Director of Revenue Cycle Management & Credentialing

Added
18 hours ago
Type
Full time
Salary
Salary not provided

Related skills

credentialing revenue cycle management caqh denial management emr

📋 Description

  • Own end-to-end revenue cycle: charge capture to collections.
  • Oversee RCM across internal staff and external vendors with SLA oversight.
  • Lead RCM process improvements for financial visibility and fewer handoffs.
  • Build scalable RCM workflows across internal teams.
  • Develop analytics on denials, payer performance, AR aging, and collections.
  • Lead credentialing and payer enrollment; manage credentialing specialists.

🎯 Requirements

  • Bachelor's degree in Healthcare Administration, Business, Finance, or related field; advanced degree preferred.
  • 7+ years in healthcare revenue cycle management with leadership experience.
  • Proven experience leading RCM operations and provider credentialing/payer enrollment; multi-state, multi-payer; telehealth a plus.
  • Experience managing RCM across internal teams and external vendors; SLA oversight.
  • Knowledge of Medicare/Medicaid/VA/TRICARE and commercial payer enrollment; CAQH and credentialing platforms.
  • Strong analytical, communication, and project-management skills; ability to lead multiple workstreams.

🎁 Benefits

  • Remote-first culture with flexibility and autonomy.
  • Mission-driven environment advancing cardiovascular care.
  • Fast-paced, agile teams with opportunities for growth.
  • Collaborative, inclusive workplace fostering diversity and mutual support.
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