Revenue Cycle Director

About the role

Revenue Cycle Director position in Columbus, Ohio, directing and overseeing NYAP’s not-for-profit revenue cycle activities, managing credentialing, billing, accounts receivable, compliance, financial analysis, team leadership, and liaison with Medicaid, managed care, private insurers, and government entities.

Responsibilities

• Direct and oversee overall policies, objectives, and initiatives of NYAP’s not-for-profit revenue cycle activities
• Direct oversight of credentialing, precertification process, billing, charge entry, payment posting, accounts receivable, third‑party relations, compliance, and overall financial analysis to ensure effective revenue cycle utilization using Microsoft Excel, Word, SQL, and Power BI
• Develop revenue department goals, objectives, and tactical plans consistent with NYAP’s strategic plan and vision using analytical tools (SQL, Python, Tableau/Power BI, advanced Excel) to gather productivity, metrics, AR aging, and financial data from the EHR and provide management information to the CFO, leadership, and personnel regularly
• Oversee team of Revenue Cycle Manager, Revenue Cycle Analyst, and Revenue Cycle Specialists (including entry‑level finance managers)
• Serve as primary contact for outpatient mental health and foster care billing to sustain positive relations with Medicaid, Managed Care Companies, Private Insurance, County Boards, and Federal entities
• Stay current on Medicaid and other third‑party payer rules and regulations regarding billing and communicate updates to providers/clinicians and appropriate personnel
• Maintain updates on behavioral health practices such as HIPAA compliance, Medicaid audit requirements, Federal rate changes, EHR system experience, and ICD‑10 coding changes
• Support Clinical Directors and Managers to ensure quality of insurance, demographics, and eligibility data entry and monitor time‑of‑service collections via revenue cycle analytical reporting and training materials
• Ensure timely payment and denial posting, processing of correspondence, handling of patient/client service calls, credit balance resolution, accounts receivable resolution, and back‑end account resolution using Great Plains accounting platform, Waystar clearing house, Global Pay software, and advanced Excel
• Oversee development, maintenance, implementation, and training of protocols, policies, and procedures for all revenue cycle functions
• Plan, assign, and direct work; interview and hire employees; train staff; address complaints and resolve problems

Qualifications

• Bachelor’s degree in Economics, Finance, Business Administration or equivalent
• Minimum 5 years of related experience

Skills

• Microsoft Excel, Microsoft Word, SQL, Power BI
• Python, Tableau/Power BI, advanced Excel
• Great Plains accounting platform, Waystar clearing house, Global Pay software

Pay

Salary: $196,872.00 per year