Director, Revenue Cycle Management

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🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

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Aegis Therapies

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Aegis Therapies is a comprehensive healthcare provider specializing in therapy and wellness services. With a focus on rehabilitation, wellness, and home health, Aegis Therapies caters to the needs of patients with a variety of conditions, offering outpatient therapy, restorative care, and holistic wellness activities. The company is committed to enhancing patient outcomes and supporting clinical and business objectives through innovative programs. Aegis Therapies takes pride in exceeding patient expectations, with a high satisfaction rate and a history of transforming patient experiences through skilled therapy and professional care.

📋 Description

• Oversee the daily execution of end-to-end revenue cycle functions including charge capture, claim submission, remittance posting, denial management, appeals, and collections. • Monitor and manage payer performance across Medicare Part A and Part B, Medicaid fee-for-service, managed Medicaid, Managed Care Organizations (MCOs), and commercial insurance. • Ensure timely and accurate billing consistent with therapy-specific documentation requirements. • Serve as the primary operational escalation point for complex billing issues, payer disputes, and collections challenges. • Establish, track, and report on key RCM performance indicators including days in A/R, clean claim rate, denial rate, first-pass resolution rate, net collection rate, and cash collections against targets. • Prepare regular performance dashboards and operational reports for the CFO and senior operational leadership.

🎯 Requirements

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field required. • Minimum of 7 years of progressive revenue cycle experience in a healthcare services setting. • At least 3 years in a supervisory role. • Demonstrated expertise in therapy services billing (PT, OT, SLP) within post-acute settings. • Experience managing multi-payer, multi-state revenue cycle operations in a contract therapy or ancillary services environment. • Track record of achieving measurable improvements in days in A/R, denial rates, and net collection rates. • Experience with RCM technology platforms and practice management systems; familiarity with therapy-specific EMR and billing software.

🏖️ Benefits

• Support internal and external audit processes related to revenue cycle operations • Prepare audit-ready documentation and respond to payer requests. • Identify and escalate compliance risks related to billing practices. • Maintain current knowledge of regulatory changes affecting therapy reimbursement.