Director, Revenue Cycle Management

The role

You will own the full revenue cycle function for MSO clients, including coding, claim submission, and denials management. You will lead a large, distributed team of coders and billing staff while serving as a senior partner to client practices.

What you will do

• Direct all revenue cycle functions for MSO clients.
• Develop and monitor KPIs such as days in A/R and clean claim rate.
• Identify revenue leakage and implement process improvements.
• Prepare and deliver monthly financial reports to client practices.
• Report on practice financial outcomes and provider productivity.
• Lead, mentor, and develop a large team of coders and billing staff.
• Oversee coding quality through regular audits and feedback.
• Review and interpret payor contracts and fee schedules.
• Support or oversee provider enrollment and credentialing.
• Act as a senior point of contact for client practices.

Required qualifications

• 10+ years of progressive experience in medical coding and billing.
• Deep knowledge of payor contracts, reimbursement methodologies, and denial and appeals processes.
• Working knowledge of provider credentialing and payer enrollment.
• Experience with EMR and practice management systems.
• Experience preparing and presenting practice financial reports and analyzing financial performance.
• Demonstrated leadership of large coding or billing teams.
• Excellent project management skills.
• Excellent written and verbal communication skills.
• High level of professionalism.
• Self-motivated, with a secure home workspace and reliable high-speed internet.

Nice to have

• Prior experience in an MSO, billing company, or multi-practice environment.
• Experience with athenahealth and eClinicalWorks (eCW).
• CPC, CCS, CRCR, or similar certification.
• Experience with value-based care or multi-specialty practices.
• Bachelor's degree in healthcare administration, finance, business, or a related field.

Benefits

• Medical
• Dental
• Vision
• 401k
• Generous time off plans
• Development program

Before you apply

• Unable to sponsor employment visas.
• Must be authorized to work in the United States without a current or future visa sponsorship.
• Role is open to applicants currently residing in the United States.

About the company

Oasis Health Partners (Oasis) is building healthier communities by advancing primary care. They partner with patients, providers, and plans to provide personalized, local care for seniors in towns across America.