Revenue Cycle Director

Location

Middletown, NY

Pay

$81,000‑$85,000 per year

Schedule

Full‑Time | Exempt
Hours: Monday – Friday, 8:00 am – 4:30 pm (On‑Site)

About the Role

The Revenue Cycle Director is responsible for the day‑to‑day oversight and strategic leadership of billing operations, payment posting, collections, and insurance verification/authorizations. This role requires hands‑on supervisory experience, the ability to coach and evaluate staff, and a strong working knowledge of behavioral health billing in New York State, particularly regarding Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance.

Responsibilities

• Supervise a billing team of up to eight staff members.
• Maintain billing systems, insurance verification/authorization management, and direct billing and collections activities.
• Apply clear understanding of claims processing, payer denials, and appeals processes.
• Prepare recurring and adjusting journal entries within areas of responsibility.
• Conduct financial analysis for audits and perform monthly and year‑end receivables and income analysis to maximize revenue, advising on corrective actions and implementation plans.
• Monitor and evaluate work productivity standards, including key performance indicators such as total revenue, collection rates, days receivables outstanding, and claim denials; coach staff to achieve performance targets.
• Review payer‑aging reports, set goals for accounts receivable reduction or cash acceleration, and notify leaders of systemic or high‑risk issues.
• Recommend and implement solutions for resolving aging receivables.
• Back‑up any position within the Billing Finance unit and develop cross‑training plans for staff.
• Write and update billing and accounts receivable policies and procedures; recommend workflow improvements.
• Compile and distribute analytical reports (weekly, bi‑weekly, monthly) on productivity, billing, collections, denials, and write‑offs to leadership.
• Ensure compliance with federal, state, and local legal requirements; advise management on legislative changes and required actions.
• Utilize intermediate computer skills to create and design spreadsheets and databases; train others in their use.
• Write formal staff evaluations, provide feedback, and offer mentoring opportunities.
• Communicate effectively with staff and leaders on a consistent basis.

Qualifications and Attributes

• Minimum 5 years of experience in healthcare revenue cycle management or medical billing, including knowledge of ICD‑10, CPT, and HCPCS codes.
• At least 5 years of progressive supervisory experience.
• Experience with Electronic Health Record (EHR) systems and medical billing clearinghouses.
• Intermediate computer skills with strong proficiency in Excel and database software.
• Strong problem‑solving and analytical abilities.
• Ability to lead and work effectively in both team environments and independently.

Education and Experience

Minimum of an Associate’s Degree in Accounting; a Bachelor’s degree in Accounting is preferred.

Physical Characteristics

Must be capable of sitting or standing at a computer for long periods, working in an open‑space floor plan, and being within three feet of co‑workers. Ability to move in tight spaces and occasionally lift more than 15 pounds. Reasonable accommodations will be provided as required.

Note: We are unable to sponsor Visa applicants for this position.