Director of Revenue Cycle Management
FamilyWell Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Own and optimize the end-to-end revenue cycle, including insurance verification, charge capture, billing, payment posting, AR follow-up, and patient collections
- Drive improvements in cash flow, net collections, and operational efficiency
- Identify and resolve bottlenecks to support scalability
- Oversee provider credentialing, re-credentialing, and payer enrollment across all states and payers
- Ensure timely payer setup to support market expansion and provider onboarding
- Maintain payer readiness across all markets
- Establish and monitor key RCM KPIs, including delivering regular reporting with actionable insights and clear recommendations
- Proactively identify risks and implement solutions
- Lead denial reduction efforts through root-cause analysis, appeals, and payer escalation
- Partner cross-functionally to address upstream drivers of denials
- Ensure accurate and timely resolution of claims
- Advise and support partner practices on Collaborative Care Model (CoCM)
- Oversee workflows for documentation, time tracking, and payer requirements
- Maintain compliance with CMS, Medicaid, and commercial payer guidelines
- Develop and enforce standard operating procedures (SOPs)
- Lead RCM technology optimization across EHR, clearinghouse, and billing platforms
- Partner with Product and Engineering to improve automation and system performance
Requirements
- 7–10+ years of experience in Revenue Cycle Management, with progressive leadership experience
- Deep expertise in medical billing, payer operations, and multi-state credentialing
- Experience in behavioral health and/or CoCM billing strongly preferred
- Proven ability to improve collections, reduce denials, and optimize AR performance
- Strong analytical mindset with the ability to translate data into action
- Experience working with RCM systems, EHRs, and billing platforms
- Demonstrated success leading cross-functional initiatives in a scaling organization
- Excellent communication, leadership, and organizational skills
- CPC certification a plus
Benefits
- Be part of a mission-driven company improving access to women’s mental health care
- Help build and scale critical infrastructure in a high-growth environment
- Work alongside a collaborative, cross-functional leadership team
- Make a direct impact on patient access, provider experience, and financial sustainability
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementmedical billingpayer operationscredentialingAR performance optimizationdata analysisdenial reductionclaims resolutionstandard operating proceduresautomation
Soft Skills
leadershipcommunicationorganizational skillsanalytical mindsetcross-functional collaborationproblem-solvingrisk identificationactionable insightsscalability supportprocess improvement
Certifications
CPC certification