Riveron
Restructuring and Turnaround Services - Director, Revenue Cycle Management
Riveron, New York, New York, us, 10261
Restructuring and Turnaround Services - Director, Revenue Cycle Management
As a Director in Riveron's Healthcare and Life Sciences practice, you'll lead revenue cycle management (RCM) efforts for healthcare providers, payers, and organizations across the healthcare ecosystem. Drawing on hands-on experience across patient access, coding, billing, claims, denials, systems/integration, collections, and revenue integrity, you'll help clients improve performance, reduce accounts receivable days, increase net collections, and enhance operational efficiency. Working closely with client leadership and our internal teams, you'll deliver meaningful financial and operational outcomes that support lasting business transformation.
Overview As a Director in our Healthcare & Life Sciences practice, you will play a key role leading revenue cycle management efforts for healthcare providers, payers, and organizations across the healthcare ecosystem. You will help clients improve performance, reduce days in accounts receivable, increase net collections, and enhance operational efficiency through hands-on expertise in patient access, coding, billing, claims, denials, systems and integration, collections, and revenue integrity.
Responsibilities
Oversee and execute project requirements relating to accurate coding, charge capture, billing, and timely submission of claims.
Manage payment posting, denials, appeals, and collections for both insurance and patient obligations.
Implement and monitor dashboards and KPIs, including days sales outstanding (DSO), clean claim rate, denial rate, net collection rate, bad debt, and cash posting lag.
Build and maintain relationships with information technology (IT) teams and vendors to ensure seamless system integrations and robust reporting capabilities.
Drive compliance with federal and state healthcare regulations, payer guidelines, and HIPAA.
Partner with clients to identify and implement operational improvements that drive sustainable financial performance.
Qualifications
Minimum 10 years of progressive experience in healthcare Revenue Cycle Management (RCM).
Bachelor's degree in Finance; Master's degree in Finance or Health Administration preferred.
Proven ability to execute and drive measurable results rooted in deep operational experience within the healthcare industry.
Demonstrated leadership experience managing RCM teams across multi-site and/or multi-specialty organizations.
Expertise in best practices and evolving trends in RCM, payer behavior, and reimbursement models.
Deep understanding of commercial, Medicare, and Medicaid billing and reimbursement structures.
Knowledge of RCM systems and workflows, including electronic health records (EHR), billing software, and clearinghouse tools.
Experience with software platforms such as EPIC, Athenahealth, Cerner, and eClinicalWorks; ability to leverage a network of experts for additional platforms if required.
Track record of driving cash flow improvements, reducing denials, enhancing key metrics, and leading operational efficiency initiatives such as automation and standardization.
Expertise in audit response and risk mitigation, including collaboration with compliance and legal teams.
Strong financial modeling skills, including evaluating financial statements and developing scenario models, forecasts (including thirteen-week cash flow forecasts), and integrated three-statement analyses.
Excellent communication, analytical, and presentation skills; proven ability to manage and grow client relationships.
Compensation The expected pay range for this position is $169,000 - $255,000 (exclusive of bonus, equity, or benefits). This range reflects multiple factors including experience, training, licensure, location, and applicable laws. For information regarding benefits, please visit Riveron's life page.
About Riveron Riveron partners with clients—from global multinationals to high-growth private entities—to solve complex finance challenges, guided by our DELTA values: Drive, Excellence, Leadership, Teamwork, and Accountability. Our entrepreneurial culture thrives on collaboration, delivering exceptional outcomes. We are committed to fostering growth for our clients and our people through mentorship, integrity, and a client-centric approach. This inclusive environment offers flexibility, progressive benefits, and meaningful opportunities for impactful work that supports well-being in and out of the office.
Equal Opportunity Employer Riveron Consulting is an Equal Opportunity Employer and believes that we are stronger together through our diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, sexual orientation, gender identity or any other characteristic protected by law.
