Director of Revenue Cycle

Valley-Wide Health Systems; Alamosa (CO); Presencial; USD 104.000 - 130.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Free Health Insurance

MASA Air Ambulance Coverage

Retirement Match

Health, Dental, Vision Insurance

Descripción de la vacante

Valley-Wide Health Systems, Inc. in Alamosa, CO seeks a strategic Director of Revenue Cycle to lead revenue cycle operations across the organization.

You will oversee administration, coding, billing, and compliance, while driving performance and financial sustainability. The role requires 7–10 years in healthcare revenue cycle, with a minimum of 5 years in a director-level position, and experience with FQHC settings and industry certifications.

Formación

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required.
• 7–10 years of progressive healthcare revenue cycle experience.
• At least 5 years in a director or senior leadership role.
• FQHC or ambulatory healthcare experience preferred; professional certification (CRCP, CPB, CPC, CHFP, or FHFMA) preferred.

Responsabilidades

• Lead organization-wide revenue cycle strategy and operations.
• Monitor KPIs, including A/R, denial rates, clean claims, collections, and encounter-to-cash performance.
• Oversee registration, insurance verification, coding, billing, claims, payment posting, and collections.
• Ensure compliance with FQHC PPS, HRSA, Sliding Fee Discount Program, Medicare, Medicaid, CMS, HIPAA, and payer requirements.
• Develop and present revenue cycle dashboards, trends, and performance reports to leadership.

Conocimientos

Leadership

Communication

Analytical

Problem-solving

Financial acumen

Team leadership

Educación

Bachelor's degree

Master's degree preferred

Herramientas

NextGen EHR

Billing software

Payer enrollment systems

Descripción del empleo

Job Details: Job Location: Administrative Services Building - Alamosa, CO, Position Type: Full Time, Salary Range: $103771.76 - $129714.70Salary, Join Our Team at Valley-Wide Health Systems, Inc.

We are seeking an experienced and strategic Director of Revenue Cycle to lead revenue cycle operations across Valley-Wide Health Systems. This role provides leadership and oversight of revenue cycle performance while supporting financial sustainability, regulatory compliance, and efficient operations across our organization.

Key Responsibilities

Revenue Cycle Leadership

• Lead organization-wide revenue cycle strategy and operations
• Monitor key performance indicators, including A/R, denial rates, clean claims, collections, and encounter-to-cash performance
• Identify opportunities to improve reimbursement, reduce denials, and strengthen revenue cycle processes
• Support revenue cycle budgeting, forecasting, reporting, and financial goals

Billing, Coding & Compliance

• Oversee registration, insurance verification, sliding fee assessments, coding, billing, claims, payment posting, and collections
• Ensure compliance with FQHC PPS, HRSA, Sliding Fee Discount Program, Medicare, Medicaid, CMS, HIPAA, and payer requirements
• Oversee billing and coding processes across Family Practice, Behavioral Health, Dental, Optometry, Physical Therapy, and other service lines
• Partner with Compliance on coding, documentation, and internal audit activities

Team & Operational Leadership

• Lead, develop, and evaluate revenue cycle teams across departments and clinic locations
• Establish clear productivity, quality, and performance expectations
• Provide education and guidance to staff and providers on documentation, coding, and payer requirements
• Collaborate with Clinical, Operations, Finance, IT, and compliance teams to improve workflows and charge capture

Systems, Payers & Analytics

• Support optimization of NextGen EHR and practice management systems
• Oversee provider credentialing and payer enrolment
• Maintain relationships with Medicaid MCOs, Medicare, commercial insurers, and other payers
• Develop and present revenue cycle dashboards, trends, and performance reports to leadership

Requirements

Education & Experience

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required; master's degree preferred
• 7-10 years of progressive healthcare revenue cycle experience, including at least 5 years in a director-level or senior leadership role
• Experience managing revenue cycle operations in a high-volume healthcare environment
• FQHC or ambulatory healthcare experience highly preferred
• Professional certification such as CRCP, CPB, CPC, CHFP, or FHFMA preferred

Knowledge & Skills

• Strong knowledge of FQHC PPS reimbursement, Sliding Fee Discount Program requirements, and HRSA guidelines
• Knowledge of CPT, ICD-10-CM, CDT, DSM-5, Medicare, Medicaid, and commercial payer requirements
• Experience with electronic billing systems, clearinghouses, practice management systems, and EHR platforms such as NextGen
• Strong analytical, financial, leadership, communication, and problem-solving skills
• Ability to effectively lead teams and collaborate across departments
• Commitment to Valley-Wide's mission and the communities we serve

Location & Type of Job

This is a full-time, onsite position based in Alamosa, Colorado.

Why Join Valley-Wide?

Valley-Wide Health Systems, Inc. is dedicated to providing high-quality, patient-centered healthcare to all individuals across our multi-county service area in southern Colorado. As a non-profit, Federally Qualified Health Center (FQHC), we offer premier primary and preventive care through our 34 service sites strategically located in rural communities.

We offer a comprehensive benefits package, including:

• Free Health Insurance (additional plan options available)
• Employer-paid Air Ambulance Coverage (MASA)
• Employer-paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan

Paid Leave:

• Vacation: 15 days accrued per year
• Sick Leave: 12 days accrued per year
• Holidays: 7 days per year + 3 floating holidays

Equal Opportunity Employer Statement: Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, or any other status protected by law. All qualified applicants will receive equal opportunity, with hiring decisions based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA) For more information on employee rights under FMLA, please visit: FMLA Employee Rights