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Director of Revenue Cycle Management & Credentialing

1 week, 6 days ago
Anywhere
Full-time
Lead
Accounting Manager
Operations
Agile
Apply Now
Heartbeat Health

Heartbeat Health

Heartbeat Health is a virtual first cardiology company that utilizes real-time clinical data and device connectivity to provide same-day diagnostic reads, televisits, and care programs. Their mission is to deliver effective, efficient, and engaging hea...

Health Care Providers & Services
11-50
Founded 2017
$28M raised
View All Jobs 7

Description

  • Own end-to-end revenue cycle operations, including charge capture, claim submission, denial management, payment posting, accounts receivable follow-up, patient billing, and collections.
  • Manage revenue cycle execution across internal staff and external vendors, including SLA oversight, performance management, escalation handling, and work visibility.
  • Lead continuous improvement of revenue cycle processes and technology to increase financial visibility and reduce manual handoffs.
  • Develop and implement scalable revenue cycle workflows that improve consistency and reduce manual work across teams.
  • Build and maintain reporting and analytics on denial trends, payer performance, AR aging, reimbursement, provider productivity, and collection rates.
  • Drive initiatives to reduce denial rates, accelerate cash collection, and improve net collection percentage.
  • Evaluate and optimize the mix of internal and external revenue cycle resources as the organization grows.
  • Lead and mentor the credentialing team, including direct management of credentialing specialists and future team expansion.
  • Oversee provider credentialing, re-credentialing, and payer enrollment across government and commercial payers in all states of operation.
  • Maintain accurate provider records and ensure data integrity across credentialing, payer, and billing systems.
  • Analyze credentialing- and enrollment-related denial trends and implement corrective actions.
  • Prepare regular performance reports and support audits, compliance reviews, and cross-functional initiatives such as payer contracting and new market expansion.

Requirements

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field required; advanced degree preferred.
  • 7+ years of progressive experience in healthcare revenue cycle management, including leadership experience.
  • Demonstrated experience leading both revenue cycle operations and provider credentialing/payer enrollment functions.
  • Strong background in multi-state, multi-payer environments; telehealth or virtual specialty care experience strongly preferred.
  • Experience managing revenue cycle operations across internal teams and external vendors, including SLA oversight and performance accountability.
  • Working knowledge of clearinghouses, EMR billing modules, ERA processing, and end-to-end claims workflows.
  • Familiarity with specialty care billing workflows, including chronic care management and transitional care management, preferred.
  • Strong knowledge of government payer enrollment requirements, including Medicare, Medicaid, VA, and Tricare, plus commercial payer enrollment.
  • Proficiency with credentialing platforms and payer portals such as CAQH.
  • Excellent analytical, project management, communication, and relationship-building skills, with high attention to detail and the ability to meet strict deadlines.

Benefits

  • Remote-first work environment with flexibility, autonomy, and trust.
  • Mission-driven culture focused on improving cardiovascular care.
  • Fast-paced and agile environment that values experimentation and iteration.
  • Commitment to diversity and inclusion.
  • Culture of mutual respect and active support among teammates.

Interested in this position?

Apply directly on the company website

Apply Now

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