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Director, Revenue Cycle Management

Job in Duluth, Gwinnett County, Georgia, 30155, USA
Listing for: National Vision Inc.
Full Time position
Listed on 2026-01-27
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below

National Vision Inc. is one of the largest optical retail companies in the United States, with over 1,200 stores. It operates four retail brands:
America’s Best Contacts & Eyeglasses, Eyeglass World, and Vista Optical inside select Fred Meyer stores and on select military bases. National Vision offers an innovative culture where training is a priority, hard work is praised, and career growth is a reality.

Location:

Duluth, GA

Salary Range: $ - $

Job Description

The Director, Revenue Cycle Management will be responsible for optimizing and managing the entire revenue lifecycle across our retail brands, including billing, collections, reconciliations, and reporting. This role will lead a team accountable for vision insurance plan and billing setup, application of insurance benefits in point-of-sale system, claims submission, payment posting, denial management, and payer operations. The ideal candidate blends deep managed vision care and RCM expertise with strong analytical ability, cross‑functional leadership, and a passion for improving processes in a fast‑paced retail healthcare environment.

This leader will partner closely with Finance, Accounting, IT, and Operations teams to achieve their goals.

RCM Strategy & Leadership
  • Develop and implement revenue cycle strategies aligned with organizational goals and financial objectives.
  • Own the full revenue lifecycle—from point of sale and billing through payer reimbursement and customer payments.
  • Lead and develop high‑performing teams overseeing plan setup, billing, coding, claims, payment posting, and denials.
  • Build cross‑functional relationships with Store Operations, Finance, Merchandising, IT, and the Managed Care team to ensure end‑to‑end process integrity.
  • Contribute to cross‑functional efforts to deliver excellent customer experiences through a consumer‑centric mindset.
  • Serve as a subject matter expert on billing regulations, payer requirements, and revenue integrity.
Payor Management
  • Strengthen payor relationships to improve reimbursement timelines, reduce denials, and resolve systemic issues.
  • Ensure compliance with coding standards, payer policies, and state/federal regulations.
Revenue Optimization Process Excellence
  • Direct end‑to‑end revenue cycle operations, including claims processing, payment posting, collections, denial management, and rebilling.
  • Monitor pricing, plan setup, coding accuracy, charge capture, and documentation compliance for all products and services.
  • Maximize revenue through the accurate and complete capture of all charges.
  • Identify root causes of revenue leakage and implement solutions to improve accuracy and speed of reimbursement.
  • Oversee reconciliation of revenue accounts and investigate variances between billing and payments.
  • Ensure effective and timely denial management and appeals.
  • Partner with IT and product teams to enhance POS and RCM technology capabilities.
  • Lead continuous improvement efforts, creating scalable SOPs and leveraging automation where possible.
  • Maintain current knowledge regarding payer requirements and policies, ensuring system updates are completed accordingly, and keep the team informed and updated regarding changes and requirements.
  • Maintain accurate financial documentation for audits and regulatory reporting and compliance.
  • Ensure an accurate and timely month‑end close process.
  • Ensure adherence to GAAP, managed care regulations, and other payor‑specific requirements.
  • Implement and monitor internal controls to safeguard revenue processes.
Reporting and Performance Management
  • Develop dashboards that provide visibility into billing cycle performance (e.g., coding error rates, billing turnaround times, collection rates).
  • Partner with Finance and Accounting to ensure accurate revenue recognition and forecasting.
  • Provide strategic analysis and interpretation of critical revenue cycle data, identifying process improvement opportunities and monitoring performance against targets.
  • Conduct risk assessments to achieve KPI targets, report identified risks to senior management, and provide strategic recommendations for mitigation.
  • Provide actionable insights to senior leadership through trend analysis and forecasting.
  • Develop and…
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