7-10 years of healthcare revenue cycle experience, particularly with large physician groups
Strong expertise in back-end RCM: A/R, denials, credentialing, and payer contracting
Experience with EMR implementation
Ability to work hands-on and lead a team
Data-driven with strong analytical and reporting skills
Comfortable in a startup environment with changing priorities
Bachelor's degree or equivalent experience
Responsibilities
Assess and improve current revenue cycle processes to enhance cash flow and reduce denials
Manage accounts receivable, including follow-up and collections
Handle denials and appeals, identifying root causes and implementing prevention strategies
Oversee provider credentialing and payer enrollment
Lead payer contracting and maintain ongoing relationships
Participate in EMR implementation, focusing on workflow and billing configuration
Develop reporting and dashboards to monitor key performance metrics
Collaborate with leadership on revenue forecasting and performance
Document policies and ensure compliance in billing and coding
Recruit, train, and lead a growing revenue cycle team
Benefits
401(k)
Dental insurance
Health insurance
Vision insurance
Full Job Description
The Role
Chestnut Health is looking for a revenue cycle leader to take ownership of our back-end revenue cycle as we expand. You will assess how revenue cycle operations work today, build the plan to strengthen them, and execute that plan yourself. As the company grows, you will build and lead the team around you.
This is a hands-on role. You will start as an individual contributor, working daily in the details of A/R, denials, and payer relationships.
Key Responsibilities
Assess current back-end revenue cycle processes and develop a plan to improve cash flow, reduce denials, and shorten A/R days
Own accounts receivable management, including follow-up, aging, and collections
Manage denials and appeals, identify root causes, and put prevention processes in place
Oversee provider credentialing and enrollment with payers
Lead payer contracting and ongoing payer relationships
Take part in EMR implementation, including workflow design, billing configuration, and testing
Build reporting and dashboards to track performance (days in A/R, denial rate, clean claim rate, net collection rate, cash collections)
Work closely with the Director of Operations & Finance and executive leadership on forecasting and revenue performance
Document policies and procedures, and ensure billing and coding compliance
Recruit, train, and lead a revenue cycle team as the organization grows
What Success Looks Like
First 90 days: Complete an assessment of current RCM performance and present a prioritized improvement plan
First year: Measurable improvement in A/R days and denial rates, and a stable EMR/billing workflow
Longer term: A functioning revenue cycle team and a scalable process as we enter new states
Who Thrives Here
Results-driven, independent, and diligent. You bring solutions, not just problems, and you do not need to be chased. You are comfortable managing complexity and leading through change.
Requirements
Required Qualifications
7-10 years of healthcare revenue cycle experience, with a background in large-scale physician groups
Strong back-end RCM experience: A/R, denials and appeals, credentialing, and payer contracting
EMR implementation experience
Proven ability to work hands-on as an individual contributor and then lead a team
Data-driven, with strong reporting and analytical skills
Comfortable with startup culture, ambiguity, and fast-changing priorities
Bachelor's degree [or equivalent experience]
Preferred Qualifications
Skilled nursing facility (SNF) or rehab/post-acute RCM experience
Experience managing a large A/R portfolio across multiple sites or states
Familiarity with Medicare Part B, Medicare Administrative Contractor (MAC) rules, and commercial payers
