The Director of Revenue Cycle Management is responsible for the operational oversight and performance of the organization’s revenue cycle functions, including patient access, coding, billing, collections, and reimbursement across all clinical and ancillary service lines.

This role focuses on executing standardized workflows, optimizing cash flow, and ensuring compliance with regulatory requirements. The Director partners closely with executive leadership to support financial performance, drive operational improvements, and ensure alignment with organizational goals.

Core Responsibilities

Revenue Cycle Operations & Execution

• Oversee day-to-day revenue cycle operations across clinics, ASCs, and ancillary services (e.g., labs) 
• Ensure consistent execution of standardized workflows, policies, and procedures across all entities and service lines 
• Monitor operational performance and resolve issues impacting billing, collections, and reimbursement 

Support implementation of revenue cycle initiatives, system optimizations, and process improvements  

Financial Performance & KPI Management

• Monitor and report on key revenue cycle KPIs including Net Collection Rate, Days in A/R, Cash Collections, and Denial Rates 
• Identify trends and operational gaps impacting revenue performance and implement corrective actions 
• Support revenue integrity initiatives to reduce leakage and improve reimbursement accuracy 
• Partner with finance to support reporting, forecasting, and variance analysis 

Denials Management & Compliance

• Oversee denial management processes, including root cause analysis and appeals workflows 
• Ensure adherence to CMS regulations, payer requirements, and internal compliance standards 
• Partner with compliance and clinical teams to ensure documentation integrity and audit readiness 
• Support audit activities, QA   programs, and corrective action plans

Onshore/Offshore Team Coordination

• Manage and coordinate daily operations across onshore and offshore billing teams 
• Ensure clear role definition, accountability, and workflow alignment between teams 
• Monitor productivity, quality, and turnaround times across all revenue cycle functions 
• Participate in regular performance reviews (daily/weekly/monthly) with offshore partners 
• Escalate performance issues and implement corrective actions as needed 

Vendor & Partner Management

• Support management of third-party RCM vendors and service partners 
• Monitor vendor performance against defined SLAs and operational expectations 
• Assist with contract adherence, issue resolution, and cost-to-collect optimization 
• Collaborate with leadership on vendor evaluations and performance improvements 

Systems, Integrations & Workflow Optimization

• Support implementation and optimization of EHR/PM systems (e.g., eClinicalWorks) 
• Partner with IT and operations to ensure workflows align with system capabilities 
• Assist in evaluating third-party tools and integrations for operational efficiency and value 
• Ensure data integrity, reporting accuracy, and workflow consistency across platforms 

Training & Team Development

• Provide leadership, training, and performance oversight for revenue cycle staff 
• Establish clear expectations, productivity benchmarks, and accountability structures 
• Support onboarding and continuous education for both onshore and offshore teams 
• Promote a culture of continuous improvement and operational excellence 

 Qualifications

• Bachelor’s degree required; Master’s (MBA, MHA) preferred 
• 5–8+ years of experience in revenue cycle management within a multi-site healthcare or MSO environment      
• Strong knowledge of: 
  • Practice management workflows 
  • Billing, coding, and collections processes 
  • Multi-TIN and multi-entity environments 
• Experience with EHR/PM systems such as eClinicalWorks, NextGen, or similar platforms 
• Experience working with offshore billing teams and vendor partners 
• Strong analytical, problem-solving, and operational leadership skills 
• Ability to collaborate across clinical, operational, finance, and compliance teams 

Preferred Experience

• Experience supporting both clinic and ASC environments 
• Familiarity with centralized lab billing models 
• Experience with system implementations, migrations, or workflow redesign 
• Exposure to compliance frameworks and payer regulatory environments