Restructuring and Turnaround Services - Director, Revenue Cycle Management at Riveron

New York, New York, United States

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$169,000 – $255,000Compensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Life SciencesIndustries

Requirements

Minimum 10 years of progressive experience in healthcare Revenue Cycle Management (RCM)
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
Demonstrated leadership experience managing RCM teams across multi-site and/or multi-specialty organizations
Expertise in best practices and evolving trends in RCM, payer behavior, and reimbursement models
Deep understanding of commercial, Medicare, and Medicaid billing and reimbursement structures
Knowledgeable in RCM systems and workflows, including electronic health records (EHR), billing software, and clearinghouse tools
Experienced with software platforms such as EPIC, Athenahealth, Cerner, and eClinicalWorks at a minimum, with a network of experts for additional platforms
Strong track record of driving cash flow improvements, reducing denials, enhancing key metrics, and leading operational efficiency initiatives such as automation and standardization
Expertise in audit response and risk mitigation strategies, including collaboration with compliance and legal teams
Strong financial modeling skills, including evaluating financial statements, developing scenario models, forecasts, thirteen-week cash flow forecasts, and integrated three-statement analyses
Excellent communication, analytical, and presentation-building skills, with a strong track record of managing and growing client relationships

Responsibilities

Oversee and execute project requirements relating to accurate coding, charge capture, billing, and timely submission of claims
Manage payment posting, denials, appeals, and collections for both insurance and patient obligations
Implement and monitor dashboards and key performance indicators (KPIs), including days sales outstanding (DSO), clean claim rate, denial rate, net collection rate, bad debt, and cash posting lag
Build and maintain relationships with information technology (IT) teams and vendors to ensure seamless system integrations and robust reporting capabilities
Drive compliance with federal and state healthcare regulations, payer guidelines, and the Health Insurance Portability and Accountability Act (HIPAA)
Partner with clients to identify and implement operational improvements that drive sustainable financial performance

Skills

Key technologies and capabilities for this role

Revenue Cycle ManagementPatient AccessMedical CodingBillingClaims ManagementDenials ManagementEHRBilling SoftwareClearinghouse ToolsMedicare ReimbursementMedicaid ReimbursementRevenue IntegrityCollections

Questions & Answers

Common questions about this position

What is the salary range for this Director position?

The salary range is $169K - $255K.

Is this role remote or hybrid?

The position is hybrid.

What are the key required skills and experience for this role?

Candidates need minimum 10 years of progressive experience in healthcare Revenue Cycle Management (RCM), expertise in RCM systems like EPIC and Cerner, deep knowledge of billing and reimbursement structures, strong financial modeling skills, and demonstrated leadership managing RCM teams.

What is the team and company culture like?

You'll join a collaborative, growing team in the Healthcare & Life Sciences practice, reporting to the Head of the vertical, with a focus on expanding Riveron’s healthcare presence through innovative solutions.

What makes a strong candidate for this Director role?

A strong candidate has 10+ years in healthcare RCM, a Bachelor’s in Finance (Master’s preferred), proven leadership in multi-site RCM teams, expertise in systems like EPIC and Cerner, and a track record of driving cash flow improvements and operational efficiency.

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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