Director of Revenue Cycle

About the role

You will provide strategic and operational leadership across revenue cycle functions supporting skilled nursing facilities, senior housing and HCBS service lines. You will lead efforts to ensure accurate, compliant, and timely billing and collections across a diverse payer mix, including private pay, Medicaid waiver programs, Medicare, and managed care organizations.

Responsibilities

• Provide strategic direction for revenue cycle operations across skilled nursing facilities, senior housing and HCBS service lines, aligning billing, collections, and reimbursement practices with organizational growth, occupancy, and service expansion goals.
• Drive consistency, standardization, and best practices across multi-site or multi-state operations while serving as a trusted partner to executive leadership, operations, and clinical teams.
• Oversee end-to-end revenue cycle functions, including financial intake, eligibility verification, authorizations, private pay billing, Medicaid waiver and managed care billing, Medicare billing where applicable, charge capture, accounts receivable follow-up, denials management, appeals, collections, cash posting, reconciliation, and resident or participant account resolution.
• Ensure processes support timely reimbursement, operational accuracy, and a positive customer experience.
• Provide payer contract, credentialing & compliance oversight, overseeing payer contract management and credentialing activities across service lines, ensuring reimbursement terms, billing requirements, rates, authorizations, and service definitions are accurately understood and operationalized.
• Partner with Finance, Legal, Compliance, and Operations to support negotiations, monitor contract performance, address payment variances, and prevent revenue disruption related to expired contracts, enrollment delays, or credentialing lapses.
• Maintain compliance with federal, state, and payer-specific regulations as well as internal controls and documentation standards.
• Establish and monitor key revenue cycle metrics such as days in A/R, net collection rate, denial trends, underpayments, delinquency rates, and cost to collect. Identify opportunities to reduce revenue leakage, improve charge capture, strengthen workflows, and enhance reporting accuracy.
• Lead, develop & support teams, building, mentoring, and supporting revenue cycle leaders and team members across multiple service lines or locations. Establish clear expectations, accountability, and performance standards while fostering a culture of collaboration, continuous improvement, and service excellence.
• Support workforce planning, talent development, and succession efforts to ensure long-term operational strength.

Requirements

• Bachelor's degree in Finance, Accounting, Healthcare Administration, or related field required; equivalent direct experience in healthcare revenue cycle management may be considered.
• 5+ years of experience in healthcare revenue cycle management required.
• Direct experience in senior housing, home care, post-acute care, or related healthcare settings strongly preferred.
• Demonstrated success managing both private pay and government-funded revenue streams.
• Strong knowledge of private pay billing, resident contracts, Medicaid waiver programs, managed care models, and Medicare reimbursements.
• Proven ability to lead change, influence cross-function partners, and manage complex operational and reimbursement issues.
• Ability to pass state mandated background checks.
• Physical capability to perform all essential job functions.
• Ability to read, write, and speak English to ensure effective communication with team members, residents, and community partners.

Qualifications

• Ability to pass state mandated background checks.
• Physical capability to perform all essential job functions.
• Ability to read, write, and speak English to ensure effective communication with team members, residents, and community partners.

Skills

• Strategic thinking and operational leadership skills.
• Strong understanding of healthcare revenue cycle processes and regulations.
• Excellent communication and interpersonal skills.
• Ability to manage multiple priorities and deadlines.
• Experience with revenue cycle software and systems.

Benefits

• Competitive pay with employer-matched retirement and pay-on-demand.
• Comprehensive health and wellbeing benefits.
• Generous PTO and paid holidays.
• Career growth with scholarships, training, and professional development.
• Work-life benefits and modern technology that make your day easier.

Pay

$100,000 to $115,000 (salaried exempt), based on experience, qualifications, and location.

Schedule

Full-time| Monday – Friday | 8:00 a.m. to 4:30 p.m.