Head of Revenue Cycle Management

Easterseals PORT Health

ORGANIZATION:
Easterseals PORT Health, headquartered in Raleigh, NC, is a disability, mental health, and substance use service provider, with 2,600 employees providing 10 million hours of support to 40,200 kids, adults, and families in 11,000 home, facility, and community locations across North Carolina and Virginia every year.

Easterseals PORT Health’s mission: To help people with disabilities, mental health, or substance use challenges, their families, and the organization’s employees embrace their potential, access opportunities, build resilience, and thrive. With a culture that values inclusion, different voices, and embracing potential, authenticity, and learning, the $165 million organization is well positioned for continued, intentional growth.

For more information, please visit www.eastersealsport.com.  

REPORTS/RELATIONSHIPS:
This position will report directly to ­­­the Chief Financial Officer and lead a team of 19.

BASIC FUNCTIONS:
The Head of Revenue Cycle Management (Head, RCM) provides executive oversight, strategic vision, and operational leadership for all revenue cycle functions across Easterseals PORT Health’s behavioral health and I/DD service lines. This position is responsible for developing and executing comprehensive strategies that ensure optimal financial performance, compliance, and sustainability.

The Head, RCM leads a unified approach to contract management, charge capture, billing, collections, and revenue integrity – ensuring accuracy, efficiency, and alignment with payer, regulatory, and organizational standards. This role partners closely with the CFO, executive leadership, and operational leaders to drive continuous improvement, enhance automation, and support the organization’s mission to deliver accessible, person-centered behavioral healthcare.

Specific duties will include, but not necessarily be limited to:

Strategic Revenue Cycle Leadership

• Provide executive direction for all revenue cycle operations, including payer contracting, charge capture, claims management, accounts receivable, cash applications, and patient financial services.
• Develop and execute multiyear strategic plans to improve revenue realization, reduce denials, and strengthen operational efficiency.
• Establish and monitor performance goals such as days in accounts receivable, clean claim rate, and denial rate, ensuring accountability across teams.
• Partner with the CFO on revenue forecasting, cash flow optimization, and long-term financial planning.

Contract and Reimbursement Management

• Oversee payer contract negotiations and rate structures to ensure competitive and compliant reimbursement. Lead proactive analysis of Medicaid, Medicare, commercial, and MCO rate updates, ensuring internal systems and workflows reflect current requirements.
• Collaborate with compliance and legal departments to assess contract risks and reimbursement implications.

Billing, Claims, and Cash Application

• Ensure enterprise-wide consistency and accuracy in billing practices, claim submission, and cash posting.
• Oversee reconciliation processes, month-end close activities, and financial reporting in coordination with the finance department.
• Champion a positive and empathetic approach to patient financial services and inquiries.

Revenue Integrity and Performance Optimization

• Implement enterprise data analytics and automation strategies to monitor KPIs and identify operational improvements.
• Drive innovation in revenue cycle technology, integrating automation, and AI-driven tools, where feasible, to improve accuracy and speed.
• Collaborate with IT and finance to oversee electronic health record (EHR) system upgrades, data validation, and performance reporting enhancements.

Compliance and Risk Management

• Ensure compliance with all federal, state, and payer-specific regulations, including HIPAA and billing standards.
• Partner with compliance and quality teams to maintain audit readiness and mitigate financial or reputational risks.
• Establish internal controls and policies that uphold regulatory integrity and financial transparency.

Cross-Functional Leadership

• Partner with clinical, quality, and operational leaders to align documentation, authorization, and billing workflows.
• Serve as a bridge between finance and care delivery teams, ensuring shared accountability for revenue performance and service excellence.

Team Leadership and Organizational Development

• Lead, mentor, and develop a high-performing team of directors, managers, and specialists across all revenue cycle functions.
• Cultivate a culture of continuous improvement, accountability, and professional growth.
• Build organizational capacity through cross-training, succession planning, and leadership development initiatives.

REQUIREMENTS:

• 10+ years of progressive leadership experience in healthcare revenue cycle management, including at least five years in a senior- or executive-level role (e.g., director, AVP, VP).
• Demonstrated success managing complex, multisite healthcare organizations or behavioral health networks.
• Proven track record of driving improvements in billing accuracy, denial reduction, A/R management, and cash flow performance.
• Experience leading payer contracting, managed care negotiations, and reimbursement modeling.
• Prior experience implementing or optimizing electronic health record (EHR) systems (preferably Welligent or similar platforms).
• Strong understanding of Medicaid, Medicare, MCO, and behavioral health funding structures, with the ability to interpret and apply state-specific reimbursement policies.
• Strategic thinker with the ability to design and execute enterprise-wide financial performance initiatives.
• Excellent leadership and communication skills with the ability to collaborate across clinical, financial, and operational functions.
• Deep analytical and problem-solving skills with a data-driven approach to performance management.
• Proficiency with revenue cycle analytics, financial reporting tools, and automation technologies.
• Commitment to integrity, compliance, and mission-driven service excellence.
• Must possess the necessary abilities to perform tasks such as developing written communications and reviewing work to determine accuracy.
• Ability to communicate effectively with internal and external clients and the ability to remain in a stationary position for extended periods of time.
• Bachelor’s degree in accounting, finance, business, or a related field is preferred.
• Certification in Healthcare Financial Management (HFMA), such as Certified Revenue Cycle Representative (CRCR) or Certified Healthcare Financial Professional (CHFP) is preferred.

COMPENSATION:
Compensation will be commensurate with experience including a competitive base salary and a competitive benefits package.

CONTACT INFORMATION:
Joy Abbott, Consultant
jabbott@CLCBsearch.com
704.377.0362