Director of Revenue Cycle & Compliance Leadership

The Youth Counselor; Hartford (CT); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health coverage

Paid time off

Retirement plan with employer match

Tuition assistance

Job summary

The Village seeks an experienced Director of Revenue Cycle Management to lead and oversee all aspects of billing, collections, credentialing, payer enrollment, reimbursement management, and revenue reporting across the organization.

This leadership role requires collaboration with Finance, Compliance, Information Systems, Clinical Operations, HR, and external payer partners to optimize performance and ensure compliant operations. Salary range is $85,000-$110,000 depending on experience.

Qualifications

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, or related field.
• Master's degree preferred.
• 7+ years of progressive healthcare revenue cycle experience.
• 3+ years of leadership in billing, collections, credentialing, or revenue cycle ops.
• Experience with Medicaid, Medicaid, commercial insurance, and managed care reimbursement.
• Strong financial analysis, reporting, and problem-solving abilities.

Responsibilities

• Direct all revenue cycle activities, including billing, claims submission, payment posting, denial management, accounts receivable, and collections.
• Establish departmental goals, performance standards, and accountability measures.
• Ensure timely, accurate, and compliant charge capture, claim processing, and reimbursement.
• Oversee the resolution of claim edits, denials, rejections, and underpayments, implementing corrective actions.
• Lead process improvement initiatives to enhance operational efficiency and reimbursement outcomes.
• Develop and maintain policies, procedures, and internal controls that support compliance and revenue integrity.
• Oversee provider and organizational credentialing, recredentialing, payer enrollment, and revalidation activities.
• Coordinate payer contract negotiations, renewals, and amendments in partnership with leadership.
• Develop and present revenue cycle metrics and analysis.
• Collaborate with Finance to reconcile billing activity, cash receipts, and revenue transactions.

Skills

Revenue cycle leadership

Financial analysis

Process improvement

Strategic planning

Education

Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, or related field

Master's degree preferred

Tools

Electronic Health Records (EHR) systems

Revenue cycle management systems

Financial applications & reporting tools

Job description

The Village seeks an experienced Director of Revenue Cycle Management to lead and oversee all aspects of billing, collections, credentialing, payer enrollment, reimbursement management, and revenue reporting across the organization.

This leadership role requires collaboration with Finance, Compliance, Information Systems, Clinical Operations, HR, and external payer partners to optimize performance and ensure compliant operations. Salary range is $85,000-$110,000 depending on experience.