What are the responsibilities and job description for the Director Of Revenue Cycle Management position at Serenity Home Healthcare Inc.?
Company Overview
Serenity Home Healthcare, LLC. is dedicated to serving the community with compassion and professionalism. We provide caregivers, CNAs, therapists, and nurses for home-based care tailored to the needs of the elderly and individuals with medical requirements. Join a company that values both its clients and its team members.
Job Overview
The Director of Revenue Cycle Management (RCM) is responsible for the leading day-to-day revenue cycle operations across a multi-site, for profit home healthcare organization. This role focuses on operational execution, performance optimization and compliance across billing, coding, collections and payer processes to ensure and timely reimbursement.
Key Responsibilities
- Oversee daily revenue cycle operations including intake, eligibility, coding, billing, collections and denials.
- Manage Medicaid and commercial payer reimbursement for home healthcare services.
- Monitor key KPIs such as days in AR, denial rates, cash collections and net revenue yield.
- Ensure compliance with HIPAA and state regulations.
- Lead and develop RCM managers, supervisors and frontline staff across multiple locations.
- Partner with Operations and Clinical leadership to resolve documentation and charge capture issues.
- Optimize workflows within EMR/RCM systems and manage third-party billing vendors.
- Support audits, payer reviews and internal compliance initiatives.
- Implement process improvements to scale operations efficiently as the organization grows.
Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance or related field.
- Five to ten years of experience in healthcare revenue cycle management, preferably in home health.
- Strong knowledge of Medicaid and MCO home health billing and pay rules.
- Proven experience managing multi-site teams and operational KPIs.
- Hands-on leadership style with strong problem-solving skills.
Reporting Structure
Reports to : Controller
Supervises: RCM Managers, Supervisors, Billing and Collection Team