Impact Advisors

Revenue Cycle Managed Services Senior Director for RC Ambulatory

United States full-time Executive Salary not listed
full-time Executive level Technology & IT Curated
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About the role

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades. To learn more about us, visit
Impact Advisors is seeking an experienced and motivated Revenue Cycle Director to lead the end-to-end revenue cycle operations for a medical group, including patient access, charge capture, coding coordination, claims submission, payment posting, denial management, accounts receivable, patient collections, and revenue cycle reporting. This role provides strategic and operational leadership to ensure accurate, compliant, timely, and efficient revenue capture while supporting strong financial performance, payer relationships, physician alignment, and a positive patient financial experience.
Key Responsibilities

Lead all revenue cycle functions across the medical group, including registration, eligibility verification, authorizations, coding workflows, billing, collections, denials, payment posting, credits, refunds, and patient financial services.

Develop and execute revenue cycle strategies that improve cash flow, reduce days in accounts receivable, lower denial rates, increase net collection rates, and strengthen overall financial performance.

Establish, monitor, and report key performance indicators, including days in A/R, clean claim rate, denial rate, charge lag, payment lag, aging by payer, point-of-service collections, bad debt, and productivity metrics.

Partner with physicians, practice administrators, finance, compliance, coding, credentialing, contracting, IT, and operations leaders to address revenue leakage and workflow barriers.

Ensure billing, coding, claims, collections, and documentation processes comply with federal and state regulations, payer requirements, HIPAA, Medicare, Medicaid, commercial payer policies, and internal compliance standards.

Oversee denial prevention and resolution programs, including root-cause analysis, appeal strategies, payer trend reporting, and corrective action plans.

Direct payer issue escalation, reimbursement analysis, contract performance monitoring, and collaboration with managed care or contracting teams.

Lead revenue cycle system optimization, workflow redesign, automation initiatives, reporting enhancements, and implementation of new tools or technology.

Prepare executive-level reports, financial analyses, dashboards, forecasts, and recommendations for senior leadership.

Develop policies, procedures, training materials, audit processes, and internal controls to standardize revenue cycle operations across locations and specialties.

Manage, coach, and develop revenue cycle managers, supervisors, analysts, and staff; set performance expectations and promote accountability, engagement, and continuous improvement.

Evaluate and manage vendor relationships, including billing partners, clearinghouses, collection agencies, technology vendors, and outsourced service providers.

Support budgeting, staffing models, resource planning, productivity standards, and workforce development for the revenue cycle department.

Identify operational risks, financial trends, and opportunities for process improvement, then lead cross-functional initiatives to improve revenue integrity and patient satisfaction.

Travel to client site as needed, anticipated to be 25%.

Required Qualifications

Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field required; master’s degree preferred.

10–15 years of progressive healthcare revenue cycle experience, preferably in a physician practice, multispecialty medical group, ambulatory care, or health system environment.

Minimum of 5 years of revenue cycle leadership experience managing teams, supervisors, or managers.

Strong knowledge of professional billing, coding workflows, charge capture, payer reimbursement, claims adjudication, denial management, patient collections, and accounts receivable management.

Demonstrated success improving revenue cycle performance metrics, operational efficiency, cash collections, and compliance outcomes.

Experience working with electronic health record, practice management, clearinghouse, reporting, and revenue cycle systems.

Working knowledge of Medicare, Medicaid, commercial payer guidelines, HIPAA, compliance requirements, and applicable billing regulations.

Strong analytical, financial, problem-solving, communication, and executive presentation skills.

Ability to lead change, influence stakeholders, manage competing priorities, and drive measurable results across multiple sites or specialties.

Preferred Qualifications

Master’s degree in Healthcare Administration, Business Administration, Finance, or a related discipline.

Revenue cycle, HFMA, MGMA, AAPC, AHIMA, CHFP, CRCR, CPC, or related certification.

Experience supporting multispecialty physician groups, hospital-owned practices, or large ambulatory networks.

Experience leading system conversions, revenue cycle transformation projects, centralization initiatives, or automation programs.

Knowledge of value-based care, risk-based contracts, payer contracting, provider enrollment, credentialing, and revenue integrity programs.

For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs.
Our People and Culture
At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.
Join Impact Advisors and make a real difference in healthcare.
Originally posted on Himalayas

Interview prep

Walk in with sharper answers.

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Executive
Technology & IT Accounting Administration Data Analysis Finance Operations Executive level

Likely questions

  1. Tell us about work you have done that is close to the Revenue Cycle Managed Services Senior Director for RC Ambulatory role.
  2. How would you approach your first 30 days at Impact Advisors?
  3. Which of Accounting, Administration and Data Analysis have you used recently, and what did it help you achieve?
  4. How have you led people, improved a process, or made a hard decision in a previous role?
  5. How do you handle busy days, changing priorities, or pressure at work?

Prepare before the call

  • A recent example that proves your experience with Accounting, Administration and Data Analysis.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Revenue Cycle Managed Services Senior Director for RC Ambulatory role because I can bring practical experience in Accounting, Administration and Data Analysis, learn the team quickly, and contribute to the outcomes Impact Advisors needs from this hire.

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