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Genesis Healthcare Keyword Location Search view all jobs Director of Revenue Cycle Management Pennsylvania, USA Posted 4 days ago Apply Now Overview 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. Serving as a primary liaison with RCM Vendor, 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. The Director will lead and oversee complex, multi-state revenue cycle operations for a provider organization, with a strong focus on physician billing, payer relationships, credentialing, and regulatory requirements. This role will also support the establishment and expansion of revenue cycle operations in new states and serve as an Authorized Official with appropriate signatory authority on behalf of the organization. The ideal candidate will bring extensive RCM leadership experience, a strong understanding of physician, Nurse Practitioner and Physician Assistant billing and reimbursement, demonstrated success managing multi-state operations, and the ability to develop and implement strategies that drive sustainable revenue growth and operational excellence. This is a remote position. The salary range is $165,000 - $175,000. AlignMed Partners is a national medical group dedicated to improving health outcomes among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute and long-term care. At AlignMed, we believe in a better quality of life for all. Our mission is to elevate healthcare outcomes for our patients, providers, and partners. In living out our mission, we embrace the following pillars in our day-to-day operations. Responsibilities Revenue Cycle Management and Billing Analysis Liaison with

RCM Vendor:

Act as the primary interface and liaison with our billing and collections partner (RCM Vendor) 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 (including Credentialing Specialists) 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 Experience

Required:

8 to 10 years of senior-level Revenue Cycle Management (RCM) experience in healthcare operations

Operational Scope:

Proven experience managing RCM for a multi-state remote physician practice or provider group (rather than basic coding or billing tasks)

Authorized Official Experience:

Demonstrated success serving as an authorized official with signatory authority

Expansion Success:

Direct experience establishing new TINs and managing credentialing setups across multiple states Target Competencies and Preferred Skills

Industry Benchmarks:

Prior experience in large competitor organizations is highly desirable

Regulatory Knowledge:

Deep understanding of CMS accounts, Medicare billing eligibility, and credentialing standards

Team Leadership:

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. Genesis HealthCare, Inc. and all affiliated entities (collectively "Genesis") has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Affirmative Action and Equal Opportunity Employer and our goal is to foster an inclusive and accessible workplace free from discrimination and harassment where everyone has equal opportunities to succeed. Apply Now Active Filters Director of Revenue Cy... Pennsylvania, USA Clear All Powered By Cookie Policy We use cookies to improve your experience on our site. To find out more, read our privacy policy Accept Cookies Decline Cookies