Senior Director, Revenue Cycle Management
Virta HealthFull Time
Expert & Leadership (9+ years)
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.
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.
Consulting firm for performance improvement and advisory
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.