Position Summary
The Senior Director of Revenue Cycle Management (RCM) is responsible for providing strategic leadership and operational oversight of the organization's end-to-end revenue cycle utilizing the Athenahealth platform. This executive leader drives revenue optimization, improves financial performance, ensures regulatory compliance, and leads high-performing teams responsible for patient access, charge capture, coding, billing, claims management, payment posting, denial management, accounts receivable, and collections.
The ideal candidate possesses extensive experience leading physician practice revenue cycle operations, implementing process improvements, leveraging Athenahealth reporting and workflow automation, and collaborating with executive leadership to maximize reimbursement and operational efficiency.
Key Responsibilities
- Lead all aspects of Revenue Cycle Management across multiple physician practices and specialties.
- Develop and execute strategic initiatives to improve cash collections, reduce denials, and optimize reimbursement.
- Oversee Athenahealth Practice Management workflows, billing operations, claims processing, and reporting.
- Monitor key performance indicators including:
- Days in A/R
- Net Collection Rate
- First Pass Resolution Rate
- Clean Claim Rate
- Denial Rate
- Charge Lag
- Payment Lag
- Bad Debt
- Drive revenue cycle transformation through automation, workflow optimization, and data analytics.
- Lead coding, billing, collections, payment posting, and denial management teams.
- Ensure compliance with CMS, Medicare, Medicaid, HIPAA, and commercial payer regulations.
- Partner with Clinical Operations, Finance, Compliance, IT, and Executive Leadership.
- Develop revenue forecasting models and executive dashboards.
- Identify reimbursement opportunities and reduce revenue leakage.
- Manage payer relationships and contract performance.
- Lead audits, root cause analysis, and corrective action plans.
- Build and mentor high-performing RCM leadership teams.
- Manage departmental budgets, staffing, and performance goals.
- Oversee Athenahealth upgrades, implementations, integrations, and optimization projects.
Required Qualifications
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field.
- Master's degree (MBA, MHA, or equivalent) preferred.
- 10+ years of progressive Revenue Cycle leadership experience.
- 5+ years leading multi-site physician practice or ambulatory RCM operations.
- Extensive hands-on experience with Athenahealth Practice Management(athenaOne/athenaCollector).
- Deep knowledge of:
- Medical Billing
- Medical Coding (CPT, ICD-10, HCPCS)
- Revenue Integrity
- Denial Management
- Claims Management
- Patient Collections
- Payer Contracting
- Experience leading teams of 50+ employees preferred.
- Strong knowledge of Medicare, Medicaid, Commercial Insurance, and Value-BasedCare reimbursement models.
- Experience with revenue cycle analytics and KPI reporting. VVirtual Vocations+1
Preferred Skills
- Athenahealth implementation and optimization experience.
- Lean Six Sigma certification preferred.
- Project Management Professional (PMP) certification preferred.
- Strong executive communication and presentation skills.
- Advanced Excel, Power BI, Tableau, or other BI tools.
- Experience with automation and workflow redesign.
- Exceptional leadership, change management, and strategic planning abilities.
Core Competencies
- Strategic Leadership
- Revenue Optimization
- Financial Management
- Operational Excellence
- Process Improvement
- Executive Communication
- Team Development
- Data Analytics
- Regulatory Compliance
- Performance Management
- Problem Solving
- Cross-Functional Collaboration
Key Performance Metrics
- Days in Accounts Receivable (A/R)
- Net Collection Rate
- Gross Collection Rate
- Clean Claim Rate
- First Pass Resolution Rate
- Denial Rate
- Charge Lag
- Cash Collections
- Revenue Growth
- Patient Satisfaction
- Cost to Collect
- Employee Engagement
Preferred Experience
- Multi-specialty physician groups
- Ambulatory care organizations
- Medical Service Organizations (MSOs)
- Private equity-backed healthcare organizations
- Hospital-employed physician practices
- Large healthcare systems
- Multi-state healthcare operations
Pay: $70,000.00 - $75,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: Hybrid remote in Kissimmee, FL 34744
