Director, Revenue Cycle

Summary

The Director of Revenue Cycle Management (RCM) is responsible for leading and optimizing the end-to-end revenue cycle for Guidelight Health. This role will focus on advancing and standardizing existing processes across the full lifecycle - from patient access and benefit verification through coding, billing, collections, and denial management - to support Guidelight’s next phase of growth.

This Director will drive performance improvements, enhance operational rigor, and ensure accuracy, timeliness, and compliance across all revenue cycle functions. This individual will partner cross-functionally with clinical, operations, and finance teams to identify opportunities for increased efficiency, scalability, and revenue capture. The ideal candidate brings strong leadership experience, a deep understanding of healthcare billing practices and payer requirements, and a proven track record of improving revenue cycle performance within a growing healthcare organization.

Responsibilities

• Revenue Cycle Oversight:
  • Manage the end-to-end revenue cycle process, including prior-authorization, utilization review, billing, collections, and accounts receivable management.
  • Develop and implement policies and procedures to improve the efficiency and effectiveness of revenue cycle operations.
  • Devise and build strong internal processes and documented workflows in support of the revenue cycle and ensure appropriate integration with field operations and patient medical records.
  • Continually seek ways to improve the delivery and support of revenue cycle activities and strategize with operations leaders to proactively identify process improvement and eliminate barriers to success.
• Billing and Collections: