Director of Revenue Cycle Management

• Location: Atlanta, Georgia
• Type: Direct Hire
• Job #247139
• Salary: $140,000

Director of Revenue Cycle Management
General Summary:
The Director of Revenue Cycle Management (RCM) leads activities related to billing, collections, revenue integrity auditing, charge master management, claims management (denials and appeals), cash application, and other back-office functions. This role develops and implements strategies, processes, and technologies to optimize the revenue cycle in a fast-paced, high-volume healthcare environment.
Key Responsibilities:

• Analyze and validate revenue cycle reports to ensure data integrity for decision-making.
• Develop and execute strategies to improve billing efficiency and collections performance.
• Identify solutions to enhance collection rates, reduce bad debt, and lower days sales outstanding (DSO).
• Oversee performance metrics to refine RCM processes and reduce operational costs.
• Manage RCM projects, including audits, budgets, and technology enhancements.
• Supervise vendor relationships, ensuring quality, cost control, and process improvements.
• Support vendor-related projects and lead change management initiatives.
• Drive automation and process design improvements to enhance RCM efficiency.
• Ensure compliance with coding, billing regulations, and payer-specific requirements.
• Stay informed about regulations for third-party payers, including Medicare and Medicaid.
• Adhere to corporate compliance standards, healthcare regulations, and privacy laws (HIPAA).

Requirements:

• 5+ years of leadership experience in healthcare reimbursement (RCM).
• Extensive knowledge of healthcare industry standards, payer relations, and compliance regulations.
• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (flexible for strong candidates).
• Proficiency in large data analysis and financial modeling using Excel.
• Ability to generate reports in Power BI.
• Strong communication skills for presenting information to department leaders, physicians, and staff.
• Highly organized, with the ability to multi-task, work independently, and collaborate within a team.
• Commitment to employee engagement and development.

Preferred Skills:

• Physician billing experience.
• Experience managing or working with remote teams.
• Familiarity with eClinicalWorks software.
• Experience on the payer side (e.g., BCBS).