Revenue Cycle Leadership Director

The Village For Families & Children; Hartford (CT); Presencial; USD 95.000 - 116.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Tuition assistance

NHSC Loan Forgiveness program

Employer-matching retirement plan

Descripción de la vacante

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.

Formación

• 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.

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 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.

Conocimientos

Healthcare revenue cycle leadership

Billing and collections

Payer enrollment

Financial analysis

Process improvement

Stakeholder management

Regulatory compliance

Healthcare IT systems

Educación

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

Master's degree in related discipline (preferred)

Herramientas

EHR systems

Revenue cycle software

Analytics/BI tools

Payer enrollment systems

Descripción del empleo

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.