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Director of Revenue Cycle Management

50 minutes ago
South Africa
Full-time
Executive
Sales Operations
Operations
Apply Now
Reworks Solutions

Reworks Solutions

ReWorks Solutions provides rigorously vetted, native English-speaking remote professionals backed by white-glove management and proactive support.

Internet Software & Services
View All Jobs 34

Description

  • Lead all revenue cycle management operations across multiple behavioral health clinics.
  • Design and implement a fully integrated RCM platform using EMR and billing system data.
  • Create bi-directional data flows between EMR and billing software to reduce manual entry and errors.
  • Build real-time dashboards to track 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 develop remediation strategies.
  • Develop revenue forecasting models to support financial planning.
  • Hire, train, and manage a high-performing RCM team.
  • Build career development pathways and ensure staffing coverage for timely filing and prior authorization requirements.
  • Manage the transition from third-party billing to fully in-house billing operations.
  • Implement and optimize authorization, credentialing, denials, appeals, and collections workflows.
  • Establish reporting, reconciliation, compliance, and audit-response processes to support revenue growth.

Requirements

  • Proven experience in a senior RCM leadership role, preferably in behavioral health, mental health, or a 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.
  • Ability to work U.S. hours (9am - 5pm EST).
  • Remote work from South Africa.
  • Compensation paid in South African Rands (ZAR).

Benefits

  • Remote work from home.
  • Comfortable working U.S. hours.
  • Full-time employment.
  • Salary paid in South African Rands (ZAR).

Interested in this position?

Apply directly on the company website

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