Chief Revenue Cycle Officer in San Antonio, Texas at TSAOG Orthopedic & Spine

The Opportunity

We are seeking a Chief Revenue Cycle Officer to join our executive leadership team and take full ownership of a complex, multi-specialty revenue cycle. This role is designed for a seasoned, hands-on leader who wants longevity, influence, and the ability to see the real-world results of the changes they inspire.

This is not a back-seat role—and not a position for someone looking to slow down or move on quickly to “the next thing.” We are looking for a leader who values stability, accountability, and growth, and who wants to build something lasting within an organization that provides both autonomy and support.

The CRCO will oversee revenue cycle operations across professional services, imaging, physical therapy, and ambulatory surgery centers, partnering closely with a strong and engaged management team to shape strategy, improve performance, and ensure compliant, sustainable growth.

Who You Are

The ideal candidate is a strategic and operational leader who:

• Takes full ownership of outcomes and is motivated by delivering meaningful, measurable results.
• Thrives in an environment where they are empowered to make decisions and drive change
• Finds satisfaction in building strong teams, structure, and process
• Uses analytics and data to identify unhealthy trends early and take decisive action
• Cares deeply about compliance, integrity, and accountability, and is comfortable holding others to high standards
• Is energized by collaboration and values working alongside a strong management team that welcomes input and shared planning
• Is passionate about their work, inspires others, and leads with humility

This role is best suited for someone who wants to grow within the position, expand its impact, and help lead an organization through its next phase of growth.

Position Summary

The Chief Revenue Cycle Officer is an executive leader responsible for the strategic direction, operational excellence, and financial performance of the organization’s end-to-end revenue cycle. This role oversees all functions related to coding, billing, collections, payer performance, credentialing, authorizations, and revenue integrity to ensure timely, accurate, and compliant reimbursement.

The CRCO partners closely with Finance, Clinical and ASC Operations, Compliance, IT, and Payer Strategy leaders to optimize cash flow, reduce revenue leakage, improve the patient financial experience, and support long-term organizational growth.

Key Responsibilities

Strategic Leadership

• Develop and execute a comprehensive, compliant revenue cycle strategy aligned with financial, clinical, and growth objectives
• Serve as the executive owner of revenue cycle performance, including net revenue realization, days in A/R, denial rates, and cash collections
• Provide data-driven insights, forecasts, and recommendations to executive leadership and the Board

Operational Oversight

• Lead and optimize all revenue cycle functions, including:
  • Insurance verification and authorizations
  • Coding, charge capture, and documentation integrity
  • Billing, claims management, and payer and patient collections
  • Denials prevention and appeals
  • Workers’ Compensation
  • Provider credentialing
  • Direct Pay contracts
  • AI strategy and automation
• Establish standardized workflows, performance metrics, and accountability across departments to drive consistency and results

Financial Performance & Revenue Integrity

• Ensure accurate, timely, and compliant reimbursement across all service lines
• Identify and mitigate revenue leakage, underpayments, and operational inefficiencies
• Oversee revenue cycle forecasting, budgeting, and financial modeling
• Drive continuous improvement in cash flow and margin performance

Compliance & Risk Management

• Ensure adherence to all federal, state, payer, and regulatory requirements
• Partner with Compliance and Legal to proactively address audit risk, documentation standards, and regulatory changes
• Implement controls and monitoring to maintain ethical billing and revenue integrity

Technology & Analytics

• Lead optimization of revenue cycle technology, analytics, automation, and AI tools
• Leverage dashboards and analytics to drive transparency, accountability, and performance improvement
• Collaborate with operational teams on system enhancements and integrations

Payer & Vendor Management

• Develop strong relationships with payer contracting teams to ensure contractual obligations are met
• Demonstrate advanced understanding of payer contracts and the ability to negotiate and implement agreements
• Oversee third-party vendors and outsourced services to ensure performance and compliance
• Lead payer issue resolution and escalation efforts

People Leadership

• Build, develop, and retain a high-performing revenue cycle leadership team
• Establish clear expectations, accountability, and professional development pathways
• Foster a culture of collaboration, continuous improvement, and ownership
• Effectively represent the organization with internal leaders, community partners, and professional organizations

Qualifications

Required

• Bachelor’s degree in Finance, Healthcare Administration, Business, or a related field
• Minimum of 10 years of progressive leadership experience overseeing multiple revenue cycle departments, including:
  • Payer and patient collections
  • Provider credentialing
  • Authorizations
  • Coding and documentation integrity
• Proven experience leading large, complex, multi-service revenue cycle operations
• Strong analytical, financial, and executive communication skills

Preferred

• Experience in multi-site or system-level healthcare organizations
• Demonstrated success leading revenue cycle transformation or large-scale optimization initiatives

Why This Role

This is a rare opportunity for a high-impact revenue cycle leader who wants more than just another executive title. The right candidate will find:

• Long-term stability
• Executive trust and decision-making authority
• A collaborative leadership team that values input
• Significant opportunity to shape strategy, culture, and performance
• A role that grows as the organization grows

If you are passionate about revenue cycle leadership, thrive on accountability, and want to see the lasting impact of your work, this role offers the platform to do exactly that.

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