Director of Revenue Cycle Management

About the role

The Director establishes enterprise visibility and accountability while adapting processes to the different reimbursement and contract models across the organization. Join a team where your work truly matters—every single day.

Responsibilities

• Enterprise Revenue Cycle Leadership: Lead revenue-cycle strategy and execution across all operating businesses and revenue streams. Establish common enterprise standards, controls, KPIs and operating routines while recognizing the different requirements of Behavioral Health, IDD, Schools, Employment Services and other programs.
• Revenue Models & Payer Complexity: Ensure effective processes across Medicaid and other third-party payers, county and government funding, fee-for-service arrangements, commercial and government contracts and other program revenue. Maintain clear ownership and expertise for payer-specific, contractual and regulatory billing requirements.
• Service Capture, Documentation & Authorization: Partner with Operations to ensure services delivered are captured completely and supported by required documentation, authorizations and other prerequisites for billing. Identify upstream operational issues that prevent billing and establish escalation/accountability before they become revenue or cash problems.
• Billing, Claims & Invoicing: Oversee the process from billable activity through claim submission or invoicing. Establish billing calendars, completeness checks, quality controls