Director of Revenue Cycle Management

Job Title/Position: Director Revenue Cycle 

Location: Nashville, TN preferred or in market (remote with light travel) 

Reports To: Vice President of Finance 

 

About Luminary Hospice: 

 

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey. 

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers.  

About the role: 

 

Luminary Hospice is seeking a Director of Revenue Cycle to own the entire revenue cycle for our growing, multi-state, multi-site hospice organization. That covers everything from eligibility verification through final account resolution. This leader is the single accountable executive for how we get paid: accurately, compliantly, and on time. The role manages our third-party RCM billing vendor, partners with local agencies to drive best practices, and builds a revenue cycle operation that scales as we add locations, states, and payers. 

This is a hands-on role. The ideal candidate knows hospice reimbursement in detail, including NOEs, benefit periods, CTI and face-to-face requirements, levels of care, SIA, RTPs, ADRs, and room and board. They should be comfortable digging into individual accounts to find root causes. 

Job Responsibilities: 

Revenue Cycle Ownership 

• Own the full hospice revenue cycle across all sites and states, along with every revenue cycle KPI: cash, DSO, unbilled days, NOE timeliness, claim holds, denials, aging, and write-offs 

• Set revenue cycle strategy, policies, staffing, and goals, and report performance and risks to executive leadership 

• Lead front-end functions: eligibility and benefit verification, authorizations, and financial clearance for room and board and Medicaid pending patients 

• Own pre-billing audit and revenue integrity across levels of care, SIA, and rate maintenance 

• Oversee NOE/NOTR filing, monthly claim submission, RTP correction, timely filing, payer follow-up, denials, and appeals for ADR, TPE, and other medical reviews 

• Drive timely resolution of claim holds, such as unsigned orders, missing CTIs or face-to-face encounters, NOE issues, and eligibility gaps, so claims go out on schedule every billing cycle 

• Oversee payment posting, adjustments, recoupments, credit balances, refunds, and reconciliation of cash to bank deposits, remittances, and the general ledger 

• Own Medicare and Medicaid enrollment for all provider numbers, Hospice Cap monitoring and reporting, and revenue cycle readiness for new sites and acquisitions 

Third-Party RCM Vendor Management 

• Manage our third-party RCM billing vendor, including scope of work, SLAs, performance scorecards, and regular operating reviews 

• Hold the vendor accountable for submission timeliness, follow-up, posting accuracy, backlog, and cash results, and escalate and correct gaps quickly 

• Keep independent oversight through account-level audits and validation of vendor-reported metrics, and advise on contract terms and renewal 

Local Agency Partnership 

• Collaborate with local agency leaders to make sure revenue cycle best practices are followed consistently at every location 

• Train agency teams on admission paperwork, election statements, CTI and face-to-face timeliness, orders, and documentation requirements 

• Hold regular reviews with each agency covering claim holds, unbilled days, NOE timeliness, and denials, with clear owners and follow-up 

Process, Systems, and People 

• Standardize workflows, SOPs, and controls across all sites, and build dashboards that turn data into action 

• Find system and workflow gaps in the EMR ([HCHB / WellSky / Axxess / MatrixCare]) and clearinghouse, and evaluate automation and AI opportunities responsibly 

• Build and develop the revenue cycle team through clear expectations, coaching, and performance management 

• Work with Finance on month-end close, reserves, cash forecasting, and Cap liability, and maintain compliance with the Hospice CoPs, CMS/MAC and state Medicaid rules, HIPAA, and internal policies 

 

 

Job Qualifications: 

 

• Bachelor's degree in healthcare administration, business, finance, or a related field, or equivalent experience