Heartbeat Health
Healthcare
DirectorofRevenueCycleManagement&Credentialing
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“Director of Revenue Cycle Management & Credentialing at Heartbeat Health. Skills: Revenue cycle management, Provider credentialing, Payer enrollment. Own end-to-end accountability for full revenue cycle. Manage RCM execution across internal staff and external”
What You'll Achieve.
Ensure financial outcomes; Ensure payer enrollment integrity; Ensure operational visibility; Reduce hospitalizations; Improve long-term heart health outcomes; Improve scalability; Reduce manual work; Support consistent execution; Accelerate cash collection; Improve net collection percentage; Prevent revenue interruption
Industry & Context.
Analytical skills
What They're Looking For.
Must Have
7+ years progressive experience in healthcare revenue cycle management, Demonstrated experience leading RCM operations, Demonstrated experience leading provider credentialing/payer enrollment functions, Working knowledge of clearinghouses, Working knowledge of EMR billing modules, Working knowledge of ERA processing, Working knowledge of end-to-end claims workflows
Nice to Have
Advanced degree preferred, Background in multi-state, multi-payer telehealth or virtual specialty care experience strongly preferred, Familiarity with specialty care billing workflows preferred, Familiarity with chronic care management preferred, Familiarity with transitional care management preferred
What You'll Do.
Own end-to-end accountability for full revenue cycle
Manage RCM execution across internal staff and external
Lead continuous improvement of RCM processes
Develop and implement new RCM processes and workflows
Build and maintain reporting and analytics
Drive initiatives to reduce denial rates
Continuously evaluate optimal mix of internal and external
Partner with clinical operations
Lead and mentor the credentialing function
Ensure timely initial credentialing
Ensure timely re-credentialing
Ensure timely payer enrollment
Optimize credentialing turnaround time
Proactively manage payer enrollment timelines
Maintain accurate provider records
Ensure data integrity between systems
Analyze credentialing- and enrollment-related denial trends
Implement corrective actions
Stay current on payer regulations
Stay current on telehealth credentialing requirements
Stay current on licensure rules
Build the long-term RCM and credentialing roadmap
Prepare regular reports for SVP of Clinical Operations
Support compliance reviews
Support process improvements
Represent RCM and credentialing in cross-functional initiatives
How You'll Work.
Team & Collaboration
Cross-functional initiatives; Clinical operations teams; Finance teams; Technology teams; Executive leadership teams
Communication Scope
Executive reporting
Process & Methodology
Project management
Full Job Description
## About Us Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-quality heart care through a combination of telemedicine, diagnostics, and virtual care programs. By leveraging real-time data and AI-powered insights, Heartbeat Health empowers providers and patients with personalized treatment plans, reducing hospitalizations and improving long-term heart health outcomes. Heartbeat Health is redefining how cardiovascular care is delivered in the digital age, led by our medical group of cardiologists, advanced practitioners, nurses, and care coordinators. ## About the Role We are a nationwide virtual cardiology organization seeking a Director of Revenue Cycle Management & Credentialing to lead and continuously improve the revenue cycle and credentialing functions that power our growing multi-state provider network. This role owns end-to-end accountability for the full revenue cycle and oversees provider credentialing and payer enrollment across government and commercial payers. The Director will lead RCM operations across internal teams and external partners, lead the credentialing team, and serve as the owner of RCM and credentialing performance, reporting, and continuous improvement. This is a high-impact role responsible for ensuring strong financial outcomes, payer enrollment integrity, and operational visibility as the organization scales claims volume in a multi-state, multi-payer specialty care environment. The Director reports to the SVP of Clinical Operations. Key Responsibilities Revenue Cycle Management Own end-to-end accountability for the full revenue cycle, including charge capture, claim submission, denial management, payment posting, AR follow-up, patient billing, and collections. Manage RCM execution across internal staff and external vendors as appropriate, including SLA oversight, performance management, escalation, and ensuring full visibility into work completed on the o
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