Fraud Alert Please beware of fraudulent schemes or impersonations when going through the job application process. A Riveron employee will never recruit via text or extend unsolicited employment offers. Additionally, a Riveron employee will never ask you to exchange money or purchase anything as part of the recruiting process.
Job Details
Seniority level: Director
Employment type: Full-time
Job function: Management and Manufacturing
Industries: Business Consulting and Services
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Overview As a Director in our Healthcare & Life Sciences practice, you will play a key role leading revenue cycle management efforts for healthcare providers, payers, and organizations across the healthcare ecosystem. You will help clients improve performance, reduce days in accounts receivable, increase net collections, and enhance operational efficiency through hands-on expertise in patient access, coding, billing, claims, denials, systems and integration, collections, and revenue integrity.
Responsibilities
Oversee and execute project requirements relating to accurate coding, charge capture, billing, and timely submission of claims.
Manage payment posting, denials, appeals, and collections for both insurance and patient obligations.
Implement and monitor dashboards and KPIs, including days sales outstanding (DSO), clean claim rate, denial rate, net collection rate, bad debt, and cash posting lag.
Build and maintain relationships with information technology (IT) teams and vendors to ensure seamless system integrations and robust reporting capabilities.
Drive compliance with federal and state healthcare regulations, payer guidelines, and HIPAA.
Partner with clients to identify and implement operational improvements that drive sustainable financial performance.
Qualifications
Minimum 10 years of progressive experience in healthcare Revenue Cycle Management (RCM).
Bachelor's degree in Finance; Master's degree in Finance or Health Administration preferred.
Proven ability to execute and drive measurable results rooted in deep operational experience within the healthcare industry.
Demonstrated leadership experience managing RCM teams across multi-site and/or multi-specialty organizations.
Expertise in best practices and evolving trends in RCM, payer behavior, and reimbursement models.
Deep understanding of commercial, Medicare, and Medicaid billing and reimbursement structures.
Knowledge of RCM systems and workflows, including electronic health records (EHR), billing software, and clearinghouse tools.
Experience with software platforms such as EPIC, Athenahealth, Cerner, and eClinicalWorks; ability to leverage a network of experts for additional platforms if required.
Track record of driving cash flow improvements, reducing denials, enhancing key metrics, and leading operational efficiency initiatives such as automation and standardization.
Expertise in audit response and risk mitigation, including collaboration with compliance and legal teams.
Strong financial modeling skills, including evaluating financial statements and developing scenario models, forecasts (including thirteen-week cash flow forecasts), and integrated three-statement analyses.
Excellent communication, analytical, and presentation skills; proven ability to manage and grow client relationships.
Compensation The expected pay range for this position is $169,000 - $255,000 (exclusive of bonus, equity, or benefits). This range reflects multiple factors including experience, training, licensure, location, and applicable laws. For information regarding benefits, please visit Riveron's life page.
About Riveron Riveron partners with clients—from global multinationals to high-growth private entities—to solve complex finance challenges, guided by our DELTA values: Drive, Excellence, Leadership, Teamwork, and Accountability. Our entrepreneurial culture thrives on collaboration, delivering exceptional outcomes. We are committed to fostering growth for our clients and our people through mentorship, integrity, and a client-centric approach. This inclusive environment offers flexibility, progressive benefits, and meaningful opportunities for impactful work that supports well-being in and out of the office.
Equal Opportunity Employer Riveron Consulting is an Equal Opportunity Employer and believes that we are stronger together through our diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, sexual orientation, gender identity or any other characteristic protected by law.
Fraud Alert Please beware of fraudulent schemes or impersonations when going through the job application process. A Riveron employee will never recruit via text or extend unsolicited employment offers. Additionally, a Riveron employee will never ask you to exchange money or purchase anything as part of the recruiting process.
Job Details
Seniority level: Director
Employment type: Full-time
Job function: Management and Manufacturing
Industries: Business Consulting and Services
#J-18808-Ljbffr