RCM Director - Remote

Thriveworks; United States; A distancia; USD 140.000 - 190.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Healthcare

Dental

Vision

Life insurance

401K with employer match

PTO & holidays

Disability insurance

Professional development

Descripción de la vacante

Thriveworks is seeking a remote RCM Director to lead patient and insurance revenue cycle operations, driving cash flow, reducing AR days, and improving the patient financial journey. The role oversees internal RCM staff and the outsourced vendor, ensuring compliance and strong financial performance across multiple states.

You will develop processes, training materials, and SOPs, partnering with cross-functional teams to optimize staffing, service coverage, and continuous improvement while

Formación

• Bachelor’s degree in Healthcare Administration, Finance, or related field is required.
• 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.

Responsabilidades

• Lead patient accounts receivable and credit balance workflows to improve collections and reduce aging.
• Oversee eligibility and billing call center transitions and develop SOPs, training, and scripts.
• Support AR workflows and actions to reduce denials; analyze payer trends and drive corrective actions.
• Oversee write-off governance to minimize non-value write-offs.
• Develop training, SOPs, and communications for process changes and consistency.
• Build KPIs for AR, denials, write-offs, and payer performance; drive process improvements.

Conocimientos

RCM leadership

Insurance AR

Denial management

Vendor management

Payer policies

Analytical skills

Communication

Educación

Bachelor’s degree in Healthcare Administration

Descripción del empleo

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 opportunities

Successful 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.

Thriveworks is an Equal Opportunity Employer

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.

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.