RCM Director in Chicago, Illinois at Stella Mental Health

About Stella Mental Health

Stella Mental Health is a leading provider of breakthrough mental health treatments for depression, PTSD, and anxiety. We use cutting-edge modalities, such as ketamine infusions, intranasal esketamine (Spravato), transcranial magnetic stimulation (TMS), and Stellate Ganglion Block (SGB) to help our patients achieve lasting relief. We are a community of compassionate professionals who support our patients and each other throughout their healing journey.

Position Summary

The RCM Director is responsible for the performance of Credentialing, Access, and Billing (RCM), three core functions that enable patient access and drive revenue and cash outcomes.

This leader understands the interdependence of these areas and ensures they operate as a cohesive system. They bring a hands-on, solutions-oriented approach to improving workflows, strengthening payor relationships, and delivering consistent, measurable results.

Top Priorities

Build and lead a fully integrated operating model across Credentialing, Access, and BillingEnsure providers are enrolled, contracted, and billable as efficiently as possibleDrive consistent, high-quality VOB and prior authorization performance across all marketsImprove cash collections, predictability, and revenue cycle performanceStrengthen payor relationships and contracting position across geographiesImplement scalable SOPs, workflows, and technology (including AI tools)Coordinate with Market Leaders to educate field personnel on their impact on RCM efficiency

(1) Credentialing & Payor Relations

Lead and operate the credentialing and payor engagement function with a focus on accuracy, speed, and strong external relationships.

Key Responsibilities

Oversee the full credentialing lifecycle, including enrollments, re-enrollments, re-attestations, monitoring, and maintenanceEnsure data integrity, documentation, and record keeping across all credentialing activitiesLeverage platforms (e.g., Assured) to drive efficiency, visibility, and complianceMaintain a clear understanding of entity structure and its impact on enrollment, billing, and reimbursementBuild and manage strong relationships with payor representatives, serving as a primary point of contact and escalationLead payor contracting efforts, including:Individual, group, and national agreementsRate negotiations and reimbursement optimizationMulti-state contracting strategiesIdentify and resolve barriers to ensure providers are live and billable without delay

(2) Access (Verification of Benefits & Prior Authorizations)

Own the processes that enable patients to access care efficiently, with clear expectations and minimal administrative friction.

Key Responsibilities

Drive consistent production and quality of VOB and prior authorizations across all markets and modalitiesEstablish and enforce standard operating procedures, workflows, and performance standardsEnsure collection of full patient financial responsibility at time of service (TOS) across all markets, establishing consistent pre-service financial clearance workflowsMonitor performance to ensure timely approvals and minimal delays to treatmentBuild structured processes to challenge and overturn denials, including peer-to-peer workflowsEnsure patients receive clear, accurate financial information prior to starting treatmentSupport teams in removing administrative barriers that impact timely access to carePartner with AI and automation initiatives (e.g., Nanonets) to:Improve throughput and consistencyEnhance accuracy and efficiencyContinuously refine workflows

(3) Billing & Revenue Cycle Management (RCM)

Provide leadership and accountability for the full revenue cycle, with a focus on performance, discipline, and cash outcomes.

Key Responsibilities

Own the end-to-end revenue cycle, including charge capture, coding, claims submission, denial management, and collectionsDrive team productivity and accountability across internal and external billing resourcesMonitor and improve key metrics, including:Cash collectionsDays in ARDenial rates and recoveryClean claim ratesMonitoring and pursuit of underpaymentsIdentify breakdowns in performance and address root causes across credentialing, access, and billing workflowsImplement billing optimization strategies, including coding accuracy and “incident-to” billing where appropriateOversee the use of third-party vendors and partners, ensuring performance expectations are metPartner with Finance to ensure alignment on cash performance, forecasting, and budget expectationsLeverage AI tools and automation to improve efficiency and scalability

Cross-Functional Leadership

Align Credentialing, Access, and Billing into a single, cohesive operating modelEstablish clear KPIs, reporting, and operating cadence across all functionsServe as the internal subject matter expert and escalation point for payor, access, and RCM challengesPartner with Clinical, Operations, and Finance teams to ensure alignment from intake through reimbursementBuild and lead teams with a focus on accountability, consistency, and continuous improvement

Qualifications & Experience

Bachelor’s degree in Healthcare Administration, Business, or related field7+ years of leadership experience across credentialing, access (VOB/PA), and/or revenue cycle managementDeep understanding of multi-state payor environments, including Medicare, Medicaid, and commercial plansProven experience in payor contracting and rate negotiationStrong command of end-to-end revenue cycle performance and cash driversExperience with EMR and RCM platforms (Athena preferred) and automation/AI toolsDemonstrated ability to build systems, lead teams, and drive measurable financial and operational outcomes

What We Offer

Competitive salary and benefits packageMedical, dental, and vision insurance401(k) with company matchA supportive and collaborative work environmentA mission-driven organization that makes a positive impact on people’s lives

At Stella Mental Health, we believe that diversity, equity, and inclusion are essential values that enrich our work environment and enhance our ability to serve diverse communities. We strive to integrate these values into every aspect of our organization, from hiring and training to policies and practices. We recognize that we have a responsibility to foster a culture of respect, empathy, and collaboration among our team, patients, and partners. Our vision is to be a leader in delivering patient-centered care that respects and celebrates diversity, promotes equity and inclusion, and improves health outcomes for all.

The pay range for this role is:145,000 - 165,000 USD per year(Remote)