Director of Revenue Cycle Management

Title: Director of Revenue Cycle Management

Department: Various

Reports to: CFO

Shift: Part- Time

Location: Dual Home Base North Broadway, Chicago, Illinois 60613 and 5501 S Halsted St, Chicago, IL 60621

FLSA Status: Exempt

Heartland Alliance Health's (HAH) mission is to transform healthcare for the most vulnerable – particularly people experiencing homelessness, mental illness or addictions, or struggling with multiple chronic illnesses – improving health for all and the well-being of our community.

Summary: The Director of Revenue Cycle Management (RCM) provides strategic leadership and operational oversight of all revenue cycle functions across Heartland Alliance Health. This role ensures the integrity, accuracy, and timeliness of the entire revenue process—from patient access and eligibility through coding, billing, collections, and reimbursement. The RCM Leader partners with Finance, Operations, and Clinical leadership to maximize revenue realization, strengthen compliance, and maintain efficient processes that support high-quality, mission-driven patient care.

Essential Functions – Duties & Responsibilities:

• Develop and implement a comprehensive RCM strategy aligned with organizational goals and FQHC reimbursement requirements.
• Oversee all functions of the revenue cycle, including registration, insurance verification, charge capture, coding, billing, denial management, and accounts receivable.
• Ensure compliance with HRSA, CMS, and Medicaid/Medicare billing rules and payer-specific requirements.
• Monitor revenue cycle KPIs (days in A/R, denial rates, clean claim rate, cash collections) and drive continuous improvement.
• Collaborate with clinical, finance, and operations teams to strengthen charge integrity and documentation accuracy.
• Lead payer contracting, credentialing, and relationship management in collaboration with the Finance and Compliance departments.
• Oversee the accurate setup and maintenance of EHR and billing systems (e.g., NextGen, eClinicalWorks, Athenahealth).
• Drive standardization and automation of billing workflows across multiple health centers.
• Manage internal audits to ensure compliance and identify opportunities for process optimization and training.
• Develop and monitor departmental budgets, staffing models, and vendor relationships (e.g., billing services, clearinghouses, collection agencies).
• Provide regular reporting to executive leadership on revenue performance, reimbursement trends, and risk areas.

Supervisory Responsibilities (if applicable):

• Directly supervises the RCM team, including billing, collections, coding, and reimbursement personnel.
• Provides leadership, coaching, and professional development for all RCM staff.
• Oversees external vendors, billing partners, and third-party administrators as applicable.

Education and Experience:

• Bachelor's degree in Healthcare Administration, Finance, Business, or related field preferred
• Minimum of 8–10 years of progressive RCM experience, with at least 5 years in a leadership role within an FQHC, community health, or multi-site ambulatory environment.
• Demonstrated success improving revenue capture, reducing denials, and optimizing payer performance.
• Experience with FQHC payment models, including PPS, sliding fee scales, and wraparound payments.

Certifications/Licenses: Knowledge of UDS reporting and HRSA billing standards desirable.

Knowledge/Skills/Abilities (K/S/A):

• Expert knowledge of healthcare reimbursement, payer regulations, and FQHC billing methodologies.
• Strong financial acumen with the ability to interpret data and drive performance improvement through analytics.
• Proficiency in EHR, practice management, and clearinghouse systems.
• Exceptional leadership, organizational, and change management skills.
• Effective communicator and collaborator with clinical, operational, and financial teams.
• Commitment to integrity, compliance, and the mission of equitable access to healthcare.

Work Arrangement:

• This role is eligible for a "hybrid" or "remote" work arrangement.
• If hybrid, it is expected this person would be able to meet for "in-person" meetings when needed or at the request of others.
• In-person meetings may be required on a regular basis (weekly, monthly, etc.).
• There may also be the availability to work from home when appropriate.

Work Environment:

• The noise level in the work environment is usually moderate.
• To meet both the needs of our participants and contractual obligations, employees are required to be flexible in regard to scheduling and work location.
• Program sites are located throughout the Chicago area, including the North and South sides of Chicago, as well as the suburbs. Employees may be required to report to any one of our locations on a temporary or permanent basis.

Physical Demands:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is regularly required to talk and hear.
• The employee is regularly required to sit, stand, and walk.
• The employee must be able to stoop, kneel, and/or crawl.
• The employee is regularly required to use hands to key, handle, or feel and to reach with hands and arms.
• The employee must occasionally lift and/or move up to 25 pounds.
• The employee must have unrestricted ability to provide physical restraint.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Equal Opportunity Employer Statement Heartland Alliance Health makes all hiring and employment decisions, and operates all programs, services, and functions without regard to race, receipt of an order of protection, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, amnesty, physical or mental disability, protected veterans status, genetic information, sexual orientation, immigrant status, political affiliation or belief, use of FMLA, VESSA, military and family military rights, ex-offender status (depending on the offense and position to be filled), unfavorable military discharge, membership in an organization whose primary purpose is the protection of civil rights or improvement of living conditions and human relations, height, weight, or HIV infection, in accord with the organization's AIDS Policy Statement of September 1987.