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Riveron · 4 months ago

Restructuring and Turnaround Services - Director, Revenue Cycle Management

New York City

Full-time

Onsite

Director/Executive

$169K/yr - $255K/yr

10+ years exp

Riveron is a consulting firm dedicated to solving complex finance challenges across various sectors. The Director in the Healthcare and Life Sciences practice will lead revenue cycle management efforts for healthcare providers and organizations, focusing on improving performance and operational efficiency.

AdviceConsultingFinancial Services

Growth Opportunities

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

Qualification

Revenue Cycle ManagementHealthcare industry knowledgeRCM systems expertiseFinancial modeling skillsAudit response strategiesOperational efficiency initiativesLeadership experienceAnalytical skillsCommunication skillsPresentation-building skills

Required

Minimum 10 years of progressive experience in healthcare Revenue Cycle Management (RCM)

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

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 and developing scenario models, forecasts, thirteen-week cash flow forecasts, and integrated three-statement analyses

Excellent communication, analytical, and presentation-building skills

Strong track record of managing and growing client relationships