RCM Manager or Director

Chestnut Health is a high-growth, post-startup, provider-based healthcare organization headquartered in Oak Brook, IL. We deliver physiatry and rehabilitation services directly to patients in skilled nursing facilities (SNFs). We are growing quickly in Illinois and across multiple states, and we are building a leadership team that can scale that growth.

We are at an exciting stage: big enough to have momentum, small enough that your work shapes the company. Leaders here roll up their sleeves, solve real problems, and then build the teams to carry the work forward.

The Role

Chestnut Health is looking for a revenue cycle leader to take ownership of our back-end revenue cycle as we expand. You will assess how revenue cycle operations work today, build the plan to strengthen them, and execute that plan yourself. As the company grows, you will build and lead the team around you.

This is a hands-on role. You will start as an individual contributor, working daily in the details of A/R, denials, and payer relationships.

Key Responsibilities

• Assess current back-end revenue cycle processes and develop a plan to improve cash flow, reduce denials, and shorten A/R days
• Own accounts receivable management, including follow-up, aging, and collections
• Manage denials and appeals, identify root causes, and put prevention processes in place
• Oversee provider credentialing and enrollment with payers
• Lead payer contracting and ongoing payer relationships
• Take part in EMR implementation, including workflow design, billing configuration, and testing
• Build reporting and dashboards to track performance (days in A/R, denial rate, clean claim rate, net collection rate, cash collections)
• Work closely with the Director of Operations & Finance and executive leadership on forecasting and revenue performance
• Document policies and procedures, and ensure billing and coding compliance
• Recruit, train, and lead a revenue cycle team as the organization grows

What Success Looks Like

• First 90 days: Complete an assessment of current RCM performance and present a prioritized improvement plan
• First year: Measurable improvement in A/R days and denial rates, and a stable EMR/billing workflow
• Longer term: A functioning revenue cycle team and a scalable process as we enter new states

Who Thrives Here

Results-driven, independent, and diligent. You bring solutions, not just problems, and you do not need to be chased. You are comfortable managing complexity and leading through change.

Required Qualifications

• 7–10 years of healthcare revenue cycle experience, with a background in large-scale physician groups
• Strong back-end RCM experience: A/R, denials and appeals, credentialing, and payer contracting
• EMR implementation experience
• Proven ability to work hands-on as an individual contributor and then lead a team
• Data-driven, with strong reporting and analytical skills
• Comfortable with startup culture, ambiguity, and fast-changing priorities
• Bachelor's degree [or equivalent experience]

Preferred Qualifications

• Skilled nursing facility (SNF) or rehab/post-acute RCM experience
• Experience managing a large A/R portfolio across multiple sites or states
• Familiarity with Medicare Part B, Medicare Administrative Contractor (MAC) rules, and commercial payers
• Revenue cycle certification such as CRCR or CPC
• Master's degree or MBA

Systems & Tools

• EMR and billing/practice management systems
• Reporting and analytics tools (Excel required)

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance