Head of Revenue Cycle

Jobgether; Oregon; Hybrid; USD 190,000 - 240,000; Full time

Benefits offered by this job

Remote work within the United States

Senior leadership role

AI-enabled workflows

Job summary

Partner Company is seeking a Head of Revenue Cycle in the United States to lead revenue cycle operations for a network of specialty mental health clinics. You will drive end-to-end processes from eligibility to collections, reduce denials, and optimize the operating model with a focus on automation and AI-enabled workflows.

Reporting to the CFO, you will oversee in-house coding and an outsourced billing partner, setting SLAs, dashboards, and performance standards.

Qualifications

• Significant experience leading revenue cycle operations in a multi-site healthcare setting.
• End-to-end revenue cycle expertise across eligibility, prior authorization, coding, claims, denials, AR and collections.
• Experience with in-house and outsourced billing models and transition management.

Responsibilities

• Own end-to-end revenue cycle across a clinic network including eligibility, authorizations, coding, claims, denials, AR and patient collections.
• Identify denial patterns and root causes; drive sustainable workflow improvements.
• Lead coding operations and manage in-house and outsourced billing partners with SLAs.
• Evaluate operating models (in-house/outsourced/hybrid) and lead transitions as needed.
• Partner with finance on forecasting, cash flow, month-end close, and KPI ownership.
• Improve cross-functional workflows with clinical, operational, product teams.
• Advance automation and AI; apply analytics to optimize productivity and reduce manual work.
• Manage payer mix across commercial, Medicare, TRICARE, VA Community Care.
• Establish accountability, monitor performance, and drive continuous improvement.
• Maintain patient-centered focus to improve access and reduce delays.

Skills

Revenue cycle leadership

Denial analysis

Cross-functional collaboration

AI/automation

Vendor management

Data interpretation

Communication

Education

Bachelor's degree in healthcare administration or related field

Tools

Claims processing systems

Analytics tools

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Head of Revenue Cycle based in the United States. In this senior leadership role, you will oversee the entire revenue cycle for a growing network of specialty mental healthcare clinics, ensuring financial performance supports timely access to essential patient care. Reporting to the CFO, you will lead revenue cycle operations from eligibility verification and prior authorization through coding, claims management, denials, accounts receivable, and collections. You will identify the root causes of revenue leakage and operational delays, partnering with clinical, operational, finance, and product teams to implement lasting solutions. You will also evaluate the current balance between in-house coding and outsourced billing, using data to determine the most effective operating model and lead any necessary transition. With a strong focus on automation, AI-enabled workflows, and measurable performance improvements, you will help build a scalable, efficient, and accountable revenue cycle function. This is an opportunity to combine strategic financial leadership with hands-on operational problem-solving in a fast-moving, patient-centered healthcare environment.

Accountabilities:

• Own the end-to-end revenue cycle: Lead all revenue cycle functions across the clinic network, including eligibility verification, prior authorizations, charge capture, medical coding, claims submission, denial management, accounts receivable, and patient collections.
• Identify and eliminate root causes of denials: Analyze denial patterns, delayed authorizations, and payment issues to uncover underlying problems in intake, scheduling, clinical documentation, credentialing, and other upstream processes. Collaborate with relevant teams to correct workflows rather than relying solely on rework and appeals.
• Lead coding operations and billing partnerships: Manage the in-house coding team and oversee the outsourced billing partner, establishing clear service-level agreements (SLAs), performance expectations, reporting standards, and accountability for results.
• Evaluate and optimize the operating model: Within the first 12 months, assess the effectiveness of the existing revenue cycle structure and determine whether an in-house, outsourced, or hybrid approach best supports business objectives. Develop the business case and lead implementation of any approved transition.
• Drive financial performance and reporting: Partner with finance leadership on revenue forecasting, cash flow management, month-end close, and payer contract performance. Own key metrics, including clean claim rate, denial rate, days in accounts receivable, and net collection rate.
• Improve cross-functional workflows: Work closely with clinical, operational, and product teams to resolve process gaps that affect reimbursement and patient access. Translate revenue cycle findings into practical changes to intake procedures, documentation standards, scheduling workflows, and other operational processes.
• Advance automation and AI adoption: Partner with product teams to automate repetitive revenue cycle tasks through the organization’s operating technology and AI-enabled solutions. Apply AI to identify denial patterns, support appeal preparation, improve efficiency, and strengthen analytical capabilities across the team.
• Manage a complex payer environment: Oversee revenue cycle performance across commercial insurance plans, Medicare, TRICARE, and VA Community Care, ensuring processes reflect applicable payer policies, authorization requirements, and reimbursement rules.
• Ensure operational accountability: Establish consistent performance monitoring, document decisions and processes, and drive continuous improvement across the revenue cycle function.
• Maintain a patient-centered approach: Prioritize operational improvements that reduce administrative delays and help patients access appropriate care sooner, while respecting clinical decision-making, patient safety, and individual dignity.

