Executive Director, RCM Operations jobs in United States
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DASCO Home Medical Equipment · 18 hours ago

Executive Director, RCM Operations

DASCO Home Medical Equipment is seeking a strategic and results-driven Executive Director of Revenue Recovery to lead enterprise-wide efforts in optimizing cash flow and improving payer performance. This role involves overseeing revenue cycle recovery operations, including insurance and patient collections, denial resolution, and vendor performance management, while shaping strategy and guiding teams to support the company's mission.

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Growth Opportunities

Responsibilities

Develop and execute a comprehensive revenue recovery strategy aligned with DASCO’s financial and service goals
Lead initiatives to reduce AR aging and improve collection KPIs across payer types and lines of business
Serve as an executive liaison with payers and key RCM vendors to escalate and resolve systemic issues impacting cash flow
Direct and optimize the performance of all recovery-related functions, including:
Insurance AR follow-up
Denial management and appeals
Patient balance collections
Cash posting and reconciliation
Refund processing
Implement policies and best practices to ensure timely, accurate, and compliant cash collections
Drive automation, workflow standardization, and system enhancements to reduce administrative burden and improve productivity
Oversee third-party vendors supporting recovery operations, ensuring high accountability and ROI
Lead contract negotiation and ongoing performance evaluation for RCM partners and mail vendors
Analyze AR performance data, identify trends, and implement corrective action plans
Lead root cause analysis on denials, underpayments, and operational breaks
Report on recovery performance to executive leadership, highlighting risks and opportunities
Build, lead, and coach a high-performing team of recovery professionals and mid-level managers
Promote a culture of accountability, continuous improvement, and cross-functional collaboration
Lead succession planning and talent development across recovery functions

Qualification

Healthcare Revenue Cycle ManagementDenial ManagementLeadershipDME/HME BillingVendor ManagementData AnalysisContinuous ImprovementTeam BuildingProcess Improvement CertificationTechnology SolutionsCommunication SkillsProblem-Solving Skills

Required

Bachelor's degree in Healthcare Administration, Business, Finance, or related field (Master's preferred)
10+ years of experience in healthcare revenue cycle management, with 5+ years in senior leadership
Deep understanding of DME/HME billing and payer dynamics, including Medicare, Medicaid, and commercial payers
Proven success in reducing AR and improving recovery metrics in a complex, multi-state environment
Strong command of denial management, payer rules, and compliance considerations (e.g., HIPAA, CMS)
Experience managing external RCM vendors and service-level agreements
Exceptional leadership, communication, and problem-solving skills

Preferred

Familiarity with Brightree, Waystar, and payer portals
Lean/Six Sigma or process improvement certification
Experience with technology-enabled solutions such as RPA or AI in revenue cycle operations

Company

DASCO Home Medical Equipment

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DASCO Home Medical Equipment is committed to providing patients and referral sources with the best service.

Funding

Current Stage
Late Stage

Leadership Team

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Ann Cornelius
Chief Revenue Officer (CRO)
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Company data provided by crunchbase