Director of Revenue Cycle

Job Overview

We are seeking an experienced, hands-on Revenue Cycle Manager to lead and oversee all revenue cycle operations within a growing healthcare organization. This individual will be responsible for managing the end-to-end billing process, supervising a Billing Specialist, driving process improvements, and ensuring timely, accurate reimbursement across Medicaid and other payer sources.

Responsibilities

• Oversee all revenue cycle operations, including claim submission, payment posting, denial management, and reimbursement.
• Supervise and mentor the Billing Specialist while remaining hands-on with billing activities as needed.
• Review claims for accuracy prior to submission and ensure timely billing.
• Investigate, resolve, and resubmit denied or rejected claims.
• Monitor authorizations and ensure appropriate documentation is maintained.
• Develop and implement scalable billing workflows and best practices as the organization continues to expand.
• Partner with Finance to ensure accurate reporting and reconciliation of billing activity.
• Serve as the internal subject matter expert for Medicaid and managed care billing requirements.
• Collaborate cross-functionally with clinical and administrative staff to improve revenue cycle performance.

Requirements

• Previous leadership experience overseeing healthcare revenue cycle and medical billing operations.
• Strong understanding of Medicaid billing and reimbursement processes.
• Experience with managed care organizations (MCOs); experience with Alliance and Partners is highly preferred.
• Experience with commercial/private insurance billing is a plus.
• Comfortable working in a hands-on role within a growing organization.
• Strong analytical, organizational, and problem-solving skills.
• Experience with QuickBooks Online; NetSuite experience is a plus.
• Advanced Excel skills preferred.

Additional Job Details

Workplace Policy:

• Seniority Level: Associate
• Linked In Poster: About Our Process

We will notify you if you are selected as a candidate for this role. If not, but you fit our specializations, we'll consider you for future openings, and encourage you to apply for other Sherpa roles you're qualified for/interested in.

Non-Local Candidates: Please note that you are competing with local candidates who don’t require relocation expenses and can start quickly, so let us know if you have plans to move to the area soon.

Candidates for all Sherpa opportunities: must be authorized to work in the United States.

Sherpa is an Equal Opportunity Employer.