivalent experience required.
• Master’s Degree preferred.
• Minimum 8–10 years of progressive healthcare revenue cycle leadership experience.
• Minimum 5 years leading RCM operations and M&A Activities.
• Experience within physician practice management, ambulatory healthcare, MSO, or health system environments.
• Demonstrated success improving RCM performance, denial recovery, and reimbursement outcomes.
• Experience building and managing centralized business office (CBO) operations preferred.
• Skilled at defining problems, collection of data, interpreting billing information.
• Strong leadership and communication skills both written and verbal.

Requirements

• Experienced leadership and expertise in direct management of business operations.
• Knowledge of and experience in developing workflow plans with subsequent training, implementation, and performance analysis as it relates to corporate goals.
• Excellent communicator and team leader influencing peers and employees effectively in order to achieve stated goals.
• Performance driven and accountable to establish team and individual goals, monitor and report to senior management.
• The ability to represent the Company both internally and externally in order to forward organizational goals and initiatives.
• Skilled with interpreting business analytics as well as developing regular reporting for staff, peers, and senior management.
• Computer literate in Word, Excel, and PowerPoint.

Benefits

• Non-patient facing.
• May be full-time remote/telework.
• Must be U.S. based.
• Office environment: Travel will be required between PA locations and acquisition locations.
• Involves high & frequent call volumes.
• Multi-tasking, data entry for extended periods of time.

Supervisory Responsibilities

Manages a team of RCM positions including but not limited to Revenue Operations Manager, Billing Analyst, Billing Assistant, Reimbursement Specialist / Lead, RCM System Administrator, eCW Billing System Administrator. Includes evaluating and completing annual evaluations, hiring, and training.