Director of Revenue Cycle

About the role

Kitsap Mental Health Services (KMHS) is seeking a Director of Revenue Cycle to lead revenue operations across the organization. This position plays a key role in ensuring financial processes support timely access to behavioral health services and long-term organizational sustainability. The role partners with leaders throughout KMHS to strengthen performance, improve accountability, and support future growth.

Responsibilities

• Provide leadership and oversight for all revenue cycle operations, including billing, authorizations, coding, payment posting, accounts receivable, denial management, collections, front desk operations, and customer contact functions.
• Develop and implement strategies to improve reimbursement, reduce denials, strengthen revenue integrity, and increase operational efficiency.
• Establish, monitor, and report key performance indicators, productivity standards, quality measures, and financial benchmarks.
• Oversee provider credentialing, recredentialing, payer enrollment, and privileging activities.
• Lead client financial services operations, including billing inquiries, payment arrangements, financial assistance processes, complaint resolution, and customer service standards.
• Analyze revenue cycle performance and develop corrective action plans to improve cash flow, collections, and reimbursement outcomes.
• Oversee claims management activities, including claim submission, denial prevention, appeals, underpayment analysis, and reimbursement recovery efforts.
• Partner with clinical, operational, and finance leaders to support accurate documentation, coding, billing, and compliance practices.
• Develop and maintain revenue cycle policies, procedures, workflows, and internal controls.
• Ensure compliance with Medicare, Medicaid, HIPAA, CCBHC requirements, payer regulations, and other applicable standards.
• Lead revenue cycle audits, monitoring activities, and process improvement initiatives.
• Collaborate with Information Technology and system vendors to optimize EHR functionality, billing systems, reporting tools, workflow automation, and analytics.
• Review payer contracts, reimbursement methodologies, payment trends, and denial patterns and provide recommendations to leadership.
• Oversee revenue reporting, forecasting, dashboard development, and operational analysis.
• Develop staff training and competency programs related to billing regulations, coding updates, reimbursement requirements, and customer service.
• Support organizational growth initiatives, new program implementation, and service expansion efforts.
• Build productive relationships with payers, auditors, regulatory agencies, providers, clients, and external stakeholders.
• Promote accountability, continuous improvement, customer service excellence, and data-driven decision-making throughout revenue cycle operations.
• Partner with agency leadership on payer contract negotiations and implementation of new agreements.
• Participate in audits, accreditation activities, regulatory reviews, payer assessments, and corrective action planning.
• Provide regular reports and recommendations to executive leadership regarding financial performance, reimbursement trends, credentialing status, customer service metrics, and operational opportunities.

Requirements

Education

• Bachelor's degree in business administration, healthcare administration, finance, accounting, public health, or related field.

Experience/Skills

• Minimum five (5) years’ experience in healthcare revenue cycle management, with 2 years in supervisory or leadership role.
• Minimum three (3) years of general management or supervisory experience.
• Demonstrated experience overseeing multiple revenue cycle functions including billing, collections, coding, reimbursement, and accounts receivable management.

Preferred Qualifications

Education

• Master’s degree in business administration, Healthcare administration, finance, or related field.

Experience/Skills

• Seven (7) or more years of healthcare revenue cycle leadership experience.
• Experience within community behavioral health, FQHC, CCBHC, or integrated healthcare settings.
• Experience working with Medicaid, Medicare, Managed Care Organizations, and understanding of value-based payment models.
• Experience with electronic health record systems, revenue cycle analytics, and revenue integrity programs.

Performance Requirements

Knowledge

• Comprehensive knowledge of healthcare revenue cycle operations and reimbursement methodologies.
• Knowledge of CPT, HCPCS, ICD-10, and behavioral health coding requirements.
• Knowledge of federal, state, and local healthcare regulations affecting billing and reimbursement.
• Knowledge of HIPAA, HITECH, fraud and abuse regulations, and healthcare compliance standards.
• Knowledge of Medicaid, Medicare, Managed Care contracting, and third-party payer requirements.
• Understanding of healthcare financial reporting, budgeting, and revenue forecasting principles.
• Knowledge of electronic health records and healthcare information systems.

Skills

• Excellent communication and presentation skills.
• Strong analytical and problem-solving capabilities.
• Advanced financial and operational reporting skills.
• Ability to establish and maintain effective working relationships with staff, providers, payers, and community partners.
• Ability to manage multiple priorities and deadlines in a fast-paced environment.
• Strong organizational, leadership, and project management skills.
• Ability to interpret and apply complex regulations and reimbursement guidelines.

Abilities

• Guide individuals and teams toward organizational goals while maintaining high standards of accountability and performance.
• Analyze large volumes of financial and operational data to identify trends and opportunities.
• Implement system-wide process improvements that enhance revenue cycle outcomes.
• Build collaborative relationships across departments and levels of leadership.
• Effectively navigate challenging payer, regulatory, and operational issues.
• Communicate complex financial and operational concepts to diverse audiences.
• Demonstrate sound judgment, professionalism, and discretion when handling confidential information.
• Utilize technology and reporting tools to monitor performance and support informed decision-making.

Benefits

• Comprehensive Coverage: Health, Dental & Vision
• Generous PTO: Up to 19 days + 2 mental health days + 10 holidays (pro-rated for part-time)
• Fully Paid YMCA Membership for you and eligible family members
• Company-Paid Life & Disability Insurance
• Student Loan Assistance & Professional Development
• 403(b) Retirement Plan with Company Contributions
• Employee Assistance Program (EAP)
• Pet Insurance
• Free Wellness App (2MorrowHealth)
• Collaborative, Supportive Team Environment

Pay

$107,910.40 - $137,592 Per Year

Schedule

Full-Time Hybrid with onsite work in Bremerton, WA required (75% onsite and up to 25% remote)