Director of Revenue Cycle

Job Title: Director of Revenue CycleDepartment:Chief Financial Officer (Charles Mueller | Andy Mueller)FLSA:United States of America (Exempt)Location:Philadelphia CampusThe Director of Revenue Cycle is accountable for the end-to-end financial performance of PCOM's clinical revenue cycle, from patient access through cash reconciliation. This role ensures revenue integrity across a diverse, multi-site clinical enterprise that includes primary care, geriatrics, osteopathic manipulation (OMM), behavioral health, and satellite locations.This position serves as the primary owner of revenue cycle strategy, operations, and vendor governance, including direct oversight of the external billing partner (EMP Claims) and payer performance. The Director partners closely with Finance, Clinical Leadership, Practice Operations, and IT to improve performance, standardize workflows, and support growth.Revenue Cycle Leadership & OwnershipOwn the end-to-end revenue cycle across all PCOM clinical sites and service linesEstablish consistent front-end and back-end revenue workflowsIdentify, quantify, and remediate revenue leakageEnsure timely, accurate, and compliant billing and collectionsEnsure revenue cycle processes align with applicable payer requirements, including Medicare, Medicaid, and relevant federal regulationsProvide oversight and guidance for patient access and scheduling workflows to ensure eligibility verification and registration accuracy support clean claimsVendor Governance & Performance ManagementServe as the primary relationship owner for the external billing partner (EMP Claims)Define and manage SLAs, KPIs, and performance expectationsLead regular vendor performance reviews and escalation processesDistinguish root causes between documentation issues, operational breakdowns, vendor execution, and payer behaviorRecommend vendor or contract changes when performance does not meet expectationsPayer Contract Insight & Revenue IntegrityInterpret payer contracts to ensure accurate reimbursement and identify underpayment trendsPartner with Finance to assess financial impact of payer terms and reimbursement methodologiesSupport evaluation of payer performance and inform contract strategy and renegotiation prioritiesFinancial Performance & ReportingOwn and monitor key revenue cycle metrics, including:Days in Accounts ReceivableDenial rate and denial root causesNet collection percentageCharge lag and claim submission timelinessDevelop leadership-ready dashboards and insights, not just raw reportsTranslate revenue data into actionable recommendations for Finance and Executive LeadershipClinical & Operational PartnershipPartner with clinical leadership to improve documentation and coding accuracy, including faculty and learner environmentsSupport service-line specific needs (e.g., OMM, geriatrics, nursing home services)Collaborate with practice operations to improve front-desk workflows, eligibility verification, and registration accuracyServe as a trusted advisor across Finance, Operations, and Clinical teamsRevenue Cycle Strategy & ReadinessPrepare revenue cycle infrastructure for:New sites and satellite locationsNew or evolving service linesChanges in payer mix or reimbursement modelsSupport evaluation and potential transition of cash-pay services to insurance-based models (e.g., behavioral health)Develop a 12-18-month revenue cycle roadmap aligned to PCOM's clinical growth strategyQualifications & ExperienceRequiredExperience in healthcare revenue cycle operations, preferably in a multi-site or multi-service environmentStrong understanding of end-to-end revenue cycle workflows, including charge capture, coding, billing, and collectionsWorking knowledge of CPT, ICD-10, and reimbursement methodologies sufficient to identify documentation, coding, and payment issuesDemonstrated experience managing or overseeing a third-party billing partnerExperience working within an electronic medical record (EMR) environment to support revenue cycle operations; familiarity with NextGen a plusExperience interpreting payer contracts and reimbursement methodologies to support revenue cycle performanceAbility to identify underpayments and contract variances through data analysisAbility to translate complex revenue data into actionable insightsStrong cross-functional communication and influence skillsPreferredExperience in academic medical, ambulatory, or mixed clinical environmentsFamiliarity with primary care, geriatrics, or procedure-based services (e.g., OMM)Experience supporting growth or operational transformation initiativesStarting Salary: $130,000.00 annuallyThe referenced salary range is based on PCOM good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. PCOM offers a total rewards package that supports our employees' health, life, career and retirement. PCOM prohibits discrimination on the basis of age, race, sex, color, gender, gender identity and expression, national origin, ethnicity, ancestry, sexual orientation, religion, creed, disability, genetic information, marital status, pregnancy, military and military veteran status or any other legally protected class status in all its programs, activities, and employment practices.

Created: 2026-04-02