Director of Revenue Cycle Management bei WLRC Medical

The Director of Revenue Cycle Management is responsible for leading, optimizing, and standardizing all aspects

of EMS revenue cycle operations across all WLRC Medical companies. This includes oversight of claims

submission, coding, billing, payment posting, collections, denial management, and reimbursement processes.

The Director ensures operational efficiency, regulatory compliance, financial performance, and cross-

departmental alignment across multiple states. This role also drives technology adoption, team development,

and continuous process improvement to support scalability and sustainable growth.

ROLE AND RESPONSIBILITIES

· Lead and manage all billing functions, including pre-billers, coders, billers, payment posters, and

accounts receivables staff.

· Oversee daily operations for claims processing, facility invoicing, denial management, payment posting,

and patient billing.

· Ensure compliance with all applicable regulations, including Medicare, Medicaid, HIPAA, and payer-

specific guidelines.

· Foster strong relationships with contracted facilities to ensure timely reimbursement in accordance

with invoicing and contractual terms.

· Develop and monitor KPIs to evaluate departmental performance, cash flow, A/R trends, and overall

revenue cycle health.

· Provide regular reports to executive leadership with actionable insights.

· Identify and resolve issues related to billing discrepancies, denials, or payment delays.

· Drive automation, system enhancements, and workflow improvements to optimize operational

efficiency.

· Partner with field operations, dispatch, and other cross-functional teams to ensure accurate

documentation and minimize reimbursement delays.

· Maintain up-to-date knowledge of EMS billing practice as these apply to state, region and industry

specific reimbursement impacts; oversee updates to the charge master and fee schedules.

· Support payer enrollment, credentialing (where applicable), and contract maintenance.

· Manage vendor relationships, including billing software providers, clearinghouses, print/mail vendors,

and collection agencies.

· Develop and enforce policies and procedures that ensure compliance and operational consistency.

· Provide ongoing training and education to staff on payer rules, EMS billing best practices, and

regulatory updates to ensure accuracy, promote cross-training, and support scalability and rapid

onboarding of new team members.

· Lead month-end close processes and provide required reports to the executive team and finance department. · Cultivate a high-performing department culture rooted in transparency, accountability, and continuous improvement. · Other duties as applicable QUALIFICATIONS AND EDUCATION REQUIREMENTS Required Education · Bachelor’s degree in Healthcare Administration, Business, Accounting, or a related field · Equivalent experience may be considered Experience · Minimum of 5 years of EMS billing or revenue cycle management experience · At least 3 years in a leadership role Skills & Competencies · In-depth knowledge of EMS/ambulance billing practices, payer regulations, and compliance requirements · Proven leadership ability to develop teams and manage cross-functional collaboration Skilled in navigating teams through change management with a growth-oriented mindset · Expertise in reimbursement methodologies, denial management, and revenue cycle systems · Proficient in EMS billing software (e.g., Traumasoft, ESO, Zoll, or similar) · Strong analytical skills, with the ability to use data to drive strategic decision-making · Excellent communication, organizational, and problem-solving abilities · Familiarity with clearinghouse processes and electronic appeals workflows · Ability to pass pre-employment drug screening and background check · Proficient in speaking, writing, and reading English language · Relevant technology literacy as required by system applications PREFERRED SKILLS · Experience managing billing across multiple states or business units preferred · Ambulance Coding Certification (NAAC or equivalent) preferred