Revenue Cycle Director
Description
Revenue Cycle Director
Location: Middletown, NY
Pay Rate: $81,000-$85,000/yr
Status: Full-Time | Exempt
Pay Rate: $81,000-$85,000/yr
Status: Full-Time | Exempt
Hours: Mon-Fri 8am-4:30p
EEO Employer
EEO Employer
Position Overview
The Revenue Cycle Director is responsible for the day-to-day oversight and strategic leadership of billing operations, payment posting, collections, and insurance verification/authorizations. This role requires hands-on supervisory experience, the ability to coach and evaluate staff, and a strong working knowledge of behavioral health billing in New York State, particularly regarding Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance.
Key Responsibilities
- Lead and supervise a billing team of up to 8 staff.
- Manage all aspects of the revenue cycle, including billing systems, insurance verifications/authorizations, collections, and payment processes.
- Maintain a clear understanding of claims processing, payer denials, and appeals.
- Prepare recurring and adjusting journal entries and financial analyses for audits.
- Perform monthly and year-end income and receivables analyses, recommending corrective actions.
- Monitor and evaluate billing team productivity through KPIs: total revenue, collection rates, AR days, and claim denials.
- Set and track goals for aging AR reduction and cash acceleration; address systemic issues.
- Provide cross-functional support and training plans within the billing team.
- Develop and maintain updated policies and procedures to enhance efficiency and compliance.
- Generate and distribute productivity and financial reports (weekly, biweekly, and monthly).
- Ensure compliance with federal, state, and local regulations.
- Design and manage spreadsheets/databases for operational efficiency; train others as needed.
- Conduct formal staff evaluations and provide coaching and mentorship.
- Maintain consistent and effective communication with staff and leadership.
Qualifications & Attributes
- Minimum 5 years of experience in healthcare revenue cycle/medical billing
- Minimum 5 years of progressive supervisory experience
- Proficient in ICD-10, CPT, and HCPCS coding
- Experience with Electronic Health Records (EHR) and billing clearinghouses
- Intermediate computer proficiency, particularly in Excel and database applications
- Strong problem-solving, analytical, and leadership skills
- Ability to lead a team and work independently when needed
- Strong non-profit accounting experience required
Education
- Associate’s Degree in Accounting required
- Bachelor’s Degree in Accounting preferred
Physical Requirements
- Ability to sit or stand at a computer for extended periods
- Work in an open floor plan and tight spaces
- Ability to move throughout the workday, including community-based settings
- Work in close proximity to co-workers (within 3 feet)
- Occasional lifting of 25+ pounds
EOE
IND2024