Director of RCM

About Ivy Fertility

Ivy Fertility is a nationally recognized network of fertility centers dedicated to delivering exceptional patient care and advancing reproductive medicine. Our growing organization supports leading fertility practices across the country and is committed to providing innovative, compassionate care to the patients and communities we serve.

We are seeking an experienced and strategic Director of Revenue Cycle Management to lead revenue cycle operations across our California market. This is a hybrid position for a candidate located in California who can travel to Ivy Fertility centers as needed.

Position Summary

Reporting to the Chief Revenue Cycle Officer, the Director of Revenue Cycle Management is responsible for leading revenue cycle operations, staff, systems, and processes that support multiple fertility centers and payer relationships. This leader will drive operational excellence, strengthen financial performance, ensure regulatory compliance, and develop strategies that optimize the revenue cycle across the organization.

The ideal candidate brings strong healthcare revenue cycle leadership experience, a data-driven approach, and the ability to lead teams through change while maintaining a focus on patient experience and operational performance.

Key Responsibilities

• Functions as a change agent; leads the enterprise-wide development and implementation of revenue cycle strategies that are optimal and consistent with best practice processes in healthcare with primary focus on California market along with building and oversight of CBO.
• Provides support and information to the clinical staff with regards to health information with the goals of optimizing revenue and promoting billing compliance.
• Assesses and responds to current and future internal and external healthcare trends to establish and ensure the necessary direction for the revenue cycle activities.
• Ensures that revenue cycle goals including A/R days, cash collections and bad debt are delivered.
• Responsible for coordinating and enhancing the development of data collection, analysis, and reporting processes for management of the revenue cycle, including information integrity validation and interpretation.
• Work with Finance team to provide support with year-end audits with public accounting firms and third-party auditors as it relates to A/R operations.
• Maintains a collaborative, supporting relationship with management across the Centers and encourages direct reports to ensure integration of Center processes that will achieve optimal patient and financial outcomes.
• Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.
• Responsible for Accounts Receivable and denials management, including reporting/ accountability and resolution.
• Responsible for ensuring all collections are complete, timely and accurately posted into patient accounts using electronic clearinghouses when available.
• Monitors department staff productivity with key metrics and makes timely adjustments when/where needed.
• Analyzes and reviews billing requirements to maintain and improve clean claim rate submission and acceptance, bad debt reduction on a percentage basis and reducing AR > 90 days.
• Monitors Accounts Receivable aging reports keeping collection percentages within industry standards.
• Other duties as assigned.

Leadership Responsibilities

• Provide leadership, coaching, and development for revenue cycle team members.
• Manage workforce planning, performance management, training, and employee engagement initiatives.
• Establish accountability through clear goals, performance metrics, and ongoing feedback.
• Promote a collaborative, high-performing team culture focused on continuous improvement.

Qualifications

Required

• Bachelor’s degree or equivalent combination of education and experience.
• Progressive leadership experience in healthcare revenue cycle management.
• Strong knowledge of healthcare billing, reimbursement, claims management, collections, and revenue cycle operations.
• Experience managing revenue cycle teams and driving measurable operational improvements.
• Advanced analytical and reporting skills, including proficiency with Excel and revenue cycle metrics.
• Strong communication, problem-solving, and relationship-building abilities.

Preferred

• Experience in women's health, fertility, or other specialty healthcare environments.
• Certified Professional Medical Coder (CPC) or Certified Professional Medical Auditor (CPMA) certification.
• Experience leading multi-site revenue cycle operations.

Travel Requirements

• Occasional travel to Ivy Fertility administrative offices and clinic locations within California and other markets as needed (up to 10%).

Physical Requirements

• Prolonged periods of sitting and working on a computer.
• Ability to perform work in a typical office environment.

Why Join Ivy Fertility?

• Competitive salary and bonus opportunity
• Comprehensive medical, dental, and vision benefits
• 401(k) with company match 
• Generous paid time off and holidays
• Opportunity to make an impact within a growing national fertility network
• Collaborative and mission-driven culture dedicated to helping build families

Ivy Fertility is an equal opportunity employer. Employment decisions are based on merit, qualifications, performance, and business needs. Ivy Fertility does not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, sex, sexual orientation, gender identity or expression, veteran status, or any other status protected by applicable federal, state, or local law.