Requirements:

• Revenue cycle leadership experience: Significant experience leading revenue cycle operations in a complex healthcare environment, ideally within a multi-site specialty medical group, behavioral health organization, healthcare technology company, or private-equity-backed physician group.
• End-to-end revenue cycle expertise: Strong knowledge of eligibility, prior authorization, coding, charge capture, claims processing, denials, accounts receivable, collections, and payer reimbursement processes.
• Denial analysis and process improvement: Demonstrated ability to investigate denial trends, interpret payer policies, identify operational root causes, and implement sustainable workflow changes that improve reimbursement and reduce administrative rework.
• Operating model transformation: Experience evaluating and transitioning between in-house, outsourced, and hybrid billing or revenue cycle models, including vendor selection, business case development, implementation, and performance management.
• Financial and analytical capabilities: Ability to interpret revenue variances, analyze operational and financial metrics, manage cash flow considerations, and communicate performance drivers and corrective actions to executive leadership.
• People and vendor management: Experience leading revenue cycle teams and managing external billing partners through measurable service levels, clear expectations, structured reporting, and continuous performance improvement.
• Cross-functional collaboration: Strong ability to work with finance, clinical, operations, and technology teams, translating complex revenue cycle issues into practical actions for both executives and frontline staff.
• Technology and AI proficiency: Demonstrated interest in or experience with AI-enabled analytics, workflow automation, and technology solutions that improve revenue cycle productivity, identify patterns, and reduce repetitive manual work.
• Payer and specialty billing knowledge: Familiarity with commercial insurance, Medicare, TRICARE, and VA Community Care is valuable. Experience with behavioral health, interventional psychiatry, neuromodulation, or specialty treatment billing is particularly relevant.
• Communication and decision-making: Excellent written and verbal communication skills, strong judgment, and the ability to make data-driven decisions, explain complex financial issues clearly, and take ownership of outcomes.
• Preferred specialty experience: Experience with specialty drug buy-and-bill reimbursement is an advantage.
• Preferred certifications: Professional credentials such as Certified Professional Coder (CPC), Certified Revenue Cycle Representative (CRCR), or similar qualifications are beneficial.
• Leadership mindset: A proactive, hands-on approach to problem-solving, a willingness to investigate issues beyond traditional departmental boundaries, and a commitment to improving both financial performance and patient access.

Benefits:

• Competitive executive compensation: Annual salary ranging from $190,000 to $240,000.
• Fully remote work: Opportunity to work remotely within the United States.
• Senior leadership responsibility: Direct ownership of revenue cycle strategy, operations, performance metrics, and operating model decisions.
• Strategic impact: Opportunity to influence financial sustainability and improve access to specialized mental healthcare across a multi-site clinical network.
• Technology-driven environment: Exposure to AI-enabled healthcare operations, automation, and innovative approaches to revenue cycle management.
• Cross-functional collaboration: Work closely with executive leadership and clinical, operational, financial, and technology teams.
• Operational transformation: Lead meaningful initiatives involving process redesign, vendor management, automation, and revenue cycle optimization.
• Professional growth: Opportunity to shape a growing healthcare organization and build a scalable revenue cycle function.