Director of Revenue Cycle Management

Job Description

Job Description

JOB SUMMARY: The Revenue Cycle Management (RCM) Director is a strategic leader responsible for overseeing and optimizing all aspects of revenue cycle operations across a large, multi-site surgical practice. The Director ensures financial integrity, drives operational performance, and supports compliance with all regulatory and payer requirements. This role collaborates closely with business operations, clinical leadership, and external vendors to support sustainable revenue growth and enhance the patient experience.

RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO:

Leadership & Strategic Oversight

Lead all Revenue Cycle Management functions, including Billing, Collections, Authorizations, and Credentialing

Manage RCM operations across multiple office locations, including both on-site and remote teams

Establish departmental goals, workflows, and KPIs to align with business objectives and compliance requirements

Mentor, coach, and develop team members; provide training and ongoing performance evaluations

Support recruitment and onboarding of revenue cycle staff; develop and maintain departmental training documentation

Revenue Cycle Operations

Oversee claim submission, payment posting, denial management, and accounts receivable follow-up

Ensure timely and accurate prior authorizations and insurance verification processes

Monitor billing compliance and coding accuracy, in accordance with federal, state, and payer-specific regulations

Manage payer communications and disputes, including coordination and submission of IDR cases when applicable

Maintain accurate and current provider credentialing with all contracted insurers

Oversee all physician and provider credentialing, including initial applications, recredentialing, and payer enrollment for surgeons, physician assistants, and other billable staff

Technology & Process Optimization

Serve as liaison with EMR and billing system vendors to improve RCM tools and performance

Implement process improvements to increase collections, reduce denials, and improve cash flow

Develop and deliver regular performance reports, analysis, and dashboards for senior leadership

Administrative & Cross-Functional Collaboration

Collaborate with physicians, clinical staff, and front-office teams to improve billing workflows and financial transparency

Ensure accurate data entry of referring provider and PCP information into the EMR system

Support the creation of spreadsheets, audit reports, and PowerPoint presentations for internal projects

Develop job aids and tools for collectors, including credential access guides, authorization logs, and accounts receivable audits

EDUCATIONAL REQUIREMENTS:

Bachelor’s Degree in Healthcare Administration, Business, or a related field required

Master's Degree in Healthcare Administration, Business, or a related field preferred

QUALIFICATIONS AND EXPERIENCE:

Minimum 6-8 years progressive experience in healthcare revenue cycle management, with at least 4 years in a leadership role

Strong working knowledge of the end-to-end revenue cycle, including health information, patient registration, coding, insurance verification, billing and claims processing, accounts receivable management, adjustments, remittance processing, and collections

Deep understanding of prior authorizations, self-pay collections, Independent Dispute Resolution (IDR), and strategies for managing both payer-based and elective revenue streams

Direct experience working with Medicare, Medicaid, commercial insurance plans, and Workers’ Compensation

Experience in healthcare, surgical or specialty care setting is preferred

Demonstrated leadership and team development capabilities

Exceptional communication, organizational, and analytical skills

Benefits & Perks:

Competitive Salary with performance-based bonus potential

Medical, Dental, and Vision Insurance

Voluntary Aflac benefits, Pet Insurance & Discounts through PLUM and Working Advantage

401(k) Retirement Plan with employer contribution

19 Paid Time Off (PTO) and 8 paid holidays

Employee Discounts on cosmetic and med spa services

Wellness programs (Employee Assistance Program and discounted gym memberships)

Professional Development Support and training opportunities

The Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.

Company Description

The Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.