Director of Revenue Cycle Management

THE VILLAGE FOR FAMILIES & CHILDREN; Hartford (CT); Presencial; USD 85.000 - 110.000; Tempo integral

Benefícios oferecidos por esta vaga

Health coverage

Paid time off

Retirement plan with employer match

Tuition assistance

Resumo da vaga

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.

Qualificações

• 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.

Responsabilidades

• 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.

Conhecimentos

Revenue cycle leadership

Financial analysis

Process improvement

Strategic planning

Formação

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

Master's degree preferred

Ferramentas

Electronic Health Records (EHR) systems

Revenue cycle management systems

Financial applications & reporting tools

Descrição da vaga

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The Village is seeking an experienced and strategic Directorof Revenue Cycle Management to lead and oversee all aspectsof revenue cycle operations. This leadership role is responsible forensuring the effectiveness, accuracy, and compliance of billing,collections, credentialing, payer enrollment, reimbursementmanagement, and revenue reporting activities across the organization.

The Director will work closely with Finance, Compliance, InformationSystems, Clinical Operations, Human Resources, and external payerpartners to optimize revenue cycle performance, strengthen operationalprocesses, and support the organization's financial health and mission.

Salary range: $85,000-$110,000 commensurate upon experience

It is not typical for an individual to be hired at or near the top ofthe range for their role. Actual placement within range will becontingent upon a number of factors, including but not limited to thecandidate's qualifications, education, experience, internal equity andalignment with market data

Position Responsibilities

Revenue Cycle Operations

• Direct all revenue cycle activities, including billing, claimssubmission, payment posting, denial management, accountsreceivable, and collections.
• Establish departmental goals, performance standards, andaccountability measures aligned with organizational objectives.
• Ensure timely, accurate, and compliant charge capture, claimprocessing, and reimbursement.
• Oversee the resolution of claim edits, denials, rejections, andunderpayments, implementing corrective actions when needed.
• Lead process improvement initiatives to enhance operationalefficiency and reimbursement outcomes.

Compliance and Revenue Integrity

• Partner with Compliance and Clinical Operations to ensureadherence to billing, coding, and documentation requirements.
• Coordinate revenue cycle audits, payer reviews, and correctiveaction plans.
• Monitor regulatory and payer changes affecting Medicare,Medicaid, commercial insurance, and managed care reimbursement.
• Develop and maintain policies, procedures, and internal controlsthat support compliance and revenue integrity.

Credentialing and Payer Enrollment

• Oversee provider and organizational credentialing,recredentialing, payer enrollment, and revalidation activities.
• Collaborate with Human Resources and clinical leadership tosupport provider onboarding and employment status changes.
• Maintain accurate credentialing records and ensure timelycompletion of required submissions and renewals.

Payer Contract Administration

• Coordinate payer contract negotiations, renewals, and amendmentsin partnership with organizational leadership.
• Maintain payer contract records and monitor key contractmilestones and requirements.
• Analyze reimbursement methodologies and contract performance toidentify opportunities for improvement.
• Support implementation of new payer agreements and relatedoperational changes.

Financial Reporting and Analysis

• Collaborate with Finance to reconcile billing activity, cashreceipts, and revenue transactions.
• Develop and present key performance reports and revenue cycle metrics.
• Identify financial trends, potential revenue risks, andopportunities for operational improvement.
• Support budgeting, forecasting, and revenue planning processes.

Systems and Process Improvement

• Partner with Information Systems to optimize revenue cycletechnology and reporting capabilities.
• Participate in system upgrades, testing, implementation, andprocess enhancements.
• Promote data integrity, reporting accuracy, and effective use oftechnology and automation.

Leadership and Staff Development

• Provide leadership, supervision, coaching, and performancemanagement for revenue cycle staff.
• Promote professional development, cross-training, and succession planning.
• Foster a culture of accountability, collaboration, andcontinuous improvement.
• Perform other duties and special projects as assigned

Experience and Skills

Education

• Bachelor's degree in Finance,Accounting, Healthcare Administration,Business Administration, or a relatedfield required.
• Master's degree in a relateddiscipline preferred.

Experience

• Minimum of seven (7) years ofprogressive healthcare revenue cycle experience.
• At least three (3) years of leadershipexperience managing billing,collections, credentialing, or revenuecycle operations.
• Behavioral health revenue cycleexperience strongly preferred.
• Experience with Medicaid, Medicare,commercial insurance, managed carereimbursement, and payer contracting.
• Working knowledge of healthcarecompliance requirements, credentialing,payer enrollment, and revenue integrity practices.
• Strong financial analysis, reporting,and problem-solving abilities.
• Proficiency with electronic healthrecords, revenue cycle managementsystems, financial applications, andreporting tools.
• Demonstrated success leadingorganizational change, processimprovement initiatives, and operational projects.

Our benefits package supports your whole life with comprehensivehealth coverage, generous paid time off, and employer matchedretirement savings. We also invest in your growth through tuitionassistance (Loan Forgiveness Program – NHSC, tuition reimbursementand Student Loan Repayment). https://thevillage.org/careers/our-benefits/