Director of Revenue Cycle Management

The Village For Families & Children; Hartford (CT); On-site; USD 95,000 - 116,000; Full time

Benefits offered by this job

Tuition assistance

NHSC Loan Forgiveness program

Employer-matching retirement plan

Job summary

The Village for Families & Children seeks an experienced Director of Revenue Cycle Management to lead billing, collections, credentialing, payer enrollment, and contract administration across the organization.

You will collaborate with Finance, Compliance, IS, and clinical leadership to optimize revenue cycle performance and ensure compliant, efficient operations that support financial health and mission.

Qualifications

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field is required.
• Master's degree in a related discipline is preferred.

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 aligned with organizational objectives.
• Ensure timely, accurate, and compliant charge capture, claim processing, and reimbursement.
• Oversee resolution of claim edits, denials, rejections, and underpayments with corrective actions.
• Lead process improvement initiatives to enhance operational efficiency and reimbursement outcomes.
• Partner with Compliance and Clinical Operations to ensure adherence to billing, coding, and documentation requirements.
• Coordinate revenue cycle audits, payer reviews, and corrective action plans.
• Monitor regulatory and payer changes affecting Medicare, Medicaid, commercial insurance, and managed care reimbursement.
• 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 with leadership.
• Maintain payer contract records and monitor key milestones and requirements.
• Analyze reimbursement methodologies and contract performance to identify improvement opportunities.
• Collaborate with Finance to reconcile billing activity, cash receipts, and revenue transactions.
• Develop and present revenue cycle metrics and key performance reports.

Skills

Healthcare revenue cycle leadership

Billing and collections

Payer enrollment

Financial analysis

Process improvement

Stakeholder management

Regulatory compliance

Healthcare IT systems

Education

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

Master's degree in related discipline (preferred)

Tools

EHR systems

Revenue cycle software

Analytics/BI tools

Payer enrollment systems

Job description

Job Location: Hartford, CT

Job Level: Any

Level of Education: BA/BS

Job Type: Full-Time/Regular

Years of Experience: 7 - 10 Years

Starting Date: ASAP

Salary: 105,000.00

Work Hours: 40

Job Description

Join Our Team

The Village is seeking an experienced and strategic Director of Revenue Cycle Management to lead and oversee all aspects of revenue cycle operations. This leadership role is responsible for ensuring the effectiveness, accuracy, and compliance of billing, collections, credentialing, payer enrollment, reimbursement management, and revenue reporting activities across the organization.

The Director will work closely with Finance, Compliance, Information Systems, Clinical Operations, Human Resources, and external payer partners to optimize revenue cycle performance, strengthen operational processes, and support the organization's financial health and mission.

Starting salary: $105,000

Position Responsibilities

Revenue Cycle Operations

• 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 aligned with organizational objectives.
• Ensure timely, accurate, and compliant charge capture, claim processing, and reimbursement.
• Oversee the resolution of claim edits, denials, rejections, and underpayments, implementing corrective actions when needed.
• Lead process improvement initiatives to enhance operational efficiency and reimbursement outcomes.

Compliance and Revenue Integrity

• Partner with Compliance and Clinical Operations to ensure adherence to billing, coding, and documentation requirements.
• Coordinate revenue cycle audits, payer reviews, and corrective action plans.
• Monitor regulatory and payer changes affecting Medicare, Medicaid, commercial insurance, and managed care reimbursement.
• Develop and maintain policies, procedures, and internal controls that 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 to support provider onboarding and employment status changes.
• Maintain accurate credentialing records and ensure timely completion of required submissions and renewals.

Payer Contract Administration

• Coordinate payer contract negotiations, renewals, and amendments in partnership with organizational leadership.
• Maintain payer contract records and monitor key contract milestones and requirements.
• Analyze reimbursement methodologies and contract performance to identify opportunities for improvement.
• Support implementation of new payer agreements and related operational changes.

Financial Reporting and Analysis

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

Systems and Process Improvement

• Partner with Information Systems to optimize revenue cycle technology and reporting capabilities.
• Participate in system upgrades, testing, implementation, and process enhancements.
• Promote data integrity, reporting accuracy, and effective use of technology and automation.

Leadership and Staff Development

• Provide leadership, supervision, coaching, and performance management for revenue cycle staff.
• Promote professional development, cross-training, and succession planning.
• Foster a culture of accountability, collaboration, and continuous 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 related field required.
• Master's degree in a related discipline preferred.

Experience

• Minimum of seven (7) years of progressive healthcare revenue cycle experience.
• At least three (3) years of leadership experience managing billing, collections, credentialing, or revenue cycle operations.
• Behavioral health revenue cycle experience strongly preferred.
• Experience with Medicaid, Medicare, commercial insurance, managed care reimbursement, and payer contracting.
• Working knowledge of healthcare compliance requirements, credentialing, payer enrollment, and revenue integrity practices.
• Strong financial analysis, reporting, and problem-solving abilities.
• Proficiency with electronic health records, revenue cycle management systems, financial applications, and reporting tools.
• Demonstrated success leading organizational change, process improvement initiatives, and operational projects.
• Excellent communication, interpersonal, organizational, and relationship management skills.

Job Benefits

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

The Village for Families and Children is An Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status, age or any other federally protected class.

Equal employment opportunity, including veterans and individuals with disabilities.