Director of Revenue Cycle Management

Director of Revenue Cycle Management Versant Diagnostics Grapevine, TX Job Details Full-time $90,000 - $120,000 a year 10 hours ago Benefits Health savings account Paid holidays Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Retirement plan Qualifications Operational analysis Accounts receivable optimization EDI Accounts receivable management Overseeing healthcare denial management Compliance management Issue tracking Client management Vendor relationship management Payment posting in medical billing systems Contracts Cash management Meeting facilitation Management reporting Financial performance measurement Root cause analysis Medical claim denial management Healthcare performance metrics analysis Cross-functional team management Financial data analysis tools Medical debt collection accounts Hospital experience Healthcare data reporting Cross-functional communication Patient collections management Full Job Description Versant Diagnostics is a rapidly growing physician services company focused on Digital Anatomic Pathology and is leading the revolution to improve the precision, accuracy, and speed of diagnosis. We are seeking an energetic and strategic Director of Revenue Cycle Management to lead and optimize our revenue cycle operations. This pivotal role involves overseeing the entire billing, collections, coding, and accounts receivable processes to ensure maximum revenue capture while maintaining compliance with industry standards. The ideal candidate will possess a proactive mindset, exceptional leadership skills, and a passion for streamlining financial workflows. By driving efficiency and accuracy across the revenue cycle, you will play a vital role in supporting the organization's financial health and growth objectives. Core Responsibilities

• RCM operating leadership: Manage the recurring RCM operating rhythm across all nine Versant practices, including vendor meetings, internal follow-ups, escalation logs, and executive-ready status updates.
• Vendor management: Serve as the primary day-to-day leader for billing vendor performance, including claim submission issues, AR follow-up, denials, payment posting, client billing, reporting gaps, and unresolved workflow blockers.
• Critical issue reporting: Identify, document, prioritize, and escalate critical RCM issues, including root cause, financial impact, responsible party, target resolution date, and current status.
• Practice-level coordination: Work with practice leadership, operations, LIS contacts, credentialing, finance, and billing teams to resolve missing information, workflow gaps, provider updates, site changes, and other blockers that delay claims or cash.
• Credentialing and enrollment support: Coordinate with credentialing resources and vendors on provider enrollments, payer applications, tax documents, W-9s, EFT/ERA setup, revalidations, ownership updates, and payer-specific requirements.
• Cash and finance coordination: Partner with finance to monitor cash trends, lockbox/payment posting issues, month-end visibility, payer mix changes, and timing issues that affect financial reporting.
• Revenue capture partnership: Work with the RCM Analyst and VP of RCM on revenue capture insights, underpayment trends, denial opportunities, contract variances, client billing opportunities, and follow-through on confirmed findings.
• Contracts and payer coordination: Partner with the credentialing negotiator and VP of RCM on new payer contracts, contract implementation, renegotiation support, fee schedule validation, and payer escalation needs.
• Internal team leadership: Manage internal RCM team members and coordinate the work needed to support vendors, credentialing, analytics, practice operations, and finance.

Standardization:

Help create standard playbooks, meeting templates, issue logs, reporting packs, and escalation processes across practices and vendors.

Workflow Review :

Across all practices to ensure services performed are billed completely, accurately, and timely, including follow-up on missing reports, demographics, ICD codes, CPT codes, payer edits, or other claim blockers.

RCM Analysis :

performance indicators across practices, vendors, payers, and service lines to identify trends, operational gaps, denial patterns, underpayment issues, and revenue capture opportunities. Qualifications

• 7+ years of healthcare revenue cycle experience, with meaningful exposure to physician billing, laboratory billing, pathology billing, or comparable specialty healthcare billing operations.
• Prior experience as a billing company client manager, healthcare RCM manager/director, vendor operations lead, or similar role responsible for multi-client or multi-practice RCM performance.
• Strong understanding of claims workflows, denials, AR follow-up, payment posting, credentialing/enrollment, payer requirements, EDI/ERA/EFT basics, and RCM reporting.
• Experience managing billing vendors or cross-functional RCM teams.
• Ability to run structured meetings, maintain issue logs, assign owners, and drive follow-through until resolution.
• Ability to communicate clearly with executives, finance, operations, vendors, and practice stakeholders.
• Strong Excel/reporting literacy and ability to interpret RCM KPIs, cash trends, AR aging, denial trends, and payer-level performance. Preferred Qualifications
• Direct pathology, laboratory, anatomic pathology, clinical pathology, or hospital-based physician billing experience.
• Experience working with multiple billing vendors or multiple practice entities at the same time.
• Experience with payer contracting, fee schedule implementation, underpayment analysis, or contract variance workflows.
• Familiarity with LIS/vendor data workflows, missing demographic or report issues, CPT/ICD workflow dependencies, and site-of-service complexities.
• Experience supporting acquisitions, vendor transitions, new practice onboarding, or RCM stabilization after system changes.
• Comfort working in a data-driven environment where analytics, AI tools, and structured issue tracking are used to improve RCM performance. Key Success Measures
• Consistent RCM operating cadence across all practices and vendors.
• Improved visibility into critical RCM issues, blockers, financial exposure, owners, and resolution progress.
• Faster resolution of credentialing, enrollment, tax documentation, missing information, vendor workflow, and payer escalation issues.
• Improved coordination between billing vendors, finance, credentialing, operations, analytics, and leadership.
• Stronger follow-through on revenue capture opportunities identified by analytics or contract review.
• Reduced reliance on the VP of RCM for day-to-day vendor and workflow management while preserving strategic oversight.

Ideal Candidate Profile The ideal candidate has lived inside healthcare billing operations and knows how to make vendors, internal teams, and payer workflows move. They should be comfortable managing ambiguity, pushing for answers, translating operational problems into action plans, and protecting cash by keeping claims, credentialing, reporting, and escalations moving. This person should bring the practical RCM experience needed to run the football while Michael continues to lead enterprise RCM strategy, board reporting, AI/data transformation, and revenue optimization.

Benefits and Compensation:

Comprehensive benefits package: company paid medical, dental, vision, disability; all paid at 100%. FSA/HSA plans available, paid time off and paid holidays. Paid Time Off (PTO) and 401(k) with company match, competitive Base Salary, and uncapped commission plan. This is an exceptional opportunity to demonstrate your capabilities in a fun and growing company with a team-based culture. We are looking for candidates who can demonstrate and possess a strong work ethic with an entrepreneurial spirit and a desire to "win" every day! Versant Diagnostics is putting cutting edge technology into the hands of the country's leading pathologists to improve patient outcomes, elevate care, and save lives. By combining tech advancements in healthcare with the nation's most skilled and diverse set of subspecialty pathologists, Versant Diagnostics is staged to deliver unprecedented pathology service for hospitals and physician practices across the country.

EOE Pay:

$90,000.00 - $120,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance

Work Location:

In person