VP of Revenue Cycle Management

Department: Revenue Cycle

Employment Type: Permanent - Full Time

Location: Austin, TX

Description

What Will You Be Doing?

• Accountable for the end-to-end performance of the revenue cycle, including front-end (patient access, eligibility, authorizations), mid-cycle (coding, charge capture), and back-end (billing, AR, denials, collections)
• Direct oversight of all revenue cycle functions, including:
  • Credentialing provider and payer enrollment
  • Pre-certification and authorization processes
  • Charge capture and coding integrity
  • Payment posting and reconciliation
  • Accounts receivable and denial management
  • Financial counseling and patient collections
• Own enterprise revenue performance, including Net Patient Service Revenue (NPSR), cash collections, and revenue cycle contribution to EBITDA
• Lead revenue cycle operations across a multi-state platform, ensuring compliance with federal, state, and payer-specific regulations across all markets
• Oversee revenue cycle performance for specialty services, including biologics (buy-and-bill), in-office procedures (IOPs), and ancillary services, ensuring accurate coding, documentation, and reimbursement optimization
• Serve as executive owner of revenue cycle systems, including NextGen EMR/EPM and Waystar clearinghouse, driving system optimization, automation, and workflow efficiency
• Establish and maintain a best-in-class KPI and analytics framework, including but not limited to:
  • Days in A/R
  • Net and Gross Collection Rates
  • Denial Rates and First Pass Resolution
  • Cash Collections per Day and per Visit
  • Cost to Collect
  • NPSR per Visit by Financial Class
• Develop and deliver weekly, monthly, and executive-level reporting, including Board and lender-facing materials
• Lead enterprise denial management strategy, including root cause analysis, prevention workflows, and payer escalation
• Drive identification and recovery of underpayments and reimbursement variances across all payer classes
• Partner with Finance, Operations, and Clinical leadership to identify opportunities to improve cash flow, reimbursement yield, and operational efficiency
• Lead integration of acquired practices, including EMR transition, payer alignment, credentialing, and workflow standardization, with execution of 30-60-90 day stabilization plans
• Support financial planning, including budgeting, forecasting, and revenue projections for new providers, service lines, and markets
• Develop and implement a scalable Centralized Billing Office (CBO) model to support growth and operational consistency
• Negotiate and support payer contracting initiatives, ensuring reimbursement terms are optimized and clearly modeled
• Ensure compliance with all applicable federal and state regulations, payer guidelines, and coding standards
• Build, lead, and develop a high-performing revenue cycle team, including hiring, training, performance management, and succession planning
• Communicate effectively across all levels of the organization, proactively identifying risks and providing actionable solutions

Skills, Knowledge and Expertise

• Deep understanding of end-to-end revenue cycle operations within a multi-site, multi-state healthcare organization
• Strong expertise in payer reimbursement methodologies, including commercial, Medicare, Medicaid, Managed Medicaid, and Tricare
• Advanced knowledge of specialty physician billing, including biologics (buy-and-bill), procedural services (ENT/allergy), and ancillary revenue streams
• Demonstrated experience with NextGen EMR/EPM, Waystar, or comparable revenue cycle platforms, including system optimization and workflow automation
• Strong analytical capabilities with the ability to interpret complex financial and operational data, identify trends, and drive performance improvements
• Experience developing and managing enterprise-level KPI dashboards and reporting frameworks
• Proven ability to lead denial management and revenue integrity initiatives, including root cause analysis and process redesign
• Strong financial acumen, including understanding of NPSR, EBITDA impact, cost-to-collect, and revenue forecasting
• Ability to operate effectively in a fast-paced, high-growth, private equity-backed environment
• Excellent leadership, communication, and interpersonal skills, with the ability to influence cross-functional stakeholders
• Strong project management and organizational skills, with the ability to manage multiple priorities and deadlines
• High level of integrity, accountability, and commitment to confidentiality

Requirements

• 10+ years of progressive experience in revenue cycle management within a healthcare organization
• 5+ years of leadership experience managing teams across multiple functions and/or locations
• Experience in a multi-site or multi-state healthcare environment required
• Experience within a specialty physician practice (Allergy, ENT, ASC, or procedural-based care) strongly preferred
• Demonstrated success in improving cash collections, reducing A/R days, and optimizing revenue cycle performance
• Experience leading RCM transformation, centralization, or turnaround initiatives preferred
• Proficiency with NextGen EMR/EPM, Waystar, or similar systems strongly preferred
• Strong knowledge of medical billing, coding, and payer regulations, including CMS guidelines
• Advanced proficiency in Microsoft Excel and data analysis tools
• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s degree preferred

• Medical, Dental and Vision Insurance
• Half-Day Fridays! - Enjoy an extended weekend
• Generous Paid Time Off and Paid Holidays + One floating holiday
• Life Insurance
• 401(k) + Generous Employer Match
• Employee Discounts on clinical treatments
• Gym Membership Discounts
• Reward Program
• ... AND MORE