Director of Revenue Cycle Management

Job Responsibilities

• Provide strategic and operational oversight of behavioral health billing, collections, and accounts receivable functions to ensure timely, accurate reimbursement.
• Ensure accurate and timely billing to Medicaid, commercial insurance, and agency payers (including DJJ, OCS, and IHS), prioritizing cash flow and revenue integrity.
• Oversee revenue cycle performance, including claims submission, denials, appeals, recoupments, refunds, and aging AR trends.
• Monitor federal and state procedural and diagnostic coding updates and ensure EHR configuration and billing workflows remain current.
• Ensure effective front-end revenue cycle processes with oversight of the Client Care Team, including payer eligibility verification, authorization management, benefits coordination, and service authorization compliance to reduce denials and support timely reimbursement.
• Ensure agency-wide compliance with Alaska Division of Behavioral Health regulations, Medicaid requirements, and payer standards.
• Partner with Quality Assurance Team, providing consultation and maintaining executive oversight of documentation integrity, medical necessity, and golden thread alignment to support compliant and defensible billing.
• Partner closely with the Compliance & Risk Manager to identify billing and documentation risk, respond to audits, and implement corrective actions.
• Collaborate with Finance to forecast revenue, monitor reimbursement trends, evaluate financial risks, and support organizational budgeting and financial planning activities.
• Oversee payer contract negotiations, reimbursement rates, and single case agreements to support financial sustainability.
• Translate audit findings, regulatory changes, and revenue data into system improvements, staff training priorities, and continuous quality improvement.
• Develop, monitor, and report key revenue cycle performance indicators such as Days in A/R, clean claim rate, denial rate, collection rate, reimbursement trends, cash collections, payer performance, and revenue forecasting; provide regular analysis and recommendations to executive leadership.

Qualifications

• Two years of college education in accounting and two years’ experience in the accounting field OR Four years’ experience in Medicaid and third-party insurance billing.
• Excellent organization skills, self-motivated, ability to work without direct supervision.
• Able to work flexible hours, including days, evenings and some weekend hours.
• Able to travel if required.

Skills And Competencies

• Advanced expertise in behavioral health revenue cycle management, including timely billing, accounts receivable optimization, denial management, appeals, and cash flow performance.
• Deep knowledge of Alaska Medicaid billing requirements and payer reimbursement structures, with the ability to interpret and operationalize regulatory and contractual standards.
• Strong command of coding standards, billing workflows, and EHR system configuration (CareLogic preferred) to ensure accurate, compliant, and efficient billing.
• Executive-level understanding of documentation integrity, medical necessity, and golden thread alignment as foundational to defensible reimbursement.
• Proven leadership and analytical capability to align billing, quality assurance, and compliance functions through data-driven decision-making and cross-functional collaboration.