Director of Revenue Cycle
Job Description
Our client, a reputable organization dedicated to community health and behavioral services, is hiring a Director of Revenue Cycle. This pivotal leadership role offers an opportunity to shape the financial health of a dynamic organization through strategic oversight of revenue cycle and billing operations.
Responsibilities:
- Develop and execute comprehensive revenue cycle strategies to enhance billing accuracy, reduce denials, and optimize reimbursement across all service lines, including OASAS-certified residential programs, outpatient services, Medicaid managed care, and commercial insurance.
- Provide leadership and direction to a billing team, establish KPIs, and implement reporting systems to track and improve revenue cycle performance.
- Collaborate closely with finance, program leadership, and compliance teams to ensure regulatory adherence and financial sustainability.
- Lead process improvements within billing workflows and oversee vendor relationships to support efficient, compliant operations.
- Oversee the entire revenue cycle from intake and eligibility verification to collections and denial management.
- Develop policies, procedures, internal controls, and performance metrics.
- Monitor and report critical KPIs such as net collections rate and denial rates, analyzing trends to enact corrective measures.
- Manage billing for complex services, ensuring compliance with Medicaid, OASAS regulations, and payer requirements.
- Lead billing for outpatient and residential programs, including per diem billing and documentation.
- Manage relationships with billing vendors, clearinghouses, and technology providers.
- Ensure adherence to federal, state, and local regulations, preparing for audits and reviews.
- Supervise, mentor, and develop billing staff, fostering a collaborative and growth-oriented team environment.
- Drive system and process improvements leveraging data analytics, supporting new program launches, and service expansions.
Requirements:
- Bachelor's degree in Healthcare Administration, Finance, Accounting, or related field preferred.
- At least 7–10 years of progressive experience in healthcare billing and revenue cycle management.
- Demonstrated expertise in OASAS residential and outpatient billing.
- Strong knowledge of Medicaid (FFS and Managed Care), behavioral health billing, and regulatory compliance.
- Proven leadership and staff management experience.
- Excellent analytical, organizational, and communication skills.
Some of the Benefits:
- Competitive salary.
- Full-time, primarily onsite work with a transition to remote work after onboarding.
- A collaborative work environment with opportunities for professional growth and impact.
- Comprehensive benefits package including health, dental, and retirement options.
Take the next step in your leadership career by applying to join a dedicated team committed to making a difference in community health. We encourage proactive inquiry and application from qualified candidates ready to lead revenue cycle excellence.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
#LI-CC1
Meet Your Recruiter
Carmela Cannavo
Director, Healthcare Recruitment
Carmela Cannavo is a proven Executive Search Leader with extensive experience in the field of direct hire and contract placement in the New York Metro area and beyond, including New York, New Jersey, Connecticut, Florida, Boston, and Washington.
Learn more about Carmela, Tal Healthcare Employee Biography
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Director of Revenue Cycle
Job Description
Our client, a reputable organization dedicated to community health and behavioral services, is hiring a Director of Revenue Cycle. This pivotal leadership role offers an opportunity to shape the financial health of a dynamic organization through strategic oversight of revenue cycle and billing operations.
Responsibilities:
- Develop and execute comprehensive revenue cycle strategies to enhance billing accuracy, reduce denials, and optimize reimbursement across all service lines, including OASAS-certified residential programs, outpatient services, Medicaid managed care, and commercial insurance.
- Provide leadership and direction to a billing team, establish KPIs, and implement reporting systems to track and improve revenue cycle performance.
- Collaborate closely with finance, program leadership, and compliance teams to ensure regulatory adherence and financial sustainability.
- Lead process improvements within billing workflows and oversee vendor relationships to support efficient, compliant operations.
- Oversee the entire revenue cycle from intake and eligibility verification to collections and denial management.
- Develop policies, procedures, internal controls, and performance metrics.
- Monitor and report critical KPIs such as net collections rate and denial rates, analyzing trends to enact corrective measures.
- Manage billing for complex services, ensuring compliance with Medicaid, OASAS regulations, and payer requirements.
- Lead billing for outpatient and residential programs, including per diem billing and documentation.
- Manage relationships with billing vendors, clearinghouses, and technology providers.
- Ensure adherence to federal, state, and local regulations, preparing for audits and reviews.
- Supervise, mentor, and develop billing staff, fostering a collaborative and growth-oriented team environment.
- Drive system and process improvements leveraging data analytics, supporting new program launches, and service expansions.
Requirements:
- Bachelor's degree in Healthcare Administration, Finance, Accounting, or related field preferred.
- At least 7–10 years of progressive experience in healthcare billing and revenue cycle management.
- Demonstrated expertise in OASAS residential and outpatient billing.
- Strong knowledge of Medicaid (FFS and Managed Care), behavioral health billing, and regulatory compliance.
- Proven leadership and staff management experience.
- Excellent analytical, organizational, and communication skills.
Some of the Benefits:
- Competitive salary.
- Full-time, primarily onsite work with a transition to remote work after onboarding.
- A collaborative work environment with opportunities for professional growth and impact.
- Comprehensive benefits package including health, dental, and retirement options.
Take the next step in your leadership career by applying to join a dedicated team committed to making a difference in community health. We encourage proactive inquiry and application from qualified candidates ready to lead revenue cycle excellence.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
#LI-CC1
Meet Your Recruiter
Carmela Cannavo
Director, Healthcare Recruitment
Carmela Cannavo is a proven Executive Search Leader with extensive experience in the field of direct hire and contract placement in the New York Metro area and beyond, including New York, New Jersey, Connecticut, Florida, Boston, and Washington.
Learn more about Carmela, Tal Healthcare Employee Biography