Atlantic Orthopaedics & Sports Medicine · 5 days ago
Director of Revenue Cycle Management (RCM)
Portsmouth, NH
Full-time
Onsite
Director/Executive
$110K/yr - $140K/yr
7+ years expAtlantic Orthopaedics & Sports Medicine is seeking a highly experienced and results-driven Director of Revenue to lead our revenue cycle operations. This director-level position will oversee all aspects of Accounts Receivable and Revenue Cycle Management, ensuring alignment and efficiency across all aspects of the revenue cycle.
Health CareHealth DiagnosticsSportsTherapeuticsWellness
Responsibilities
Revenue Cycle Oversight: Lead the end-to-end revenue cycle including charge capture, claims submission, payment posting, denial management, and patient collections
Accounts Receivable Management: Drive AR performance metrics, reduce aging, and improve collection rates across payers and patients
Claims and Denials: Oversee timely and accurate claims submission; monitor denial trends and implement strategies for appeal and prevention
Contract Negotiation: Evaluate and negotiate payer contracts, fee schedules, and out-of-network agreements to optimize reimbursement
Payer Relations & Rate Analysis: Monitor payer performance, rate changes, and market trends; perform impact analysis of rate adjustments
Financial Reporting, Dashboards & P&L Oversight: Develop and maintain financial and operational dashboards to monitor KPIs such as DSO, denial rate, collection yield, and reimbursement variances. Provide leadership with revenue-related insights and maintain oversight of the Profit and Loss (P&L) statements to ensure financial health and strategic alignment
Budgeting / Forecasting: Collaborate with leadership to develop revenue-related budgets and financial forecasts to support strategic planning and decision-making
Out-of-Network Strategy: Oversee billing and reimbursement for out-of-network services; evaluate impact and opportunities for improvement
Compliance & Industry Monitoring: Stay current on regulatory changes, reimbursement policies, and best practices within healthcare RCM (MGMA, CMS, AAOE)
Leadership & Collaboration: Work directly with department managers in billing, patient accounts, and workers compensation, provide ongoing training and support, and collaborate with clinical and administrative leadership to ensure optimal revenue capture. Lead projects like the implementation of a new claim submission dashboard
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master's preferred
Minimum 7–10 years of progressive experience in healthcare revenue cycle, with at least 3 years in a leadership role
Strong understanding of RCM operations, billing, coding (CPT/ICD-10), and payer contract negotiation
Proven experience with data analytics, financial reporting, and revenue optimization strategies
Proficiency in EMR/EHR systems and billing software
Excellent leadership, communication, and organizational skills
Preferred
Master's degree in Healthcare Administration, Business, Finance, or related field
Experience working with orthopaedic or specialty medical practices is strongly preferred
Company
Atlantic Orthopaedics & Sports Medicine
Atlantic Orthopaedics & Sports Medicine provides expert, patient-centered orthopedic care across the Seacoast of New Hampshire and Southern Maine.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase