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.
Salary range: $85,000-$110,000 commensurate upon experience
It is not typical for an individual to be hired at or near the top of the range for their role. Actual placement within range will be contingent upon a number of factors, including but not limited to the candidate's qualifications, education, experience, internal equity and alignment with market data
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
