Director of Revenue Cycle Behavioral Health Service Line

SIGNET HEALTH CORP.; Washington (District of Columbia); On-site; USD 110,000 - 125,000; Full time

Job summary

An established industry player is seeking a Behavioral Health Service Line Revenue Cycle Director to oversee all aspects of revenue cycle operations. This pivotal role involves managing billing, collections, and compliance across inpatient and outpatient services, ensuring financial performance aligns with the organization's mission. The ideal candidate will possess extensive experience in revenue cycle management, particularly within behavioral health, and will be responsible for fostering a culture of continuous improvement. Join a forward-thinking company that values innovation and excellence in healthcare management.

Qualifications

• 5+ years in revenue cycle management within behavioral health.
• Certification as a Professional Coder (CPC) required.
• Strong knowledge of billing regulations and coding practices.

Responsibilities

• Lead and manage revenue cycle operations for behavioral health services.
• Ensure compliance with HIPAA and CMS guidelines.
• Develop KPIs to assess revenue cycle effectiveness.

Skills

ICD-10

CPT

HCPCS

DRG

APC

Revenue Codes

Excel

EHR

Billing Systems

Analytical Skills

Problem-Solving Skills

Communication Skills

Education

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Business

Bachelor's Degree in Finance

Tools

Billing Systems

EHR

Excel

Job description

Behavioral Health Service Line Revenue Cycle Director

The Behavioral Health Service Line Revenue Cycle Director is responsible for leading and managing all aspects of the revenue cycle operations across both inpatient and outpatient behavioral health services, including Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP). This role ensures accurate billing, timely collections, and compliance with all payer and regulatory requirements, thereby optimizing financial performance and supporting the organization's mission.

Key Responsibilities

• Leadership & Team Management: Supervise and mentor the revenue cycle team, including hiring, training, performance evaluations, and professional development. Foster a culture of accountability, continuous improvement, and excellence.
• Revenue Cycle Operations: Oversee end-to-end revenue cycle processes, including charge capture, coding, billing, collections, and denial management. Ensure adherence to standardized departmental policies and procedures.
• Compliance & Regulatory Oversight: Maintain up-to-date knowledge of federal, state, and payer-specific regulations. Ensure compliance with HIPAA, CMS guidelines, and other regulatory bodies.
• Collaboration & Communication: Work closely with clinical and operational leaders to ensure accurate documentation and coding practices. Liaise with hospital accounting and finance departments for budgeting, reporting, and general ledger reconciliation.
• Performance Monitoring & Reporting: Develop and monitor KPIs to assess revenue cycle effectiveness and support operational leadership. Prepare and present regular reports on revenue cycle performance to senior leadership.
• Utilization Review Oversight: Manage the utilization review process to ensure appropriate service authorization and reimbursement.
• Continuous Improvement: Identify opportunities for process enhancements, implement best practices, and innovative solutions to address revenue cycle challenges.

Qualifications

• Education: Bachelor's degree in Healthcare Administration, Business, Finance, or a related field is strongly preferred.
• Experience: Minimum of 5 years in revenue cycle management within behavioral health; experience managing both inpatient and outpatient services preferred.
• Certifications: Certification as a Professional Coder (CPC) required.
• Skills & Competencies: Knowledge of ICD-10, CPT, HCPCS, DRG, APC, revenue codes; proficiency in Excel, EHR, billing systems; strong analytical, problem-solving, and communication skills; experience with performance metrics and dashboards is a plus.

Supervisory Responsibilities

Oversee the performance of the revenue cycle team, including billing specialists, coders, and related staff.

Salary Range

Minimum: $110,000; Maximum: $125,000

Hospital/Program Description

This behavioral health service line includes 32 inpatient adult beds and an outpatient Trinity Clinic providing a broad continuum of outpatient services to the District of Columbia.