Director of Revenue Cycle Management (RCM)

Skills set:
Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
Experience leading enterprise revenue cycle teams with managers and specialized staff.
Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives.
Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections.
Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
Skill in maintaining internal controls, audit readiness, and compliance frameworks.
Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
Ability to lead technology optimization, analytics, automation, and reporting.
Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations.
Executive communication ability to present complex financial, operational, and regulatory information.
Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements.
Competence in leading organizational change, standardization, and continuous improvement initiatives.
Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.
Required/Desired Skills
SkillRequired /DesiredAmountof Experience
Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
Required
5
Years
Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
Required
5
Years
Experience leading enterprise revenue cycle teams
Required
5
Years
Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections
Required
5
Years
Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
Required
5
Years
Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
Required
5
Years
Executive communication ability
Required
5
Years
Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.
Required
5
Years

Work arrangement
No