RCM Director

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 10%

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Thriveworks

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2008

💼 Consulting

🛡️ Insurance

⚖️ Legal

Consulting • Insurance • Legal

Thriveworks is a leading provider of mental health services offering a wide range of therapy options including individual therapy, couples/marriage therapy, family therapy, and child/teen therapy. With over 2,200 licensed clinicians across 340 locations in the U. S. , Thriveworks provides both in-person and online therapy sessions tailored to meet the unique needs of clients. They accept most major insurance plans, ensuring accessible mental health care for a variety of challenges such as anxiety, depression, and relational issues.

📋 Description

• Lead all patient and some insurance-related revenue cycle operations, including Patient AR Management, Insurance Benefits Verification, patient communications, interaction with patient services, credentialing, product development, and contracting departments. • Improve the patient financial journey, communications, patient collections, eligibility and coverage denial rates, and overall cash collections. • Oversee internal RCM staff and the outsourced RCM vendor, ensuring consistent execution, compliance, and measurable financial performance. • Lead patient accounts receivable and credit balance workflows to improve collections, reduce aging, and ensure timely resolution and refunds. • Monitor performance, identify root causes of non-payment, and implement process improvements and reporting. • Lead the transition of eligibility and billing call workflows to RCM. • Develop processes, SOPs, training materials, call scripts, decision trees, and knowledge resources. • Partner with cross-functional teams to ensure appropriate staffing, service coverage, and continuous improvement. • Support AR workflows and initiatives to reduce eligibility, coverage, and authorization denials. • Analyze denial and payer trends, implement corrective actions, and collaborate with internal teams and vendors to resolve recurring issues. • Oversee write-off governance to ensure write-offs are appropriate and minimized. • Develop and deliver training, SOPs, and communication materials to support process changes and operational consistency. • Develop strategies to improve cash flow, reduce AR days, and strengthen revenue integrity. • Build and monitor KPIs for AR, denials, write-offs, and payer performance. • Identify automation and process improvement opportunities and lead cross-functional initiatives to improve efficiency and results.

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field. • 7+ years of progressive RCM leadership experience, including insurance AR and denial management. • Experience managing outsourced RCM vendors or BPO partners. • Strong understanding of payer policies, regulatory requirements, and multi-state billing environments. • Proven ability to lead teams, manage change, and drive measurable financial outcomes. • Excellent analytical, communication, and problem-solving skills. • Strategic thinking with strong operational execution. • Strong Patient Collections Knowledge. • Ability to manage a Patient Billing Call Center to improve communications and the patient journey. • Proven ability to improve the Insurance Benefits Verification process. • Data-driven decision-making. • Process improvement and workflow optimization. • High accountability and ownership mindset. • Applicants must be legally authorized to work in the United States at the time of hire. • This position is not eligible for employment visa sponsorship, either now or in the future.

🏖️ Benefits

• Healthcare, Dental, Vision, and life insurance benefits • 401K with 3% employer match • Paid time off and paid holidays • Additional coverage options are available, such as Short Term Disability, Long Term Disability, and Group Accident Insurance • Professional development & advancement opportunities • An amazing team culture