Job Description

Job Location: denver, CO 73434
Salary Range: $130,000.00 - $150,000.00 SalaryJob

Summary:
The Director of Revenue Cycle is a transformational operator responsible for maximizing enterprise EBITDA through end-to-end revenue cycle leadership, payer strategy, and technology-enabled infrastructure.  This role owns monetization across physician practices and ASCs, driving revenue integrity, operational scalability, and growth through automation, analytics, and acquisition integration. The Director builds high-performing teams, standardizes fragmented processes, and aggressively optimizes payer yield.

Essential Duties and Responsibilities:
1. Enterprise Revenue Optimization
- Drive net revenue performance and cash conversion across all states and sites.
- Monitor and improve KPIs: net collection rate, days in AR, denial rate, clean claim rate, cost-to-collect.
- Establish performance cadence with accountability for all revenue cycle teams.
2. Automation & Innovation
- Deploy RPA, AI, and analytics to reduce manual effort and prevent revenue leakage.
- Automate eligibility verification, prior authorization, posting, and denial prioritization.
- Build real-time KPI dashboards and predictive AR/denial models.
- Continuously evaluate emerging technology with measurable ROI.
3. Payer Contracting & Revenue Maximization
- Lead multi-state commercial and government payer negotiations.
- Align clinic and ASC strategies to maximize total episode reimbursement.
- Implement payer scorecards and underpayment detection protocols.
4. Credentialing & Enrollment
- Standardize credentialing and payer enrollment workflows.
- Ensure providers are revenue-ready at Day 1 for both new hires and acquisitions.
5. Coding, Compliance & Denial Management
- Oversee coding and documentation optimization.
- Implement internal audits and compliance safeguards.
- Drive denial prevention through analytics and structured root cause resolution.
6. Pre-Service Monetization & Patient Financial Services
- Automate eligibility checks, estimates, and point-of-service collections.
- Strengthen financial counseling and billing call center performance.
- Implement digital payment solutions and card-on-file strategies.
- Timely posting and reconciliation of all payments.
Leadership Profile & Core Competencies
- Urgency & Execution: Drives results in high-pressure, high-growth environments.
- Resilience & Change Leadership: Leads transformation while maintaining cash flow and performance.
- Culture Builder: Fosters accountability, collaboration, and ownership.
- Data & Innovation Driven: Leverages analytics and automation to optimize revenue.
- Collaborative Operator: Partners across Finance, Operations, and Clinical leadership.
- PE-Ready: Comfortable with performance metrics, acquisition integration, and value creation.

Qualifications
- 8–10 years progressive revenue cycle leadership in multi-site practices; GI and ASC experience strongly preferred.
- Proven track record improving EBITDA via revenue cycle optimization.
- Experience with automation, RPA, or AI-enabled revenue cycle tools.
- Demonstrated success in payer contracting and multi-state enrollment.
- Experience leading distributed teams and integrating acquisitions.
- Strong analytical and KPI-focused mindset.