Vice President of Revenue Cycle Management; RCM

Pain Specialists of America (PSA) is seeking a transformational and strategic Vice President of Revenue Cycle Management (VP, RCM) to lead and optimize enterprise-wide revenue operations across our Texas-based pain management and ambulatory surgery center (ASC) platform.

This executive leader will oversee end-to-end revenue cycle strategy, payer contracting collaboration, revenue integrity, technology optimization, and performance management for a rapidly growing organization serving 30+ providers across several clinic locations and multiple ASCs.

• Develop and execute enterprise-wide RCM strategy aligned with organizational growth and M&A initiatives
• Own KPIs including Net Collection Rate, Days in AR, Days to Bill, Denial Rate, Cash Acceleration, and TOS Collections
• Build scalable RCM infrastructure to support de novo expansion and acquisitions
• Present monthly revenue performance reports to executive leadership and Board

• Oversee all revenue cycle functions including:
  • Front-end (eligibility, authorization, financial counseling)
  • Coding & charge capture
  • Billing & claims management
  • AR & denials management
  • ASC billing operations
  • Credentialing & enrollment oversight (in collaboration with contracting)
• Lead multi-state remote RCM teams with clear accountability structures and productivity measures

• Ensure compliance with CMS, commercial payers, state regulations, and ASC billing requirements
• Oversee internal audits including charge reconciliation, documentation lag, and payer variance analysis
• Partner with Compliance and Legal on regulatory updates and risk mitigation
• Implement denial root cause analysis and corrective action workflows

• Optimize PM/EHR systems (HST Pathways, eClinical
  
  Works, etc.)
• Lead clearinghouse, RPA, and AI-driven automation initiatives
• Drive interoperability improvements and reporting analytics
• Oversee vendor management (clearinghouses, eligibility tools, payment platforms, third party/outsource)

• Collaborate with executive leadership on payer rate modeling and contract negotiations
• Analyze fee schedules and reimbursement benchmarking
• Lead escalation pathways for systemic payer issues (recoupments, ERA/ACH failures, underpayments)
• Support network expansion for any new clinic and/or ASC locations

• Build high-performance leadership bench across:
  • AR
  • Denials
  • Authorization
  • Credentialing
  • Coding
  • Patient Financial Services
• Establish structured career pathways and 30-60-90 day onboarding plans
• Drive accountability, engagement, and cross-training across remote teams
• Promote a culture of excellence, transparency, and continuous improvement

• 10+ years progressive healthcare revenue cycle leadership experience
• 5+ years in executive-level RCM role (Director, AVP, VP)
• Multi-site physician practice and ASC experience required
• Demonstrated success improving cash flow, reducing AR, and scaling operations
• Strong payer negotiation support and reimbursement modeling experience
• Deep knowledge of CMS, Medicare Advantage, Commercial, Workers’ Comp, and managed care contracts
• Experience leading remote, multi-state teams

• Private equity-backed healthcare platform experience
• Pain management or surgical specialty background
• Experience with HST Pathways, eClinical
  
  Works, Waystar
• Lean / Six Sigma or EOS leadership experience

• Strategic & Financial Acumen
• Transformational Leadership
• Operational Discipline
• Executive Presence
• Change Management
• Cross-Functional Collaboration
• Data-Driven Decision Making

• Days in AR target benchmarks by specialty
• Denial Rate reduction year-over-year
• Days to Bill 2 days for clinics / 3 days for ASC
• TOS Collections growth
• Clean Claim Rate 98%
• Clinics and ASC Auth/Referral related Cx/RS 3%
• EBITDA contribution via revenue optimization

• Days in AR target benchmarks by specialty
• Denial Rate reduction year-over-year
• Days to Bill 2 days for clinics / 3 days for ASC
• TOS Collections growth
• Clean Claim Rate 98%
• Clinics and ASC Auth/Referral related Cx/RS 3%
• EBITDA contribution via revenue optimization