The Director of Revenue Cycle owns the end-to-end billing and collections function for a Central Florida healthcare services organization operating across multiple Orlando-area locations. The role manages the department across patient access, coding, billing, AR follow-up, and cash posting, and is the top revenue cycle seat in the organization. It reports to the CFO (with a dotted line to the COO on operational issues at the practice level).
This is a hands-on leadership role, not a pure oversight role. The company needs an operator who can build the playbook (workflows, KPIs, payor escalation paths, denial work queues) while also running the day-to-day. The right candidate has 7+ years of healthcare revenue cycle experience across the full cycle, has managed a billing team at a multi-site provider, has driven measurable improvement in days in AR and net collection rate, and understands how to build a revenue cycle function that scales with the business through the $150M revenue threshold.
Required Skills & Competencies- Working knowledge of the full revenue cycle: front-end (registration, insurance verification, pre-authorization), mid-cycle (charge capture, coding oversight, claims edits), and back-end (claims submission, AR follow-up, denial management, cash posting, patient collections).
- Generalist healthcare RCM background across payor mix: commercial Motor Vehicle Accident, Workers Compensation, Commercial PPO/HMO, and self-pay.
- Comfort working multiple payor flavors without needing to retrain.
- Strong knowledge of healthcare billing and coding (CPT, ICD-10, HCPCS, modifier usage). Active coding credential (CPC, CCS, or equivalent) is a plus but not required if the candidate has equivalent operational experience.
- Hands-on competency in a practice management or hospital billing system (Athena, NextGen, eClinicalWorks, Epic Resolute, Cerner, AdvancedMD, Greenway, or comparable). Specific platform background is not a filter; ability to learn and optimize a system is.
- Advanced Excel for AR analysis, denial tracking, and KPI reporting. SQL or report-writing experience a plus.
- Clear written and verbal communication. Must brief the CFO and the leadership team in financial language, brief practice managers in operational language, and brief team members in actionable terms.
Preferred - Direct experience taking a healthcare services organization through the $100M revenue threshold or comparable growth-stage build.
- Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Professional (CRCP), or Certified Healthcare Financial Professional (CHFP).
- Prior experience at a PE-backed or sponsor-owned healthcare services platform.
- Multi-specialty or multi-service-line provider experience (combination of professional billing and facility billing if applicable to the organization's service mix).
- Experience supporting M&A integration of acquired practices into a consolidated revenue cycle function.
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