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 Operationsis responsible forleadership and oversight of Accounts Receivable (AR) Billing and Charge Capture. This role ensures accuracy compliance efficiency and financial performance across allpostbillingandpreclaimsfunctions 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 leadcrossfunctionalteams to drive clean claimseliminateavoidable 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 ensureaccuratechargeentry modifier usage documentation support and claim integrity.

• Oversee daily operations of billing ARfollowup payment posting and denial management teams.

Charge Capture & Billing Oversight

• Ensure all services are accurately captured coded and billed within establishedtimeframes.

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

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

• Oversee creation editing andcleanclaimvalidation of all claims prior to submission.

• Reduce claim rejections through improvedfrontendedits middleware optimization and automated billing rules.

• Monitor daily billing volumes to ensuretimelysubmission and maximizefirstpassyield.

Accounts Receivable & Denials Management

• Lead AR strategyfocusingon reducing days in AR improving aging distribution and enhancing cash collections.

• Oversee denials appeals and recoupment activities ensuringtimelyand compliant responses.

• Conductrootcauseanalysis 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.

• Createpayerspecificworkflows to address downgrades bundling documentation requests and audit outcomes.

Recoupments Audits & Compliance

• Manage all payer recoupments offsets overpayment demands andpostpaymentaudits (RAC UPIC SMRC commercial plans).

• Ensure compliance with state and federal regulationsimpactingbilling 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

• Overseeaccurateandtimelypayment posting adjustments denials posting and refund processing.

• Ensure reconciliation between bank deposits payer remittances andsystempostedpayments.

• 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 andeliminateinefficiencies.

• 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 ahighperformanceculture focused on accountability quality andtimelyresults.

• 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

• Bachelors degree in Healthcare Administration Business Finance or related field (Masterspreferred).

• 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 denialsoptimizingbilling accuracy and improving AR performance.

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

• Exceptional analytical operational andproblemsolvingabilities.

• Strong leadership communication andchangemanagementskills.

Preferred Qualifications

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

• Understanding ofDMEPOS 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

• CrossFunctionalPartnership

• 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 thejoband 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 thisjob 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 thisjobinclude 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 thisjob. 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.