Riveron

Restructuring and Turnaround Services - Director, Revenue Cycle Management

New York, New York, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Life SciencesIndustries

Requirements

Candidates should possess a minimum of 10 years of progressive experience in healthcare Revenue Cycle Management (RCM) and hold a Bachelor's degree in Finance, with a Master's degree in Finance or Health Administration preferred. Proven ability to execute and drive measurable results rooted in deep operational experience within the healthcare industry, along with demonstrated leadership experience managing RCM teams across multi-site and/or multi-specialty organizations, is required. Expertise in RCM best practices, evolving trends, payer behavior, reimbursement models, commercial, Medicare, and Medicaid billing structures, and RCM systems and workflows including EHR, billing software, and clearinghouse tools is essential. Experience with software platforms such as EPIC, Athenahealth, Cerner, and eClinicalWorks is a minimum requirement. Strong track record of driving cash flow improvements, reducing denials, enhancing key metrics, leading operational efficiency initiatives, expertise in audit response and risk mitigation strategies, strong financial modeling skills, and excellent communication, analytical, and presentation-building skills are also necessary. A strong track record of managing and growing client relationships is expected.

Responsibilities

The Director will lead revenue cycle management (RCM) efforts for healthcare providers, payers, and organizations, helping clients improve performance, reduce accounts receivable days, increase net collections, and enhance operational efficiency. They will oversee and execute project requirements relating to accurate coding, charge capture, billing, and timely submission of claims, and manage payment posting, denials, appeals, and collections for both insurance and patient obligations. The role involves implementing and monitoring dashboards and key performance indicators (KPIs), building and maintaining relationships with IT teams and vendors for seamless system integrations, and driving compliance with federal and state healthcare regulations, payer guidelines, and HIPAA. The Director will partner with clients to identify and implement operational improvements that drive sustainable financial performance.

Skills

Revenue Cycle Management (RCM)
Patient Access
Coding
Billing
Claims
Denials Management
Collections
Revenue Integrity
Financial Analysis
Operational Efficiency
Healthcare Industry
RCM Systems
EHR
EPIC

Riveron

Consulting firm for performance improvement and advisory

About Riveron

Riveron enhances business performance and explores new opportunities across various industries, including aerospace, healthcare, and technology. They provide tailored advisory services such as tax advisory, financial restructuring, and strategic consulting, acting as an extension of their clients' management teams. Riveron differentiates itself through a hands-on approach and a unified brand strategy that integrates multiple consulting firms, allowing for comprehensive solutions. Their goal is to help businesses navigate complex challenges and achieve strategic objectives.

Dallas, TexasHeadquarters
2006Year Founded
$5.2MTotal Funding
BUYOUTCompany Stage
Consulting, Government & Public Sector, Financial ServicesIndustries
201-500Employees

Benefits

Flexible Work Hours
Professional Development Budget
Hybrid Work Options

Risks

Integration challenges with Yantra may disrupt operations if not managed effectively.
South Florida expansion could strain resources if market growth expectations aren't met.
Technological integration issues with Numeric partnership may impact service delivery.

Differentiation

Riveron combines consulting, public accounting, and industry expertise for tailored business solutions.
The firm partners with private equity, corporations, and lenders for strategic transformations.
Riveron's integration of Conway MacKenzie, Winter Harbor, and GBI Consulting enhances service offerings.

Upsides

Riveron's acquisition of Yantra strengthens technology support for CFOs in tech-enabled sectors.
Expansion into South Florida taps into a fast-growing hub for private equity.
Partnership with Numeric offers AI-driven financial management solutions for improved financial clarity.

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