Director of Revenue Cycle Management

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🕒 May 8

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ReWorks Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2024

🎯 Recruiter

🤝 B2B

Recruitment • B2B

ReWorks Solutions is a premium remote staffing company that provides rigorously vetted, native English-speaking offshore professionals from South Africa and the Philippines, managed end-to-end with white-glove onboarding, continuous coaching, performance monitoring, and HIPAA-compliant processes. They position themselves as a B2B partner for healthcare organizations and other businesses seeking client-facing and backend remote teams, promising cost savings, high retention, and compliance. ReWorks combines hands-on team management with AI-powered support to streamline hiring, scaling, and ongoing oversight of remote staff.

📋 Description

• Lead all RCM operations and drive sustainable revenue growth in multiple behavior health clinics • Build and optimize our full revenue cycle — from authorization through collections • Transition billing fully in-house and construct a modern, data-driven RCM platform from the ground up • Design and implement a fully integrated RCM platform using data from our EMR and billing systems • Create bi-directional data flows between EMR and billing software to eliminate manual entry and reduce errors • Build real-time dashboards tracking clean claim rates, denial rates, days in A/R, and collections by payer • Automate eligibility verification, VOB lookups, claim scrubbing, and remittance posting • Use historical claims data to identify denial patterns and build targeted remediation strategies • Develop revenue forecasting models to support financial planning • Hire, train, and manage a high-performing RCM department • Build career development pathways for staff • Ensure staffing coverage for timely filing and prior authorization requirements • Manage the transition from third-party billing to 100% in-house billing operations • Implement and optimize workflows in the EMR and billing platform to maximize collections • Establish authorization and VOB processes to ensure all services are covered before delivery • Build a strong denials management and appeals program across all payers • Oversee credentialing for all clinicians across applicable payers • Implement patient and payer collections processes, including management of third-party collections vendor • Establish RCM reporting systems to track performance and hit revenue targets • Reconcile A/R across bank accounts, billing software, and EMR • Drive year-over-year revenue growth through innovation and process improvement • Set coding standards and policies to maximize appropriate reimbursement • Lead payer audit responses and establish policies to reduce audit risk • Ensure billing compliance across all payers • Manage overpayment reporting and ensure timely refunds to payers

🎯 Requirements

• Proven experience in a senior RCM leadership role, preferably in behavioral health, mental health, or similar healthcare setting • Deep knowledge of EMR systems and billing platforms, with the ability to leverage data across both. (Knowledge of Kipu is a plus) • Strong understanding of payer contracting, credentialing, authorizations, and appeals • Experience managing or building in-house billing operations • Analytical mindset with the ability to build dashboards, interpret data, and make data-driven decisions • Excellent leadership, communication, and organizational skills

🏖️ Benefits

• Comfortable working U.S. hours • Remote work from home