Director, RCM — Lead 5‑Person Billing Team (Remote)

Medix™; Irvine (CA); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Catered meals daily

Job summary

Medix seeks an experienced healthcare RCM professional to step into a Director-level role in Irvine, CA. The position leads a 5-person remote billing team and drives key RCM metrics, including denials, A/R days, and net collections, with a focus on Medicare and Medicare Advantage billing.

The role emphasizes collaboration with operations and engineering to prevent denials, improve processes, and ensure CMS payer compliance, while reporting performance to leadership.

Qualifications

• 2+ years of healthcare RCM experience.
• Strong hands-on Medicare and Medicare Advantage billing experience.
• Solid A/R and collections experience.
• Experience with payer contracting and/or provider credentialing.

Responsibilities

• Lead and develop a 5-person remote billing team.
• Own collection goals and key RCM metrics including clean claims, denials, A/R days and net collections.
• Oversee Medicare and Medicare Advantage billing from charge capture through payment, denials and appeals.
• Manage payer contracting and provider credentialing.
• Lead rejection and denial triage and identify root causes.
• Partner with Operations and Engineering to prevent denials and automate manual billing processes.
• Ensure billing remains compliant with CMS and payer requirements.
• Report revenue performance and RCM results to leadership.

Skills

Healthcare RCM

Leadership

Medicare billing

Analytics/Reporting

Cross-functional collaboration

Job description

Medix seeks an experienced healthcare RCM professional to step into a Director-level role in Irvine, CA. The position leads a 5-person remote billing team and drives key RCM metrics, including denials, A/R days, and net collections, with a focus on Medicare and Medicare Advantage billing.

The role emphasizes collaboration with operations and engineering to prevent denials, improve processes, and ensure CMS payer compliance, while reporting performance to leadership.