Job Description
Senior Director, Revenue Cycle Management (RCM)
Location:
St. Paul, Minnesota 55114 Work Arrangement:
On-Site About This Opportunity Ready to lead with impact and transform the healthcare experience behind the scenes? ActivStyle is seeking a strategic, results-driven leader to guide our Revenue Cycle Management function—where performance meets purpose. As a trusted provider of home-delivered medical supplies, ActivStyle empowers individuals to live with dignity, independence, and comfort. Behind every delivery is a seamless revenue cycle—and that's where you come in. We're looking for a visionary leader who thrives on solving complex challenges, driving measurable results, and making a meaningful impact in healthcare. In this critical leadership role, you'll drive strategic and operational excellence across billing, collections, and cash application functions—ensuring strong cash flow, improved rate to collect, reduced denials, and scalable, compliant processes. You'll play a key role in navigating complex payer environments including Medicaid, Managed Care Organizations (MCOs), and CHOW-related billing challenges while building a high-performing team and strengthening workflows. Leveraging technologies like Waystar, CarePro, and PowerBI, you'll bring data-driven insights and continuous improvement to every aspect of the revenue cycle. Position Summary The Senior Director of Revenue Cycle Management (RCM) is responsible for end-to-end performance of billing, collections, and cash application functions across ActivStyle's DME business. This role will lead strategic and operational initiatives to optimize cash flow, improve rate to collect, reduce denials, and ensure compliant, scalable revenue cycle processes. This leader will play a critical role in navigating payer complexity, including Medicaid, MCOs, and CHOW-related billing challenges, while building a high-performing team, strengthening workflows, and leveraging technology to drive efficiency and accuracy. Key Responsibilities Revenue Cycle Strategy & Performance Own and improve key RCM metrics including Rate to Collect, Days Sales Outstanding (DSO), Denial Rate & Appeal Success Rate, and Cash Posting Timeliness & Accuracy Develop and execute strategies to optimize cash acceleration and AR quality Partner with Finance to ensure alignment between AR reporting, cash forecasting, and EBITDA impact Lead CHOW vs. Non-CHOW revenue cycle strategy to minimize disruption and protect timely filing Billing Operations (DME Focus) Oversee all billing functions across Medicare, Medicaid, and MCO payers Ensure accurate claim submission aligned with DME compliance standards including documentation, authorization, and eligibility verification Drive standardization of workflows to reduce rework and front-end errors Partner with intake and operations to improve clean claim rate Denial Management & Collections Build and implement a structured denial management program including root cause analysis by financial class and payer, work queues and ownership models, and appeal strategy and automation Lead collections strategy focused on timely filing adherence, high-dollar AR prioritization, and payer-specific follow-up strategies Establish performance expectations tied to collection effectiveness by financial class or payer Cash Applications & Reconciliation Oversee all cash posting and reconciliation processes Ensure accurate and timely posting of ERA/EFT payments and manual payments and adjustments Partner with Finance to monitor negative AR balances and ensure clean reconciliation between subledger and GL Drive automation of remits and reduction of manual posting Team Leadership & Organizational Design Lead, develop, and scale a multi-layered RCM organization across Billing, Collections, and Cash Applications Implement spans and layers aligned to performance accountability Establish clear productivity and quality expectations across teams Build incentive programs tied to collection outcomes and KPI performance Process Optimization & Technology Enablement Leverage systems such as Waystar (denials, analytics, automation) and CarePro (billing platform) Implement workflow optimization and automation initiatives to improve efficiency Drive data visibility through dashboards and reporting (daily/weekly/monthly) Cross-Functional Collaboration Partner with Operations (intake, documentation, fulfillment), Finance (cash forecasting, AR reporting), and IT (EDI, system integrations, automation) Align upstream and downstream processes to improve end-to-end revenue cycle performance Compliance & Risk Management Ensure adherence to DME billing regulations, payer-specific requirements, and internal audit standards Mitigate risk related to timely filing, documentation gaps, and billing errors Required Qualifications 8-12+ years of progressive leadership experience in Revenue Cycle Management Strong experience in DME, healthcare services, or payer-driven environments Deep knowledge of Medicaid & MCO billing, denial management and appeals, and AR management and collections strategies Proven track record of improving cash collections, denial rates, and operational efficiency Experience navigating CHOW transitions or complex payer environments Results-Oriented:
Drives measurable improvement in cash and AR performance Analytical:
Uses data to identify trends, root causes, and opportunities Operational Excellence:
Builds scalable, efficient workflows People Leadership:
Develops high-performing teams with accountability Change Leadership:
Able to lead through transformation and ambiguity Proficient computer skills and knowledge of Microsoft Office Ability to prioritize and manage multiple projects Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form Nice-to-Have Skills Experience with systems such as Waystar, Brightree/CarePro or similar platforms Experience building offshore or third-party support models (e.g., AccuServe or similar) PowerBI or advanced data analytics experience Core Competencies Results-Oriented Leadership with focus on measurable outcomes Data-Driven Decision Making and analytical problem-solving Operational Excellence and process improvement Team Development and talent management Change Management and adaptability Strategic Communication and stakeholder management Healthcare Industry Knowledge and compliance awareness Physical Demands and Work Environment Must be able to complete all job responsibilities with or without reasonable accommodation Work environment will be stressful at times, as overall office activities and work levels fluctuate Must be able to bend, stoop, stretch, stand, and sit for extended periods of time Subject to long periods of sitting and exposure to computer screen Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use Must be able to lift 30 pounds as needed Excellent ability to communicate both verbally and in writing May be exposed to angry or irate customers or patients Ability to effectively communicate both verbally and written with internal and external customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy Ability to travel as needed Our Commitment to You At ActivStyle, we don't just accept difference—we celebrate it, we support it, and we thrive on it for the benefit of our team and our community. We are proud to be an equal opportunity workplace and an affirmative action employer. This employer participates in E-Verify. Following acceptance of any job offer, at the start of employment the employer will provide the federal government Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify is unable to verify your eligibility for employment, this employer will provide written instructions to provide an opportunity to contact the appropriate agencies and resolve the discrepancy prior to taking any action against continued employment. Ready to Make an Impact? If you're a visionary leader who thrives on solving complex challenges, driving measurable results, and making a meaningful impact in healthcare, we'd love to welcome you to the ActivStyle family. Apply today to join our team!
