Director, Revenue Cycle

📋 Description

• Revenue Cycle Oversight: Direct the comprehensive revenue cycle process, which encompasses prior-authorization, utilization review, billing, collections, and management of accounts receivable.

• Billing and Collections: Ensure the accurate and prompt submission of claims to insurance providers and governmental programs.

• Compliance and Regulations: Guarantee adherence to federal, state, and local regulations pertaining to billing and revenue cycle management.

• Team Leadership: Recruit, guide, and mentor the revenue cycle team, promoting a culture of ongoing improvement and professional development.

• Data Analysis and Reporting: Spearhead the establishment and execution of KPIs for revenue cycle operations, supervising the assessment and reporting of these metrics.

• Collaboration: Collaborate closely with clinical colleagues, financial analysts, and IT teams to optimize revenue cycle processes and ensure smooth operations.

• Strategic Planning: Engage in strategic planning efforts aimed at improving the organization's financial performance.

⛳️ Requirements

• A Bachelor's degree in healthcare administration, Finance, Business Administration, or a related discipline. A Master’s degree is preferred.

• At least 5 years of experience in revenue cycle management, including a minimum of 2 years in a supervisory or management position, ideally within a behavioral health context.

• In-depth knowledge of billing practices, coding, and payer requirements specific to behavioral health care.

• Proficiency in revenue cycle management software and electronic health record (EHR) platforms.

• Familiarity with relevant regulations and compliance standards (e.g., HIPAA, Medicare/Medicaid requirements).

• Exceptional leadership, communication, and interpersonal skills.

• Flexibility and adaptability to address the varied needs of clients in a dynamic environment.

🏝️ Benefits

• Health & Wellness: Comprehensive medical, dental, and vision coverage; unlimited therapy through HealthJoy; UHC wellness program; HSA/FSA options; and pet insurance.

• Time Off: Responsible PTO, as an alternative to a conventional accrual-based policy, enabling both full-time and part-time employees to take the time they require, ensuring continuity of care and team collaboration.

• 401(k): Including company matching.

• Licensing: Coverage of all licensing fees, with opportunities for cross-licensure when applicable.

• Professional Development: Annual stipend for tuition reimbursement, ongoing education, or CEUs.

• Clinical Supervision & Growth: Pre-licensed clinicians receive structured clinical supervision towards licensure, while all clinicians benefit from top-tier supervision rooted in our advanced PHP/IOP curriculum.