RCM Director - Remote

Thriveworks

Northern (KY)

Hybrid

USD 120,000 - 180,000

Full time

11 days ago
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Benefits offered by this job

Health insurance
Dental insurance
Vision insurance
401K with match
Paid time off
Paid holidays

Job summary

Thriveworks is seeking an experienced Revenue Cycle Management Director to lead patient AR and insurance-related RCM operations. You will oversee internal staff and a vendor partner, driving cash flow, reducing denials, and improving the patient financial journey.

The role requires strategic thinking, strong analytics, and a track record of delivering measurable financial outcomes in a multi-state environment. This is a remote, nationwide position with opportunities for leadership impact.

Qualifications

  • Bachelor's degree required in a related field.
  • 7+ years of progressive RCM leadership experience.
  • Experience managing outsourced RCM vendors or BPO partners.
  • Strong understanding of payer policies and multi-state billing environments.

Responsibilities

  • Lead patient AR and credit balance workflows to improve collections and reduce aging.
  • Oversee transition of eligibility and billing call workflows to RCM with SOPs and training materials.
  • Analyze denial and payer trends; implement corrective actions and collaborate with teams to resolve issues.
  • Develop training, SOPs, and communication materials to support process changes.
  • Build and monitor KPIs for AR, denials, write-offs, and payer performance; drive process improvements.

Skills

RCM leadership
Change management
Operational analytics
Communication
Team leadership
Process improvement
Payer policies
Regulatory knowledge

Education

Bachelor's degree in Healthcare Admin/Business/Finance

Job description

****RCM Director - Remote********About Thriveworks****Thriveworks is a leading mental health care company dedicated to making high-quality counseling and psychiatric services accessible and affordable for individuals, couples, and families nationwide. With a national network of licensed clinicians and a technology-driven approach, Thriveworks is transforming mental health care delivery to better meet the evolving needs of today’s clients.****About the Job****The Revenue Cycle Management (RCM) Director is responsible for leading 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, reduce denials associated with Eligibility and coverage, and improve overall cash collections. This role oversees both internal RCM staff and the outsourced RCM vendor, ensuring consistent execution, compliance, and measurable financial performance ****Key Responsibilities********Patient AR & Credit Balance Management***** 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.****Patient Eligibility & Billing Call Center***** 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.****Insurance AR & Denial Reduction***** 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.****Training & Change Management***** Develop and deliver training, SOPs, and communication materials to support process changes and operational consistency.****Operational Strategy & Performance***** 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.****Qualifications***** 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.****Competencies***** 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****Benefits***** An amazing team culture* 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 opportunitiesSuccessful Thriveworks employees believe in our mission; they embody our core values, which focus on Community, Purpose, Integrity, Access, Quality, and the ability to achieve our goals and work well together. If you fit the bill and belong on our team, apply today!Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. Interested in joining Team Thriveworks? We're thrilled to meet you! With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:* Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address.* Our recruiters and other team members may also contact you via text or phone to schedule an interview.* A google meets interview invitation will be sent via email and will only come from an @thriveworks.com email address.* Our interviews will take place over Google Meet (not Microsoft Teams, Zoom, or any other platform).* We will never ask you to purchase or send us equipment.If you see a scam related to Thriveworks, please report it to infosec@thriveworks.com. You can contact employment@thriveworks.com with any questions or concerns. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. 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.By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
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