AccordCare is seeking a Director of Revenue Cycle Management to lead billing, collections, and reimbursement operations for our non-skilled home care service line. This role owns the full revenue cycle for our private pay, managed care, and Medicaid waiver / consumer-directed home care business - a book of business that runs alongside, but is distinct from, the separate RCM function supporting our skilled, Medicare-certified home health services.
Reporting to the CFO, this is a hands-on leadership role for someone who can bring structure, accountability, and deep payer expertise to a growing multi-state platform.
Responsibilities:- Own end-to-end revenue cycle performance for the non-skilled home care line of business across Georgia, Florida, and New York - spanning intake and authorization, billing, collections, and cash posting.
- Lead and develop the home care billing and collections team, setting clear performance standards and holding the team accountable to them.
- Drive the key RCM metrics that define a healthy revenue cycle: DSO, AR aging beyond 90 days, clean-claim rate, denial rate, and cash collections against expectation.
- Manage billing and claims across the payer mix specific to non-skilled home care - private pay, Medicaid waiver and consumer-directed programs, managed long-term care (MLTC) plans, and other state-specific payer programs.
- Serve as the primary RCM owner of the AlayaCare EMR for the home care service line, including visit verification, billing configuration, and claims-submission workflows.
- Ensure accurate interfacing and reconciliation between AlayaCare and NetSuite (ERP) for revenue and cash posting.
- Partner with intake, scheduling, and field operations to eliminate authorization gaps, visit-verification issues, and billing delays at the source.
- Own denial management and appeals for home care payer requirements, identifying root causes and driving fixes upstream.
- Maintain compliance with state-specific home care licensing, billing, and consumer-directed program requirements across GA, FL, and NY, including EVV (Electronic Visit Verification).
- Partner with the CFO and FP&A on cash forecasting, reserve methodology, and monthly reporting related to home care revenue.
- Coordinate with the home health RCM team on shared infrastructure and cross-training where the service lines intersect, while maintaining clear ownership of the non-skilled book of business.
- Support system, workflow, and payer-contract improvements as the platform scales.
Required Qualifications:- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
- 10+ years of progressive revenue cycle management experience, including 3+ years in a leadership role.
- Deep, hands-on experience in non-skilled home care billing and collections (private pay, Medicaid waiver / consumer-directed, managed long-term care).
- Hands-on experience with the AlayaCare EMR.
- Multi-state or multi-site RCM experience.
- Strong working knowledge of EVV compliance requirements.
- Demonstrated ability to build, lead, and hold a team accountable to clear performance metrics.
Strongly Preferred:- Direct experience across the Georgia, Florida, and/or New York home care payer and regulatory environments.
- Private equity-backed company experience.
- Experience partnering with a NetSuite ERP environment.
- A track record of building or turning around an RCM function through a period of transition.
What We Offer:- Competitive base salary and performance-based bonus.
- Comprehensive benefits package.
- Ownership of a core revenue function at a growing, PE-backed healthcare platform.
- Direct partnership with the CFO and executive leadership team.
