Director of Revenue Cycle

About the organization

Avenue 360 Health & Wellness is a Federally Qualified Health Center (FQHC) serving Houston and Harris County. The organization provides comprehensive, high-quality care — medical, hospice, engaging adult activities, and supportive housing programs — regardless of insurance status or income. Its 360-degree approach addresses medical needs alongside social and environmental challenges such as housing, aiming to improve the social determinants of health in Greater Houston.

Core values (PACT): Pride in work, positive Attitude, Curiosity, Commitment, Caring and customer-service orientation, Teamwork, and a culture to Learn, Grow, and Innovate.

About the role

Full-time Director of Revenue Cycle and Billing reporting to the Executive Vice President of Finance. This leadership position oversees the overall performance of revenue cycle and billing operations, providing staff development, budgeting, and ensuring compliance with policies, procedures, and regulations. Strong preference for experience and subject-matter expertise in FQHC billing, HRSA, and Ryan White policies and procedures.

Responsibilities

• Serve as primary point of contact and leadership for clinicians and leadership regarding centralized patient and billing operations.
• Maintain liaison with all levels of administration, providers, and outside organizations to coordinate practice business, accomplish directives, and facilitate problem resolution.
• Ensure proper staffing for billing, coding, and patient financial services in accordance with budgetary guidelines.
• Recruit, hire, coach, train, and develop the billing team; conduct performance reviews and manage performance issues.
• Develop accurate job descriptions for training and evaluation.
• Address staff and patient complaints/concerns in a timely manner.
• Assist in developing and implementing written policies and procedures governing clinic operations.
• Evaluate, develop, and implement solutions for strategic growth and to optimize revenue collections.
• Create data-driven action plans for efficient, ethical, and productive business practices that drive patient, employee, and physician satisfaction.
• Lead grant-based revenue cycle audits (330e, 340B, UDS, Ryan White, etc.).
• Ensure patient billing and payment receipt processing are completed timely and per policy.
• Accountable for decreasing bad debt, improving cash flow, and effectively managing accounts receivable.
• Coordinate revenue cycle activities across the organization: front desk, billing, collections, financial counseling, and staff training.
• Ensure accuracy of deposits, demographic data, and other information entered into the patient billing system.
• Participate in program/service evaluation; facilitate changes based on Continuous Quality Improvement results.
• Compile and prepare status reports for management to analyze trends and make recommendations.
• Participate in preparation of annual UDS and Medicare Cost Reports.
• Coordinate with Practice Managers on credentialing issues, especially for new providers, emphasizing scheduling self-pay patients until credentialed with third parties.
• Monitor monthly charge and collection posting volume to confirm Billing Specialists keep pace with patient encounter volume.
• Recommend or implement work schedule changes when billing department workflow falls significantly behind.
• Investigate and analyze issues, root causes, patterns, or trends; identify and implement revenue cycle process improvements.
• Develop short- and long-term objectives and goals to ensure readiness for regulatory and industry changes.
• Develop and maintain written operational policies and procedures for consistent revenue operations.
• Communicate with and manage internal and external business partner relations.
• Assist in identifying, recommending, and implementing operational changes to improve service, productivity, quality, and/or financial performance.
• Perform other duties as assigned.

Requirements

• Bachelor's degree.
• 5 years of experience in non-profit billing and revenue cycle; FQHC setting strongly preferred.
• 5 years of supervisory and/or leadership experience in healthcare.
• Demonstrated strong leadership skills with subordinates and co-workers.
• Ability to prioritize mission-critical activities.
• Embraces team concept; encourages and models healthy, productive team behavior.
• High-energy, organized, persistent individual with strong communication, interpersonal, and systems-thinking skills.
• Ability to maintain confidentiality at all times.
• Ability to function effectively, independently, and efficiently in a stressful, dynamic work environment.
• Ability to take initiative, handle high volume, and manage multiple tasks.
• Communication/Interpersonal: Communicates effectively with all personnel levels and internal/external customers; develops and maintains collaborative relationships; reads and interprets documents, writes reports, correspondence, and policies; presents ideas effectively.
• Organization: Organizes complex information and electronic/paper systems; highly organized and detail-oriented.
• Problem Solving: Recognizes and analyzes problems; performs trend analysis; makes difficult choices under uncertainty; demonstrates good judgment.
• Computer Skills: Strong computer skills including typing, EMR use, and Microsoft Office (Word, Excel, Outlook); ability to quickly learn new software; database management and systems development experience a plus.
• Reliable attendance.

Physical and mental demands

Physical demands: Ability to stoop, kneel, bend, use a computer keyboard, and perform light lifting. Ability to sit for long periods. Moderate physical activity such as walking and traveling. Regularly required to talk and hear, stand, walk, balance on two feet, stoop, reach with arms and hands, and use hands to finger, handle, or feel objects, tools, or controls. Occasionally required to climb, kneel, and crouch. May occasionally lift and/or move 25+ pounds. Specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Mental demands: Concentration and attention to detail, self-direction, ability to learn and adapt to changes, exercise discretion and good judgment, exhibit courteous and professional behavior, deal with stressful situations, and adhere to company policies and procedures. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.