Revenue Cycle Portfolio Leader

Strategic Revenue Cycle Leader

Serves as a strategic revenue cycle leader responsible for improving financial performance, identifying risk, strengthening accountability, and driving sustainable revenue cycle solutions across an assigned portfolio of Home Health and Hospice agencies. Partners with agency leadership, Service Center teams, and RCM leadership to remove barriers, promote best practices, and support world-class revenue cycle performance.

Duties & Responsibilities

• Monitor portfolio performance and key revenue cycle metrics, including collections, AR aging, DSO, bad debt, unbilled revenue, ghost AR, denials, and payer performance.
• Identify revenue cycle risks, trends, barriers, and improvement opportunities; partner with agency leadership to develop and execute action plans.
• Partner with Executive Directors, Billing teams, operational leaders, Service Center teams, payors, and other stakeholders to strengthen performance and achieve organizational goals.
• Provide front-line support to Billers, Billing Managers, Executive Directors, and agency staff on day-to-day AR questions, acquisition training, revenue cycle best practices, and performance improvement opportunities.
• Maintain working knowledge of payor contracts, reimbursement methodologies, Medicare, Medicaid, managed care, and regulatory requirements affecting Home Health and Hospice reimbursement.
• Connect agencies with appropriate Service Center resources and subject matter experts while promoting clear ownership, direct partnership, and timely barrier resolution.
• Provide tools and resources to help agencies monitor revenue cycle processes, track issues, support standard work, improve workflow consistency, and strengthen operational readiness.
• Participate in cluster, market, and organizational meetings to identify systemic barriers, share best practices, and support enterprise-wide revenue cycle initiatives.
• Maintain proficiency in revenue cycle systems and protect patient, employee, and organizational information in compliance with company and regulatory requirements.

Job Requirements

• Minimum of three years of healthcare revenue cycle, billing, collections, or accounts receivable leadership experience, preferably in Home Health and/or Hospice.
• Strong knowledge of Home Health and Hospice billing, reimbursement methodologies, revenue cycle best practices, and Medicare, Medicaid, managed care, and commercial payor requirements.
• Ability to analyze metrics, identify trends and risks, exercise independent judgment, and develop effective performance improvement strategies.
• Strong leadership, coaching, communication, relationship-building, problem-solving, facilitation, negotiation, and collaboration skills.
• Ability to manage multiple priorities and work effectively with agency leaders, operational teams, Service Center personnel, payors, and external partners.
• Experience supporting acquisitions, operational transitions, onboarding, billing team training, or large-scale process improvement initiatives preferred.
• Proficiency with EMR, revenue cycle, reporting, and payor portal systems, including WellSky, HCHB, Waystar, Esolutions, ECW, or similar platforms.

Location: Cornerstone Service Center - Nashville, TN

Compensation: $70,000 - $80,000

Why Join Us?

Something else that sets us apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values:

• Customer Second – We prioritize and support our team so they can deliver exceptional care.
• Accountability – Own your work and outcomes.
• Passion for Learning – Grow continuously with curiosity and culture.
• Love One Another – Build authentic, respectful, and trusting relationships.
• Intelligent Risk Taking – Innovate and challenge the status quo.
• Celebrate – Recognize the small wins, they add up!
• Ownership – Be the CEO of your role.

Additional Benefits:

• True Work-Life balance – We believe in taking care of yourself before you take care of others!
• Full benefits package (medical, dental, vision, 401(k) with match)
• Paid time off, holiday pay, and professional development
• Your voice matters! - Work with other passionate and high-achieving leaders who care deeply about patient outcomes and team success.

About Pennant Services

We support over 250 home health, hospice, senior living, and home care operations across 19 states. Our Service Center model empowers local leadership while providing centralized clinical, legal, HR, IT, and compliance support to help ensure high-quality care.