The Senior Director, Revenue Cycle Management (RCM) leads the post-service revenue cycle operations for the private segment of a multi-site physical therapy organization, ensuring optimal financial performance and a best-in-class patient and provider experience. This role requires a strategic, analytical leader with exceptional problem-solving skills and a tenacity to resolve complex issues, drive root-cause improvements, and deliver measurable results in billing, collections, and cash posting.

Essential Functions

• Leadership & Team Management:
  • Provide vision, leadership, and direction to the private revenue cycle organization, cultivating a high-performance culture focused on accountability, ownership, and continuous improvement.
  • Build, mentor, and retain a strong, motivated team; establish clear goals and expectations while fostering professional development and succession planning.
  • Serve as the subject matter expert and internal champion for revenue cycle operations, ensuring alignment with organizational objectives.
• Operational Oversight:
  • Own the full private revenue cycle from billing through collections and cash posting, ensuring accuracy, timeliness, and compliance.
  • Monitor and optimize key performance indicators (KPIs) such as Days in A/R, net collection rate, and denial rates to achieve financial targets.
  • Partner with the front-end team to implement standardized processes, tools, and technologies to streamline operations and increase efficiency across multiple sites.
• Patient Experience & Satisfaction:
  • Partner with front-end teams to create a transparent, patient-friendly financial journey, minimizing billing confusion and improving overall satisfaction.
  • Develop policies and procedures that support prompt, clear communication with patients regarding their financial responsibility and account status.
• Denials Management:
  • Lead the identification, analysis, and resolution of denials, leveraging data-driven root-cause analysis to implement corrective and preventive actions.
  • Collaborate with payers, clinical teams, and internal staff to address systemic denial trends and build resolution strategies.
  • Track and report denial rates, recovery efforts, and financial impacts to drive continuous improvement.
• Process Improvement & Compliance:
  • Establish a culture of process excellence, leveraging Lean or Six Sigma methodologies to identify gaps, streamline workflows, and eliminate inefficiencies.
  • Ensure compliance with all federal, state, and payer regulations, maintaining up-to-date knowledge of industry requirements and trends.
  • Proactively prepare for audits and implement corrective action plans as needed.
• Collaboration & Reporting:
  • Work cross-functionally with access operations, clinical operations, finance, IT, and compliance teams to support organizational goals and resolve revenue-impacting issues.
  • Provide clear, actionable reporting to executive leadership, including trends, performance metrics, and strategic recommendations.
  • Act as the liaison with external vendors, partners, and payers to maintain positive relationships and ensure optimal results.
• Strategic Planning & Development:
  • Develop and execute long-term revenue cycle strategies that align with the company’s growth objectives and evolving market conditions.
  • Evaluate emerging technologies, payer models, and industry best practices to position the organization as a leader in revenue cycle excellence.
  • Drive initiatives to scale operations, support new service lines, and enhance profitability.

Required Skills & Abilities:

• Proficiency in Microsoft Word, Excel, Window-based applications.
• Excellent communication and relationship-building skills.
• Must have demonstrated skill in prioritizing daily responsibilities and crises to handle a heavy workload.
• Must be able to work successfully in a fast-paced environment.
• Knowledge of federal and state employment laws and regulations

Required Credentials:

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s preferred.
• 10+ years of progressive experience in revenue cycle management, with at least 5 years in a senior leadership role within a physical therapy or outpatient healthcare setting is preferred.
• Proven track record of improving financial performance, reducing denials, and driving operational excellence.
• Strong analytical, problem-solving, and decision-making skills with the tenacity to navigate complex issues to resolution.
• Excellent

Expanding Access to Quality Care

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. 

Let’s go further together and transform care. Join the #PTSLife today! 

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