Director of Revenue Cycle

Come work in a beautiful setting where outdoor recreation is right outside your door—and for an organization that is making a difference!

About the role

We are seeking an experienced and strategic Director of Revenue Cycle to lead revenue cycle operations across Valley-Wide Health Systems. This role provides leadership and oversight of revenue cycle performance while supporting financial sustainability, regulatory compliance, and efficient operations across our organization.

Responsibilities

• Revenue Cycle Leadership
  • Lead organization-wide revenue cycle strategy and operations
  • Monitor key performance indicators, including A/R, denial rates, clean claims, collections, and encounter-to-cash performance
  • Identify opportunities to improve reimbursement, reduce denials, and strengthen revenue cycle processes
  • Support revenue cycle budgeting, forecasting, reporting, and financial goals
• Billing, Coding & Compliance
  • Oversee registration, insurance verification, sliding fee assessments, coding, billing, claims, payment posting, and collections
  • Ensure compliance with FQHC PPS, HRSA, Sliding Fee Discount Program, Medicare, Medicaid, CMS, HIPAA, and payer requirements
  • Oversee billing and coding processes across Family Practice, Behavioral Health, Dental, Optometry, Physical Therapy, and other service lines
  • Partner with Compliance on coding, documentation, and internal audit activities
• Team & Operational Leadership
  • Lead, develop, and evaluate revenue cycle teams across departments and clinic locations
  • Establish clear productivity, quality, and performance expectations
  • Provide education and guidance to staff and providers on documentation, coding, and payer requirements
  • Collaborate with Clinical, Operations, Finance, IT, and Compliance teams to improve workflows and charge capture
• Systems, Payers & Analytics
  • Support optimization of NextGen EHR and Practice Management systems
  • Oversee provider credentialing and payer enrollment
  • Maintain relationships with Medicaid MCOs, Medicare, commercial insurers, and other payers
  • Develop and present revenue cycle dashboards, trends, and performance reports to leadership

Requirements

• Education & Experience
  • Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required; master’s degree preferred
  • 7–10 years of progressive healthcare revenue cycle experience, including at least 5 years in a director-level or senior leadership role
  • Experience managing revenue cycle operations in a high-volume healthcare environment
  • FQHC or ambulatory healthcare experience highly preferred
  • Professional certification such as CRCP, CPB, CPC, CHFP, or FHFMA preferred
• Knowledge & Skills
  • Strong knowledge of FQHC PPS reimbursement, Sliding Fee Discount Program requirements, and HRSA guidelines
  • Knowledge of CPT, ICD-10-CM, CDT, DSM-5, Medicare, Medicaid, and commercial payer requirements
  • Experience with electronic billing systems, clearinghouses, practice management systems, and EHR platforms such as NextGen
  • Strong analytical, financial, leadership, communication, and problem-solving skills
  • Ability to effectively lead teams and collaborate across departments
  • Commitment to Valley-Wide’s mission and the communities we serve

Pay

$103,771.76 - $129,714.70

Schedule

Full time, onsite position based in Alamosa, Colorado.

Benefits

• Free Health Insurance (additional plan options available)
• Employer-paid Air Ambulance Coverage (MASA)
• Employer-paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Paid Leave:
  • Vacation: 15 days accrued per year
  • Sick Leave: 12 days accrued per year
  • Holidays: 7 days per year + 3 Floating Holidays