Seeking a Director of Revenue Cycle (RCM) at an established and reputable Home Health Organization that has been serving the community for 18 years. Their mission and values are centered around providing the best care possible to their patients, in team environment. Collaboration and a healthy employee culture are top priority to them. You must have MCO experience (MCOs managed care, utilize networks, and aim to control utilization to limit expenses) Examples: Medicaid Managed Care Plans. This role focuses on operational execution, performance optimization and compliance across billing, coding, collections, and payer processes to ensure and timely reimbursement, and managing a small team a collectors and billers.

Requirements

• Steady job history (longevity in past employment)
• Must have Home Care Industry experience in a leadership role
• Must have Managed Care Organization "MCO" experience
• Experience with billing for non-clinical services/private pay services like Caregiving, and various Insurance Plans (HMO, PPO) that contract with providers to deliver medical services at reduced costs.
• Experience with Medicare Plans

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance or related field.
• Five to ten years of experience in healthcare revenue cycle management, preferably in Home Care industry
• Strong knowledge of Medicaid and MCO Home Care billing and pay rules.
• Proven experience managing multi-site teams and operational KPIs.
• Hands-on leadership style with strong problem-solving skills.

This is a Fulltime, Onsite, Perm position offering a competitive salary, and benefits.

Equal Opportunity Employer