Director of Clinical Revenue Cycle Services

About the role

We're looking for a seasoned revenue cycle leader to take full ownership of RCM performance across our clinic line of business. Reporting to the VP of Revenue Cycle, you'll set strategy, drive measurable financial outcomes, and lead a high-performing team spanning billing, coding, patient access, and accounts receivable. This is a seat at the table - partnering with clinical operations, finance, compliance, and health information management to protect and grow net revenue while delivering a superior patient financial experience. Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and m

Responsibilities

• End-to-end clinic RCM operations: patient registration, insurance verification, charge capture, coding, billing, collections, denial management, and payment posting
• KPI ownership - days in AR, clean claim rates, denial rates, collection rates, and net collection percentage
• RCM budgeting, forecasting, and variance analysis
• Net revenue optimization through denial trend analysis, underpayment identification, and payer-specific performance gap resolution
• Payer relations - primary liaison with commercial, Medicare, and Medicaid payers for escalated claims, appeals, and operational issues
• RCM technology ecosystem, including practice management systems, clearinghouses, and denial management platforms
• Team leadership across billing supervisors, coding staff, AR specialists, and patient access personnel
• Compliance oversight in line with CMS guidelines, HIPAA, OIG guidance, and payer-specific requirements
• Collaboration with clinical leadership on documentation quality, coding accuracy, and charge capture completeness
• WHAT YOU BRING
• 7-10 years of progressive RCM leadership in a clinic, physician group, or multi-specialty ambulatory setting
• 5+ years in a management or director-level RCM role with direct supervisory responsibility
• Demonstrated success driving measurable financial improvement at scale
• Strong working knowledge of government payer programs (Medicare, Medicaid) and commercial payer contracting
• Expert fluency in CPT, ICD-10, and HCPCS coding standards, billing regulations, and payer policy updates
• Proficiency with practice management platforms such as Epic, Athenahealth, eClinicalWorks, Oracle Health, or Greenway; Oracle Health experience preferred
• Sharp analytical skills - able to translate data into strategy, not just reports
• Exceptional leadership, communication, and change management skills
• A track record of building accountable, high-performing teams across billing, coding, and patient access functions
• High proficiency in Microsoft Excel and PowerPoint for reporting and presentations

Requirements

• 7-10 years of progressive RCM experience with a significant focus on clinical laboratory or pathology billing.
• 5+ years in a management or director-level RCM role with direct people management.
• Deep expertise in laboratory billing regulations-CLIA, PAMA, LCD/NCD compliance-and molecular/genomic billing.
• Hands-on knowledge of laboratory CPT/HCPCS coding across molecular pathology, microbiology, and genomics.
• Proficiency with laboratory information systems (LIS) and laboratory billing platforms.
• Strong analytical skills-using data to spot trends, resolve billing issues, and drive performance.
• Exceptional leadership, communication, and cross-functional collaboration skills, plus high proficiency in Excel and PowerPoint.
• Bachelor's degree in healthcare administration, business, finance, or a related field preferred (an equivalent combination of education and experience will be considered).
• Experience managing lab billing across both hospital outreach and independent laboratory settings is a strong plus.
• WHERE & HOW YOU'LL WORK
• EDUCATION
• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field preferred. An equivalent combination of education and directly relevant work experience will be considered.

Benefits

Additional Information

REVENUE CYCLE MANAGEMENT Director of Clinical Revenue Cycle Services Lead end-to-end RCM strategy across a multi-clinic, multi-state organization - from patient access through AR resolution.

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