COMPANY OVERVIEW

Our client is a privately owned, multi-site outpatient medical group with locations spanning several states along the East Coast, including a growing presence in Florida. The organization is actively building out its business infrastructure to support its next stage of growth.

POSITION SUMMARY

Our client is seeking a Senior Manager or Director of Revenue Cycle Management to build and lead the organization's RCM function essentially from the ground up. The organization's revenue cycle is in an early, pre-formalized stage — processes have developed organically across sites rather than under a single standardized model or dedicated leadership. This is a hands-on, player-coach role: the successful candidate will personally design the workflows, policies, staffing structure, technology, and reporting needed to run RCM as a disciplined, scalable function across all locations, specialties, and payer types (cash-pay and insurance), while working directly alongside the team through the early stages of the build. The right person will be equally comfortable setting revenue cycle strategy and rolling up their sleeves to resolve process gaps, work down accounts receivable, and stand up a team from an early foundation.

KEY RESPONSIBILITIES

Build the RCM Function Assess current-state billing, coding, and collections practices across all sites and identify gaps, risks, and quick wins. Design and implement standardized RCM policies, workflows, and procedures from intake through final payment, replacing today's ad hoc, site-by-site approach. Define the RCM organizational structure — roles, staffing levels, and reporting lines — and build the team needed to support a multi-site, multi-specialty practice. Establish a formal month-end close and reconciliation process for revenue cycle, in partnership with Finance. Front- and Mid-Cycle Operations Own patient registration accuracy, insurance verification/eligibility, prior authorization, and upfront patient financial counseling and estimates. Oversee charge capture and medical coding accuracy (CPT/ICD-10) across surgical and elective/cash-pay services, ensuring documentation supports billed codes. Partner with clinical and site staff to close documentation gaps that create downstream billing or coding issues. Back-End Operations & Collections Own claims submission, denials management and appeals, payment posting, and accounts receivable follow-up across all payers and sites. Drive down aging AR and denial rates, and improve net collection rate and cash flow predictability. Oversee patient billing, statements, payment plans, and self-pay collections, balancing collections performance with a strong patient experience. Payer Relations & Compliance Manage payer contracting support, fee schedule maintenance, and provider credentialing/enrollment across multiple states — ensuring no revenue is lost to credentialing gaps or lapses. Ensure billing and coding practices meet payer, state, and federal compliance requirements, including regular internal audits. Partner with HR/Compliance on monitoring processes (e.g., OIG/LEIE exclusion checks) that intersect with billing and provider enrollment. Technology, Reporting & KPIs Evaluate and optimize the practice management/EHR and RCM technology stack, including clearinghouse, coding, and collections tools; recommend upgrades or automation where current tools fall short. Build standardized RCM KPI reporting — days in AR, clean claim rate, denial rate, net collection rate, cost to collect — and present regularly to the CEO and Finance. Use data to identify root causes of revenue leakage and drive continuous process improvement. Leadership & Cross-Functional Partnership Recruit, hire, train, and manage billing, coding, and collections staff as the function is built out. Partner closely with the COO on operational integration, Finance on financial reporting and forecasting, and HR on staffing and org design. Serve as the subject-matter expert on revenue cycle for new site openings, new service lines, and future M&A/integration activity.

QUALIFICATIONS

Required 7-10+ years of progressive revenue cycle management experience in a healthcare, medical group, or multi-site practice setting, including at least 2-3 years in a leadership role. Proven experience building or significantly restructuring an RCM function — this is not a role to maintain an existing, mature department. Strong working knowledge of multi-state billing and payer requirements. Solid understanding of medical coding (CPT/ICD-10) and documentation requirements, including for both insurance-based and cash-pay/elective services. Hands-on experience with practice management/EHR and clearinghouse systems. Demonstrated track record improving core RCM metrics: days in AR, denial rate, net collection rate. Comfortable operating with minimal existing infrastructure — a builder, not just an operator of an established process. Preferred Experience in an elective, aesthetic, or cash-pay-heavy specialty with a blended payer mix. Certification such as CRCR, CPC, CCS, or equivalent. Experience selecting or implementing new RCM/practice management technology. Experience in a growth-stage or private-equity-backed healthcare organization.

WHAT SUCCESS LOOKS LIKE

Documented RCM policies and workflows in place and followed consistently across all sites. A right-sized, trained RCM team with clear roles and accountability, built out under this role's direct leadership. Measurable improvement in days in AR, denial rate, and net collection rate within the first 6-12 months. Payer credentialing and enrollment current and audit-ready across all locations and providers. Reliable, standardized RCM reporting the CEO and Finance can use to run the business. Our client is an Equal Opportunity Employer.

Pay:

$90,000.00 - $130,000.00 per year

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person