Associate Director, Revenue Cycle Management

The Associate Director, Revenue Cycle Management is a highly skilled, data-driven individual contributor, with deep expertise in the full spectrum of revenue cycle processes. This individual will also be adept at driving process improvement. This role focuses on analyzing, optimizing, and supporting critical functions within the revenue cycle, with direct impact on revenue performance and CPT allowable success. The Operations Manager collaborates closely with RCM leadership to identify inefficiencies, monitor key metrics, implement process improvements, and provide operational insights. The role is also actively involved in M&A diligence support, Medicare compliance, and reporting, contributing to the continuous improvement and scalability of the organization’s revenue operations. This role is actively engaged in the adherence to standard generating procedures, execution of strong critical thinking skills in identifying problems, crafting solutions, data analysis and execution through team collaboration and partnership. Strong interpersonal skills and relationship building.

Revenue Optimization & Analysis

• Oversee revenue cycle data analytics, influencing business decisions through trend, risk, and opportunity analyses.
• Develop and monitor KPIs (denial rates, CPT allowable trends, no-response metrics), escalating issues and driving improvements.
• Advise RCM leadership on revenue-impact evaluations and performance accountability.

Denials Management

• Analyze denial trends to minimize avoidable denials and maximize payment outcomes.
• Collaborate with senior leadership on data-driven improvement strategies and team execution plans.
• Oversee post-implementation evaluations and provide actionable feedback for continuous improvement.

M&A Support

• Lead revenue cycle due diligence in M&A activities, reviewing financial and operational data.
• Advise on risk mitigation and integration strategies for revenue continuity post-acquisition.
• Manage executive-level communications and strategic data during M&A processes.

Medicare Process Oversight

• Ensure compliance and efficiency in Medicare billing practices, influencing policy adherence and reimbursement timeliness.
• Conduct root cause analyses on Medicare case activity to resolve payment delays and optimize revenue capture.
• Drive strategic corrective actions in collaboration with compliance and finance teams.

Revenue Cycle Performance Monitoring

• Lead performance monitoring initiatives, creating actionable insights and dashboards for senior leadership.
• Align daily revenue cycle operations with long-term business objectives.
• Mentor team members on best practices and performance accountability.

Continuous Improvement & Strategic Support

• Champion continuous process improvement, leveraging data to identify performance gaps and efficiency barriers.
• Design and implement scalable solutions to enhance workflow automation, accuracy, and team capacity.

Cross-Functional Collaboration

• Act as a strategic liaison across departments, aligning cross-functional efforts with enterprise revenue goals.
• Provide interim leadership during transitions, ensuring operational continuity.
• Foster a high-performance team culture through collaboration, initiative, and shared accountability.

Additional Duties

• Assist in special projects and performance initiatives.
• Participate in team meetings, planning sessions, and operational reviews.

Education & Experience

· Bachelor’s degree or equivalent experience required.

· 5+ years in Revenue Cycle Management across core functions.

· 2+ years in a role supporting leadership or managing key operational responsibilities.

· 5+ years team leadership experience.

Skills & Competencies

· Strong analytical and reporting skills with a focus on results.

· Knowledge of CPT, ICD-10, and healthcare billing regulations including Medicare.

· Proficient with MS Office tools, especially Excel.

· Strong verbal and written communication skills.

· Ability to prioritize in a fast-paced, deadline-driven environment.

· Knowledge of HIPAA and healthcare regulatory requirements