We are seeking a Director of Revenue Cycle to optimize financial operations and build a best-in-class revenue cycle infrastructure. Reporting directly to the Chief Financial Officer, this role will be instrumental in supporting InStride Health’s continued growth. The ideal candidate will have deep expertise not only in traditional fee-for-service billing but also the complexities of alternative payment models. The Director will be responsible for all of revenue cycle, from payor contracting support to billing, collections, and analytics, ensuring financial strength and operating efficiency as InStride scales.
Responsibilities include:
- Develop and execute a comprehensive RCM strategy that aligns with the company’s growth objectives
- Ensure timely and accurate billing and collections, aggressively pursuing unpaid claims and managing appeals processes effectively
- Develop and maintain a robust denial management program to identify root causes, track trends, and implement corrective actions to prevent future denials
- Design and implement scalable workflows and technology solutions to support billing requirements under alternative payment models
- Monitor and report on KPIs, such as clean claim rate, days in AR, denial rate, and collection rate
- Evaluate and implement revenue cycle technologies and systems to streamline processes, enhance efficiency, and improve accuracy
- Evaluate, implement and manage relationships with third-party vendors, such as billing software providers and collection agencies, to optimize services and costs
- In partnership with our Payor team, collaborate with InStride’s new and existing payor relationships to ensure smooth implementation of new payor contracts and ongoing revenue cycle activities with current partners
- Manage and mentor the RCM team, providing leadership and fostering development to drive high performance and team satisfaction
What You Need to Succeed in the Role
- 7+ years of progressive experience in revenue cycle management
- Bachelor’s degree in business, finance, healthcare administration, or a related field; MHA or MBA preferred but not required
- Expertise in medical billing, coding, and claims processing
- Prior experience working with and managing alternative/ value-based payment arrangements
- Highly analytical and data-driven, with proficiency in using data to make strategic decisions and implement operational improvements
- Demonstrated ability to collaborate effectively cross-functionally with payor (growth), tech/IT/data, and clinical operations teams
- Strong leadership and team management capabilities
- Ability to manage multiple projects and priorities in a dynamic environment
- Ability to handle sensitive and confidential information in a manner that inspires confidence and trust
The expected annual salary for this role is between $155,000-$175,000. Actual starting salary will be determined on an individualized basis and will be based on several factors including but not limited to specific skill set, work experience, etc. In addition to base compensation, this role offers a target performance-based bonus.
