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Director Of Rcm Jobs in Gilbert, AZ (NOW HIRING)

... of care across the multidisciplinary team (providers, navigation, pharmacy, RCM) Promotes high ... Direct Reports To be determined Travel Must have the ability & willingness to travel to other sites ...

Revenue Cycle Medical Coder (9016)

Phoenix, AZ · On-site

$17.75 - $23.75/hr

Terros Health is a healthcare organization of caring people, guided by our core values of integrity ... This position reports to the Director, Revenue Cycle. HOPE ~ HEALTH ~ HEALING * Ensuring that ...

Revenue Cycle Medical Coder (9016)

Phoenix, AZ · On-site

$17.75 - $23.75/hr

Terros Health is a healthcare organization of caring people, guided by our core values of integrity ... This position reports to the Director, Revenue Cycle. HOPE ~ HEALTH ~ HEALING * Ensuring that ...

... directors to ensure continuous open communication about hospital operations that impact delivery of ... As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services ...

Billing Specialist I

Mesa, AZ · On-site

$19 - $25.75/hr

In our EMS RCM environment, strong data and sharp analysis matter because they directly affect ... Want to be part of healthcare without direct clinical work - you like the idea of helping patients ...

... directors to ensure continuous open communication about hospital operations that impact delivery of ... As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services ...

Showing results 41-58

Director Of Rcm information

What does a director of RCM do?

A Director of RCM (Revenue Cycle Management) oversees all aspects of the revenue cycle within a healthcare organization. This includes managing patient registration, billing, claims processing, and collections to optimize revenue and ensure compliance with regulations. They develop strategies to reduce denials, improve cash flow, and streamline processes across departments. Additionally, they often lead teams, analyze financial data, and implement new technologies to enhance efficiency and accuracy.

What are the key skills and qualifications needed to thrive as a director of RCM, and why are they important?

To thrive as a Director of Revenue Cycle Management (RCM), you need expertise in healthcare finance, medical billing, coding, and typically a bachelor's degree in healthcare administration or a related field. Familiarity with RCM software platforms, EHR systems, and relevant certifications like Certified Revenue Cycle Executive (CRCE) are highly valued. Strong leadership, problem-solving abilities, and effective communication skills help manage teams and drive process improvements. These skills are crucial for optimizing revenue streams, ensuring compliance, and maintaining the financial health of healthcare organizations.

What are some common challenges directors of RCM face when overseeing revenue cycle operations, and how can they proactively address them?

Directors of Revenue Cycle Management (RCM) often encounter challenges such as maintaining compliance with evolving healthcare regulations, ensuring timely reimbursements, and coordinating cross-departmental workflows. Proactively addressing these issues involves implementing robust training programs for staff, leveraging technology to track key performance indicators, and fostering strong communication between billing, coding, and clinical teams. Staying current with payer requirements and collaborating closely with IT and compliance teams can also help mitigate risks and improve overall revenue cycle efficiency.

What is the difference between Director Of Rcm vs Revenue Cycle Manager?

AspectDirector Of RcmRevenue Cycle Manager
CredentialsTypically requires a bachelor’s degree in healthcare administration, finance, or related field; certifications like CPC or RHIT are commonUsually holds a bachelor’s degree; certifications like CPC or RAC may be preferred
Work EnvironmentOversees multiple departments, strategic planning, and high-level decision-making in healthcare organizationsManages daily revenue cycle operations, billing, and collections at departmental level
Employer & Industry UsageCommonly found in hospitals, large clinics, and health systemsTypically employed in hospitals, physician practices, and outpatient facilities

The main difference is that the Director Of Rcm focuses on strategic oversight and leadership of the entire revenue cycle, while the Revenue Cycle Manager handles day-to-day operations and departmental management. Both roles require healthcare finance knowledge and certifications, but the Director role involves higher-level planning and decision-making.

How much does a director of RCM make?

A Director of Revenue Cycle Management (RCM) typically earns between $100,000 and $180,000 annually, depending on experience, location, and the size of the organization. They often oversee billing, collections, and coding teams, requiring strong leadership and healthcare industry knowledge.
Infographic showing various Director Of Rcm job openings in Gilbert, AZ as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.
Healthcare Support Staffing
Recruiting and Staffing Services • 201 - 500 employees

Full-time

Medical, Dental, Vision

Re-posted 15 days ago


Job description

Company Description

Conifer Health has been providing managed services to health systems, their health plans and managed populations for more than 30 years. Our value-based solutions enhance consumer engagement, drive clinical alignment, manage risk, and improve financial performance.
Our purpose of providing the foundation for better health fuels our clients to meet the unique needs of the communities they serve. 

Job Description

Summary:

Responsible for validating disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment /variance trends to Management and generating appeals for denied or underpaid claims.

Essential Functions:

  1. Validate denial reasons and ensures coding is accurate and reflects the denial reasons.  Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary
  2. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations.
  3. Follow specific payer guidelines for appeals submission
  4. Escalate exhausted appeal efforts for resolution
  5. Work payer projects as directed
  6. Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments.      
  7. Perform research and makes determination of corrective actions and takes appropriate steps to code the system and route account appropriately.
  8. Escalate denial or payment variance trends to NIC leadership team for payor escalation.
Qualifications
  • HS/Diploma GED equivalent
  • 2 years minimum in a Hospital  or RCM environment performing billing / collections / disputes & claims research
  • Payer Knowledge - MUST be strong in payer knowledge & being able to identify trends
  • AR follow up Experience
  • Intermediate understanding of Explanation of Benefits form (EOB).
  • Understanding of UB-04 / 1500 forms 
  • Medical terminology
  • Intermediate Microsoft Office (Word, Excel) skills
    • Advanced business letter writing skills (Correct use of punctuation / grammar) 
  • Must be able to multi-task and adapt to change
Additional Information

Advantages of this Opportunity:

  • Competitive salary, negotiable based on relevant experience
  • Benefits offered, Medical, Dental, and Vision
  • Fun and positive work environment
  • Monday-Friday must be available from 8:00AM to 5:00PM hour shift.



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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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