Revenue Cycle Director

National Youth Advocate Program; Columbus (OH); On-site; USD 177,000 - 217,000; Full time

Job summary

National Youth Advocate Program seeks a Revenue Cycle Director to lead NYAP’s revenue cycle activities, including credentialing, billing, posting, AR, and third-party relations.

The role requires a bachelor’s degree in Economics/Finance/Business and at least 5 years in senior Revenue Cycle roles, with experience in Medicaid and managed care billing. Strong analytical skills with Excel/SQL/BI tools are essential.

Qualifications

• Bachelor degree in Economics, Finance, Business administration or equivalent is required.
• Minimum of 5 years' experience in senior Revenue Cycle roles or related leadership.
• Experience with Medicaid, managed care, and third-party payer billing is preferred.

Responsibilities

• Direct policies and initiatives of NYAP's revenue cycle activities.
• Oversee credentialing, precertification, billing, posting, AR, and third-party relations.
• Provide regular revenue cycle analytics to CFO and leadership using Excel/SQL/BI tools.
• Ensure HIPAA and Medicaid audit readiness and maintain billing compliance.

Skills

Revenue cycle management

Billing & coding

Excel

SQL

Education

Bachelor degree in Economics/Finance/Business

Tools

Great Plains

Waystar

Power BI/Tableau

Job description

Job Details: Job Location: Columbus, OH 43215, Education Level: 4 Year Degree, Job Category: Nonprofit - Social Services, =====================================================

Revenue Cycle Director – 1 position open

Direct and oversee overall policies, objectives, and initiatives of NYAP's not-for-profit revenue cycle activities; Direct oversight of credentialing, precertification process, billing, charge entry, payment; posting, accounts receivable, third-party relations, compliance, and overall financial analysis to ensure the revenue cycle is effectively utilized using Microsoft excel, Microsoft word, SQL and PowerBi; Develop revenue department goals, objectives, and tactical plans consistent with NYAP's strategic plan and vision using analytical tools which include SQL, Python, Tableau/PowerBi and/or advanced excel to gather productivity, metrics, AR aging analysis and financial data from the electronic health system and provide meaningful management information to the CFO, leadership, and other personnel on a regular basis; Oversee team of Revenue Cycle Manager, Revenue Cycle Analyst and Revenue Cycle Specialists, which includes entry level finance managers; Serve as the primary contact for outpatient mental health and foster care billing to sustain positive working relations with Medicaid, Managed Care Companies, Private Insurance, County Boards and Federal entities that do business with NYAP. Keep abreast with Medicaid and other third-party payer rules and regulations with respect to billing and communicate this information to the providers/clinicians and appropriate personnel; Responsible for keeping updates on behavioral health practices such as HIPAA compliance, Medicaid audit requirements, Federal rate changes, Electronic Health Record system experience and ICD-10 coding changes; Support Clinical directors and Managers to ensure the quality of the insurance, demographics and eligibility data entered, as well as monitoring all time-of-service collections by providing revenue cycle analytical reporting and training materials; Responsible for timely payment and denial posting, timely processing of correspondence, handling incoming patient/client services calls timely, timely credit balance resolution, timely accounts receivable resolution and all other information pertaining to back-end account resolution/revenue cycle management using Great plain accounting platform, Waystar clearing house, Global Pay software and advanced excel; Oversee development, maintenance, implementation and training of protocols, policy and procedures for all functions related to the revenue cycle; Responsible for planning, assigning, and directing work, interviewing, and hiring employees, training employing, addressing complaints and resolving problems.

Qualifications

Bachelor degree in Economics, Finance, Business administration or its Equivalent and minimum 5 years related experience as Revenue Cycle Director, Revenue Cycle Manager, VP of Revenue Cycle Management, Director of Revenue Cycle and Analytics or related experience or any occupation in which experience is gained. is required.

Salary $196,872.00 /yr.

An Equal Opportunity Employer, including disability/veterans.