Director of Charge Capture & Billing

ROMTech is a medical technology company that has created and patented a revolutionary medical device and telemedical platform which delivers in-home rehabilitative care. Our disruptive technology has proven to yield faster recoveries and better outcomes with unmatched patient compliance. We began in orthopedics and have entered scale-up of our orthopedic business. We are now leveraging our core technology, infrastructure, and first mover position to enter cardiology, followed by other adjacent markets. Having created this new lane, we have a unique opportunity to serve as the global leader in the business, technology, and science of recovery, and to bring life-changing help to many millions of people.

Position Summary 

The Director of Revenue Cycle Operations is responsible for leadership and oversight of Accounts Receivable (AR), Billing, and Charge Capture. This role ensures accuracy, compliance, efficiency, and financial performance across all post‑billing and pre‑claims functions including charge integrity, claim submission, payment posting, denials, appeals, and recoupment management. 

The ideal candidate has a deep understanding of Medicare and Medicaid regulations, preventable denials, DME billing processes (preferred), payer requirements, RPA automation, and scalable revenue cycle operations. They will lead cross‑functional teams to drive clean claims, eliminate avoidable denials, accelerate collections, and support sustainable reimbursement outcomes. 

 

Key Responsibilities 

Strategic Leadership Across AR, Billing & Charge Capture 

• Provide executive oversight of all charge capture, billing, claims submission, and AR functions. 

• Develop standardized workflows across the RCM continuum to improve accuracy, productivity, and compliance. 

• Partner with coding, clinical, and operational leaders to ensure accurate charge entry, modifier usage, documentation support, and claim integrity. 

• Oversee daily operations of billing, AR follow‑up, payment posting, and denial management teams. 

 

Charge Capture & Billing Oversight 

• Ensure all services are accurately captured, coded, and billed within established timeframes. 

• Implement charge reconciliation processes to prevent missed or incomplete charges. 

• Maintain compliance with CMS, Medicaid, and commercial payer billing rules. 

• Oversee creation, editing, and clean‑claim validation of all claims prior to submission. 

• Reduce claim rejections through improved front‑end edits, middleware optimization, and automated billing rules. 

• Monitor daily billing volumes to ensure timely submission and maximize first‑pass yield. 

 

Accounts Receivable & Denials Management 

• Lead AR strategy focusing on reducing days in AR, improving aging distribution, and enhancing cash collections. 

• Oversee denials, appeals, and recoupment activities, ensuring timely and compliant responses. 

• Conduct root‑cause analysis on preventable denials and collaborate with upstream teams to implement permanent fixes. 

• Establish dashboards, KPIs, and reporting mechanisms for denials, AR performance, cash forecasting, underpayments, and payment trends. 

• Create payer‑specific workflows to address downgrades, bundling, documentation requests, and audit outcomes. 

 

Recoupments, Audits & Compliance 

• Manage all payer recoupments, offsets, overpayment demands, and post‑payment audits (RAC, UPIC, SMRC, commercial plans). 

• Ensure compliance with state and federal regulations impacting billing, claims submission, patient responsibility, and AR resolution. 

• Work with Compliance and Legal departments to address payer disputes and mitigate organizational risk. 

• Maintain policy and procedure documentation for all AR, billing, and charge capture processes. 

 

Payment Posting & Reconciliation 

• Oversee accurate and timely payment posting, adjustments, denials posting, and refund processing. 

• Ensure reconciliation between bank deposits, payer remittances, and system‑posted payments. 

• Improve detection of payer variances, underpayments, and incorrect contractual adjustments. 

 

Process Optimization, Systems & RPA 

• Lead initiatives to automate manual tasks through RPA, workflow engines, ERA/EFT automation, and advanced billing tools. 

• Evaluate system functionality and recommend enhancements to improve accuracy and efficiency. 

• Standardize processes across teams to reduce variation and eliminate inefficiencies. 

• Use data analytics to drive continuous improvement, performance visibility, and forecasting. 

 

Team Leadership & Development 

• Lead and develop managers and supervisors over AR, Billing, Payment Posting, and Charge Capture. 

• Foster a high‑performance culture focused on accountability, quality, and timely results. 

• Provide training, coaching, and ongoing development to ensure team competency and knowledge growth. 

• Set performance benchmarks and evaluate productivity at team and individual levels. 

 

Required Qualifications 

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (Master’s preferred). 

• 8+ years of progressive experience in healthcare Revenue Cycle Management, with significant leadership in Billing, Charge Capture, and AR. 

• Strong knowledge of Medicare, Medicaid, and commercial payer billing and reimbursement rules. 

• Demonstrated success reducing denials, optimizing billing accuracy, and improving AR performance. 

• Experience with workflow tools, EHR/PM systems, RPA technologies, and automated billing systems. 

• Exceptional analytical, operational, and problem‑solving abilities. 

• Strong leadership, communication, and change‑management skills. 

 

Preferred Qualifications 

• Experience with Durable Medical Equipment (DME) billing, coding, and reimbursement. 

• Understanding of DMEPOS policies, documentation requirements, and payer guidelines. 

• Revenue cycle certifications such as CRCR, CPB, CPC, CHFP, or similar. 

 

Core Competencies 

• Revenue Optimization & Financial Leadership 

• Billing Accuracy & Charge Integrity 

• Regulatory Compliance & Payer Policy Expertise 

• Process Improvement & RPA/Automation 

• Denials Prevention & Operational Excellence 

• Cross‑Functional Partnership 

• Team Leadership & Performance Coaching 

Physical Demands and Working Conditions

The following describes the physical demands and work environment characteristics required to perform the essential functions of this position. These requirements are representative of those an employee may encounter while performing the job and are not intended to be an exhaustive list. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role.

• Ability to sit at a computer terminal for an extended period. 

• Moderate noise (i.e., phone calls, online meetings, computer audio) 

• While performing the duties of this job, the employee may be regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone, and keyboard. 

• Specific vision abilities required by this job include close vision requirements due to computer work. 

• Regular, predictable attendance is required. 

• Must be able to communicate clearly and professionally in both verbal and written formats.

• Must be able to engage in active listening and express ideas effectively in person, by phone, and via virtual meetings.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Reasonable accommodation requests must be made in writing by emailing [email protected].