RCM Director

We are a mission-driven outpatient behavioral health organization focused on helping individuals and families recover from substance use disorders and co-occurring mental health conditions. Our programs include Partial Hospitalization (PHP), Intensive Outpatient (IOP), and outpatient services, delivered in a structured, evidence-based setting that allows clients to stay connected to their daily lives while receiving care. Headquartered in North Carolina and expanding across multiple states, we are in a strong growth phase and focused on operational excellence, clinical integrity, and sustainable revenue cycle performance.

We are seeking a highly experienced RCM Director with deep, hands-on expertise in revenue cycle management within substance abuse treatment or behavioral health facilities. This is a fully remote opportunity open to candidates anywhere in the United States, with a preference for individuals located on the East Coast or within the Eastern Time Zone to best support collaboration with leadership and operations. The ideal candidate comes directly from drug rehab, addiction treatment, or behavioral health organizations and understands the unique payer dynamics, compliance requirements, and operational realities of this space.

This is a high-impact leadership role overseeing a small billing/RCM team and external billing partners. You will own the full revenue cycle, with a primary focus on Medicaid and out-of-network billing in a multi-state behavioral health environment. Your objective will be to optimize revenue capture, reduce reimbursement delays, improve collections, and build scalable billing processes as the organization continues to grow.

Key Responsibilities

• Own end-to-end revenue cycle operations across Medicaid (in-network and out-of-network) within behavioral health programs.
• Lead and manage the performance of third-party billing vendors and/or internal billing staff.
• Drive improvements in A/R days, denial rates, collections, and first-pass claim acceptance.
• Oversee claim submission, follow-up, appeals, and payer engagement with a focus on Medicaid and behavioral health payers.
• Ensure accurate charge capture, documentation alignment, and coding integrity in collaboration with clinical and administrative teams.
• Utilize EMR/RCM platforms, with Kipu and/or Collaborate MD strongly preferred.
• Build and refine billing workflows, policies, and internal controls to support continued growth.
• Provide reporting, forecasting, and revenue cycle performance insights to senior leadership.
• Stay current on payer policy changes, Medicaid updates, and behavioral health billing regulations.
• Train, mentor, and support internal billing/RCM staff where applicable.

Qualifications

• 5–10+ years of progressive Revenue Cycle Management experience within behavioral health, substance abuse treatment, or mental health organizations (required).
• Direct experience in drug rehab, addiction treatment, or outpatient behavioral health billing environments is required.
• Proven leadership experience managing RCM teams and/or third-party billing vendors.
• Deep expertise in Medicaid billing (in-network and out-of-network) within behavioral health settings.
• Strong command of denial management, appeals, A/R optimization, and payer reimbursement strategies.
• Experience with Kipu and/or Collaborate MD is strongly preferred.
• Exposure to revenue cycle analytics, automation, or AI-driven billing tools is a plus.
• Strong analytical, operational, and problem-solving skills.
• Ability to thrive in a fast-growing, multi-site environment.

Compensation & Benefits

• Base salary: $120,000–$150,000, depending on experience and depth of behavioral health RCM expertise.
• Candidates with extensive experience owning Medicaid-heavy revenue cycles within substance abuse or behavioral health organizations, and leading internal teams or third-party vendors, will be considered at the top of the salary range.
• Standard benefits package provided. Please note: 401(k) is not currently offered.
• Fully remote position open to candidates nationwide, with preference given to East Coast candidates for time zone alignment.

This is an opportunity to step into a true ownership role within a growing behavioral health organization where revenue cycle performance directly supports access to life-changing care.