Director of Revenue Cycle Management (RCM)

Job Details:

• Title: Director of Revenue Cycle Management (RCM)
• Location: Lauderdale Lakes, FL 33319
• Employment Type: Full-Time, Onsite
• Schedule: Monday–Friday, 8:00 AM–5:00 PM
• Compensation: $100,000+ annually, based on experience

Position Overview

We are seeking an experienced Director of Revenue Cycle Management (RCM) to lead and improve revenue cycle operations for a growing behavioral health organization in South Florida. The ideal candidate must have strong hands-on RCM experience, behavioral health billing expertise, and proficiency with Netsmart/myAvatar EHR systems, including claims processing, denial management, A/R, and reimbursement.

Important: Candidates with primarily operations-focused backgrounds and limited hands-on revenue cycle management experience will not be considered. Netsmart EHR experience and knowledge of Florida Medicaid managed care organizations (MCOs) are required.

-> Key Responsibilities

• Lead the full revenue cycle, including patient registration, eligibility verification, charge capture, coding, billing, collections, denial management, and accounts receivable.
• Analyze key performance indicators (KPIs), including clean-claim rates, days in A/R, denial rates, and collection rates.
• Identify revenue leakage, investigate root causes, and implement measurable improvement strategies.
• Oversee claims submissions, payment posting, reimbursement, and revenue integrity.
• Optimize Netsmart/myAvatar billing configurations, claims workflows, and system functionality.
• Ensure accurate provider enrollment, payer credentialing, and authorization processes.
• Maintain compliance with Medicare, Medicaid, Florida Medicaid MCOs, commercial payers, and applicable billing regulations.
• Develop dashboards and financial reports for executive leadership.
• Lead, mentor, and develop RCM staff while collaborating with finance, clinical, compliance, and IT teams.
• Drive process improvements that strengthen revenue performance, billing accuracy, and operational efficiency.

-> Required Qualifications

• Bachelor's degree in healthcare administration, finance, accounting, business, or a related field.
• At least 7 years of progressive revenue cycle management experience, including significant behavioral health RCM experience.
• At least 2 years of senior-level management experience.
• Required hands-on experience with Netsmart/myAvatar EHR systems.
• Experience with Florida Medicaid and Florida Medicaid managed care organizations (MCOs).
• Strong knowledge of claims processing, denial management, A/R, collections, coding, and billing compliance.
• Experience with provider enrollment, payer credentialing, and reimbursement methodologies.
• Proven ability to analyze RCM data, develop KPIs, and improve financial performance.
• Experience improving EHR billing configurations and claims workflows.
• Strong leadership, project management, communication, and change-management skills.

Experience with FQHCs, community health centers, primary care, or multi-program behavioral health organizations is highly desirable.

~JB

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