Director of Revenue Cycle Management in Carrollton, Texas at Sanctum Health Partners LLC

Director of Revenue Cycle Management
Position Summary
Sanctum Health Partners is seeking an experienced, hands-on Director of Revenue Cycle Management to lead and oversee the organization’s revenue-cycle operations. This individual will be responsible for maintain and improve current company collections performance, reducing denials and aging receivables, maintaining billing compliance, and improving overall revenue-cycle performance.

This is a working leadership position. The Director will manage, coach, and develop the revenue-cycle team while remaining directly involved in claims resolution, denial management, payer escalations, reporting, process improvement, and day-to-day problem-solving.

Essential Responsibilities
- Oversee daily billing, collections, payment posting, denial management, and accounts-receivable activities.
- Personally resolve complex, high-value, and aged claims and payer issues.
- Monitor claim accuracy, filing deadlines, rejections, underpayments, denials, and appeals.
- Analyze A/R, denial, and payment trends to identify revenue leakage and recurring issues.
- Establish corrective actions and improve processes to prevent recurring billing and collection problems.
- Maintain relationships with payer representatives, clearinghouses, vendors, and other external partners.
- Lead, train, coach, and develop revenue-cycle staff while establishing clear performance and accountability expectations.
- Monitor team productivity and quality, provide ongoing feedback, and step into operational work when needed.
- Develop and maintain effective procedures, workflows, escalation processes, and accountability systems.
- Produce and present accurate reporting on collections, A/R aging, denials, payer performance, and cash flow.
- Ensure billing practices comply with payer contracts, Medicaid requirements, company policies, and applicable regulations.
- Support payer audits, recoupments, appeals, and records requests.
- Identify opportunities to improve systems, automation, reporting, and overall revenue-cycle efficiency.
- Partner with clinical operations, authorization, credentialing, finance, and executive leadership to resolve issues and improve revenue performance.

Qualifications
Required
- Healthcare revenue-cycle experience
- Supervisory or management experience.
- Experience with therapy, home-health, or recurring healthcare claims.
- Strong knowledge of billing, claims, payment posting, denials, A/R, appeals, and payer escalation.
- Experience with Medicaid managed-care or other high-volume healthcare payers.
- Strong analytical, organizational, communication, and problem-solving skills.
- Advanced Excel and healthcare billing/practice-management system experience.
- Willingness to remain hands-on and personally work claims and operational issues when needed.

Preferred
- Pediatric therapy or pediatric home-health billing experience.
- Texas Medicaid and managed-care experience.
- Experience with EVV, authorizations, credentialing, and clinical documentation requirements.
- Experience with payer audits, recoupments, and revenue-cycle process improvement.
- Relevant certification such as CRCR, CRCP, CPC, or equivalent.

Successful Candidate
The successful candidate will be a hands-on, accountable leader who can develop their team while maintaining ownership of revenue-cycle results. They should be analytical, persistent, organized, and comfortable identifying whether an issue is related to staff performance, process, systems, or payer requirements—and driving it through to resolution.

Performance Expectations
Success will be measured through collection performance, A/R aging, denial and write-off reduction, claim accuracy and timeliness, payer issue resolution, cash-flow reporting, staff productivity and development, and sustained process improvements.

Compensation
Competitive base salary based on experience and qualifications, with potential performance-based incentive compensation tied to defined financial and operational outcomes.