Revenue Cycle Director

Description

About Us:

At Orthodontic Experts, we are committed to delivering exceptional patient care and setting the standard for orthodontic excellence. With over 30 locations across the greater Chicagoland area, Wisconsin, and Indiana, and continued growth ahead, we are focused on transforming smiles and making a meaningful impact in the communities we serve.

We are looking for team members who are passionate about high-quality care and align with our Core Values:

• Accountability
• Continuous Improvement
• Inclusion
• Integrity
• Respect
• Teamwork
• Transparency

If you are seeking an opportunity to grow your career in a purpose-driven, patient-centered organization, we encourage you to apply.

Learn more about the position:

 The Director of  Revenue Cycle is responsible for strategically leading, planning, and optimizing the multi-site billing and collection operations for our growing Orthodontic Organization. This role oversees centralized revenue cycle management (RCM) functions, ensuring accurate insurance credentialing, timely electronic claims submission, efficient payment posting, and assertive aging accounts receivable (A/R) follow-up across all affiliated practice locations. Additionally, the Director of Revenue Cycle requires strong managerial, leadership, and critical thinking skills.  The ideal candidate is a metrics-driven leader who possesses a deep understanding of dental/medical coding compliance, PPO/Medicaid payer contracts, and the nuances of scaling workflows during new office transitions or acquisitions.  

Job Responsibilities & Duties

Core Leadership & Practice Strategy 

• Direct and oversee centralized billing, collections, insurance verification, credentialing, payment posting, and related revenue cycle functions. 
• Partner with operations and executive leadership to develop and execute revenue cycle strategies that support organizational growth, profitability, and operational excellence. 
• Provide leadership with regular reporting and analysis on revenue cycle performance, reimbursement trends, financial risks, and improvement opportunities. 
• Serve as the primary liaison between Revenue Cycle, Finance, Operations, Clinical Leadership, and Executive Leadership to align priorities and drive organizational objectives. 
• Provide revenue cycle leadership and support during the onboarding and integration of newly affiliated practices. 

Performance & Revenue Cycle Optimization 

• Establish, monitor, and report on key revenue cycle performance indicators, including collections, denial rates, aging accounts receivable, delinquency, reimbursement performance, and cash flow. 
• Lead analysis of payer contracts, reimbursement methodologies, and financial performance, providing recommendations regarding contract viability, network participation, and revenue optimization. 
• Direct denial management, appeals, underpayment recovery, and reimbursement issue resolution efforts to maximize collections and reduce revenue leakage. 
• Monitor payer policies, reimbursement changes, and industry trends, proactively addressing risks and opportunities impacting organizational revenue. 
• Drive process improvements, automation initiatives, and technology enhancements to improve efficiency, accuracy, and scalability across the revenue cycle. 
• Oversee patient payment plan compliance and patient/insurance refund processes. 

Compliance, Auditing & Credentialing 

• Ensure compliance with payer contracts, federal and state regulations, organizational policies, and industry best practices. 
• Oversee internal audits, quality assurance reviews, and corrective action initiatives to maintain billing accuracy, compliance, and revenue integrity. 
• Monitor payer and regulatory changes, ensuring timely communication and implementation across the organization. 
• Oversee provider credentialing, recredentialing, and payer enrollment activities to ensure uninterrupted participation and reimbursement. 
• Serve as the escalation point for complex payer disputes, reimbursement issues, and contract interpretation matters. 

Team Management & Development 

• Lead the recruitment, onboarding, development, and retention of billing leaders and revenue cycle staff. 
• Provide coaching, mentorship, and performance management while establishing clear expectations and accountability standards. 
• Oversee staffing models, workload allocation, productivity standards, and outsourced or offshore revenue cycle resources. 
• Foster a culture of accountability, collaboration, continuous improvement, and high performance. 
• Develop succession planning, cross-training, and professional development initiatives to support organizational growth.

 Other duties as assigned.  

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or a related field. 
• Minimum of 5–7 years of progressive experience in healthcare dental billing or revenue cycle management, with at least 3 years in a Director or high-level managerial capacity within a multi-site DSO, OSO, or medical group. 
• Advanced knowledge of dental practice management software (e.g., Ortho2) and clearinghouses. 
• Deep expertise in CDT coding, insurance verification loops, PPO coordination of benefits (COB), and Medicaid managed care plans. 
• Advanced capability in Microsoft Excel (VLOOKUPs, Pivot Tables) to synthesize raw billing data into actionable reports. 
• Strong cross-departmental communication capabilities and a proven track record of managing scaling operations during corporate growth. 

Preferred Qualifications

• Master’s degree or MBA in Healthcare Administration or Finance. 
• Certified Revenue Cycle Executive (CRCE), Certified Professional Coder (CPC), or Certified Medical Coder (CMC) designations. 
• Direct experience managing Orthodontic ledger structures, including auto-debits, recurring payment contracts, and insurance banding drops. 

Physical Requirements 

• Sitting or standing posture / Repetitive hand and finger use / Visual acuity / Written and verbal communication / Light mobility and lifting 

Working Hours & Location:

• Monday–Friday, 8:00 AM – 5:00 PM (flexibility required)
• Reporting base location: 1700 W Higgins Rd, Suite 320, Des Plaines, IL 60018
• Fully onsite

Benefits (Full-Time Employees):

• Paid Time Off & Holiday Pay
• Medical, Dental, Vision, and Life Insurance
• Short-Term & Long-Term Disability
• Employee Assistance Program
• Health Savings Account & Dependent Care Account
• 401(k) with company match
• Pet Insurance
• Tuition Assistance Program
• Identity Theft Protection
• Legal Insurance (MetLife MetLaw)
• Transit Reimbursement
• Free and discounted orthodontic treatment