Director of Revenue Cycle Management

Summary

Join Two Chairs, a rapidly growing mental health company, as their Director of Revenue Cycle Management (RCM)! This strategic leadership role focuses on optimizing and scaling end-to-end revenue cycle operations. You will build and mentor a high-performing RCM team, implement technology-driven solutions, and develop key performance metrics to maximize efficiency and cash flow. Success in this role requires deep healthcare RCM expertise, strong analytical skills, and proven leadership capabilities. You'll be responsible for improving billing, collections, and reimbursement processes, ensuring strong financial performance and operational excellence. Two Chairs offers a competitive salary, comprehensive benefits, and the opportunity to make a significant impact in a dynamic and growing organization.

Requirements

• Director-level leadership in Revenue Cycle Management, with proven success in multi-state, multi-payer healthcare/ behavioral health settings
• Experienced in leading teams and driving results, with a strong understanding of what success looks like
• Proven ability to drive measurable improvements in cash collections, reduce claim rejections, and optimize reimbursement workflows to improve collection rates
• Strong analytical and problem-solving skills, with a proven ability to identify inefficiencies, improve cash flow, and optimize financial performance
• Expert with commercial insurance reimbursement models, as well as Medicare, Medicaid, and value-based payment structures
• Ability to leverage real-time analytics and reporting tools to monitor denial rates, AR aging, collection efficiency, and payer performance
• Strong leadership and team-building skills, with experience recruiting, developing, and mentoring high-performing RCM teams
• Ability to effectively collaborate with finance, operations, clinical teams, and product leaders to align revenue cycle priorities with business goals
• Exceptional communication skills, with the ability to translate complex RCM data into clear insights and recommendations
• Thrives in fast-paced, high-growth environments, with the ability to navigate ambiguity and drive solutions proactively
• Strong project management skills, with the ability to prioritize tasks, manage multiple initiatives, and meet deadlines effectively
• A growth mindset and intellectual curiosity, constantly looking for ways to improve processes, leverage technology, and optimize revenue cycle performance

Responsibilities

• Develop and implement scalable best-in-class revenue cycle processes to support the company’s growth and improve operational efficiency
• Optimize claims processing, coding accuracy, charge capture, and collections workflows to reduce denials and accelerate reimbursements
• Evaluate and upgrade RCM technology and automation tools, ensuring streamlined workflows and enhanced accuracy
• Establish standardized policies, procedures, and best practices across the revenue cycle, from patient intake to final collections
• Develop and track key performance metrics, including denial rates, net collection rate, AR days, and cash flow trends, ensuring proactive issue resolution and continuous process improvements
• Implement a structured denials management program, focusing on root cause identification, appeals success, and process refinements to minimize preventable denials
• Drive collection rate improvements by enhancing payer communications, optimizing patient billing processes, and improving financial transparency
• Ensure timely and accurate claim submissions, reducing A/R aging and bad debt exposure while improving reimbursement timelines
• Build and maintain real-time dashboards and automated reporting tools to monitor RCM performance, revenue trends, and operational efficiencies
• Establish a structured reporting cadence, providing leadership with clear visibility into RCM performance, financial risks, and opportunities for improvement
• Analyze payer performance, reimbursement trends, and claim adjudication patterns to optimize revenue recovery strategies
• Build and lead a high-performing RCM team, and develop a scalable structure to support long-term growth
• Serve as the primary point of contact for RCM, providing clear direction and insights across finance, product, operations, and clinical teams
• Partner with finance and accounting to align on forecasting, revenue recognition, and cash flow optimization
• Work closely with product and engineering to identify and implement tech-enabled solutions that enhance RCM efficiency
• Collaborate with operations to ensure seamless patient billing, eligibility verification, and provider credentialing
• Identify and resolve systemic issues affecting claims processing, payer reimbursements, and cash flow
• Develop a continuous improvement framework to enhance billing accuracy, streamline workflows, and drive financial performance
• Establish a feedback loop with payers, operations, and finance to continuously refine RCM processes
• Ensure compliance with regulatory requirements, payer policies, and industry best practices

Benefits

• Equity in a high-growth start-up
• Paid time off, including nine paid holidays and an additional Winter Office Closure from Christmas Day (Observed) through New Year's Day
• Comprehensive medical, dental, and vision coverage
• 401(k) Retirement savings options
• One-time $200 Work from Home reimbursement
• Annual $1,000 Productivity & Wellness Stipend to support your personal and professional goals
• Annual $500 subsidized company contribution to your healthcare FSA or HSA
• Paid parental leave