Director of Revenue Cycle Management

Job Title: Director of Revenue Cycle Management

Location: Remote (South Africa)

Job Type: Full-Time

Working Hours: US Hours (9am - 5pm EST)

Salary: Paid in South African Rands (ZAR)

About the Role

We are hiring an experienced and strategic Director of Revenue Cycle Management to lead all RCM operations and drive sustainable revenue growth in multiple behavior health clinics. This is a high-impact leadership role at the intersection of healthcare operations, data, and finance. You will build and optimize our full revenue cycle — from authorization through collections — while transitioning billing fully in-house and constructing a modern, data-driven RCM platform from the ground up.

If you are a results-oriented RCM leader who knows how to leverage EMR and billing system data to drive performance, this role was built for you.

Build Our RCM Platform

- Design and implement a fully integrated RCM platform using data from our EMR and billing systems

- Create bi-directional data flows between EMR and billing software to eliminate manual entry and reduce errors

- Build real-time dashboards tracking clean claim rates, denial rates, days in A/R, and collections by payer

- Automate eligibility verification, VOB lookups, claim scrubbing, and remittance posting

- Use historical claims data to identify denial patterns and build targeted remediation strategies

- Develop revenue forecasting models to support financial planning

Lead & Develop the Team

- Hire, train, and manage a high-performing RCM department

- Build career development pathways for staff

- Ensure staffing coverage for timely filing and prior authorization requirements

Own the Full Revenue Cycle

- Manage the transition from third-party billing to 100% in-house billing operations

- Implement and optimize workflows in the EMR and billing platform to maximize collections

- Establish authorization and VOB processes to ensure all services are covered before delivery

- Build a strong denials management and appeals program across all payers

- Oversee credentialing for all clinicians across applicable payers

- Implement patient and payer collections processes, including management of third-party collections vendor

Drive Reporting & Strategy

- Establish RCM reporting systems to track performance and hit revenue targets

- Reconcile A/R across bank accounts, billing software, and EMR

- Drive year-over-year revenue growth through innovation and process improvement

- Set coding standards and policies to maximize appropriate reimbursement

Ensure Compliance

- Lead payer audit responses and establish policies to reduce audit risk

- Ensure billing compliance across all payers

- Manage overpayment reporting and ensure timely refunds to payers

Director of Revenue Cycle Management

- Proven experience in a senior RCM leadership role, preferably in behavioral health, mental health, or similar healthcare setting

- Deep knowledge of EMR systems and billing platforms, with the ability to leverage data across both. (Knowledge of Kipu is a plus)

- Strong understanding of payer contracting, credentialing, authorizations, and appeals

- Experience managing or building in-house billing operations

- Analytical mindset with the ability to build dashboards, interpret data, and make data-driven decisions

- Excellent leadership, communication, and organizational skills

1. Comfortable working U.S. hours
2. Remote work from home

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