VP of Revenue Cycle Management, RCM

Role Overview

• Lead and manage all aspects of the revenue cycle, including:
• Insurance verification
• Authorizations
• Claims submission
• Payment posting
• Denial management
• Accounts receivable follow-up
• Collections
• Develop and implement strategies to improve cash flow, reduce denials, and maximize reimbursement.
• Monitor key performance indicators (KPIs) including AR aging, clean claim rate, denial trends, collection percentages, and reimbursement timelines.
• Ensure compliance with payer contracts, Medicaid requirements, HIPAA regulations, and company policies.
• Collaborate with clinical and operations leadership to ensure accurate documentation and timely billing.
• Oversee relationships with insurance payers and support contract management initiatives.
• Analyze revenue cycle data and prepare regular reporting for executive leadership.
• Identify workflow inefficiencies and implement process improvements and automation opportunities.
• Leverage technology, automation tools, and AI-driven solutions to improve revenue cycle efficiency, reduce manual processes, and enhance billing accuracy and collections performance.
• Manage, mentor, and develop the RCM team, fostering accountability and continuous improvement.
• Support expansion efforts including new state or payer implementations.

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field preferred.
• 5+ years of progressive revenue cycle management experience in healthcare.
• Prior experience in ABA, behavioral health, pediatric therapy, or multi-site/multi-state healthcare strongly preferred.
• Strong knowledge of commercial insurance and Medicaid billing practices.
• Experience managing billing systems, EMRs, and reporting tools.
• Collaborated cross-functionally to integrate automation and AI capabilities into RCM operations, supporting improved compliance, productivity, and financial outcomes.
• Proven leadership experience managing teams and driving operational improvements.
• Excellent analytical, organizational, and communication skills.
• Ability to thrive in a fast-paced, growth-oriented environment.

Preferred Qualifications

• Experience scaling RCM operations within a growing healthcare organization.
• Familiarity with ABA billing codes, authorizations, and payer-specific requirements.
• CPC, CRCR, or similar certification is a plus.

Benefits

• Competitive salary
• Comprehensive benefits package
• Generous PTO: Vacation, holidays, and personal days
• 401(k) with Match: Invest in your future with employer support
• Collaborative and mission-driven culture
• Opportunity to make a meaningful impact on children and families