Director Revenue Cycle Management

US Health Partners

Position Title: Director, Revenue Cycle Management
Location: Remote
Travel Required: As needed
Who we are:

US Health Partners (“USHP”) seeks to redefine high-quality specialty care in the United States and establish a high-performing, technology-enabled care delivery platform. USHP is partnering with the country’s leading physicians to build a comprehensive, out-patient focused specialty care network targeting the nation’s cardiovascular concerns. Our physician-led organization is passionate about supporting exceptional care and enriching the lives of patients across the United States. We envision the opportunity to create a scaled, cutting-edge, technology-enabled healthcare services platform that leverages a value-based delivery model.
Position Summary:

The Director, Revenue Cycle Management is a senior leadership role responsible for driving enterprise-wide revenue cycle performance across a multi-state healthcare organization. Reporting to the VP of Revenue Cycle, this leader oversees end-to-end RCM operations—from charge capture and coding through claims submission, denial management, and collections—for affiliated practices.

This role requires a strategic leader and hands-on operator with cardiovascular RCM expertise, a command of multi-state payer and regulatory environments, and a proven track record of delivering measurable financial outcomes in complex, multi-site healthcare organizations.
Responsibilities may include:

- Provide strategic and operational leadership for all revenue cycle functions across affiliated cardiology practices, ensuring standardized workflows, consistent performance metrics, and alignment with enterprise financial goals.

- Oversee end-to-end RCM operations including charge capture, coding compliance, claims submission, payment posting, denial management, and patient collections across all practice locations and financial classes.

- Direct a team of regional RCM managers and establish clear performance expectations, conduct regular evaluations, and support a culture of accountability and continuous improvement.

- Monitor and report on key performance indicators including net collection rate, days in AR, first-pass claim acceptance rate, denial rate by payer and category, and prior authorization approval rates; present findings and remediation plans to senior leadership on a regular cadence.

- Lead prior authorization program oversight, including workflow design, task management configuration in NextGen Enterprise PM, escalation protocols, and tracking of authorization lag and denial impact across practices.

- Serve as the organizational point of escalation for complex claims, payer audits, and contract-related disputes.

- Ensure compliance with Medicare, Medicaid, and commercial payer billing requirements across all operating states, including incident-to billing rules, radiopharmaceutical (HCPCS) billing guidelines, and applicable CMS policies for cardiovascular services.

- Optimize NextGen Enterprise PM configurations, examples include: financial class setup, claim scrubber rules, memorized reports, adjustment transaction codes, and BBP module workflows; partner with IT and vendor support on system enhancements and issue resolution.

- Support revenue cycle integration activities for newly acquired practices, including workflow harmonization, system onboarding, staff training, and transition-period performance monitoring.

- Perform other duties as assigned by the VP of Revenue Cycle or senior leadership.

Supervisory Responsibilities:

This position has direct supervisory responsibility over regional RCM Managers across affiliated practices. The Director is responsible for hiring, onboarding, performance management, coaching, and, when necessary, progressive disciplinary actions for all direct and indirect reports within the revenue cycle department. This role also provides functional oversight of front-end staff performing scheduling, insurance veri