Director of Revenue Cycle Management

Key Responsibilities

• Manage day-to-day revenue cycle operations, including billing, claims submission, collections, denials, appeals, and payment posting.
• Monitor revenue cycle performance metrics, including AR days, denial rates, clean claim rates, collections, underpayments, and cash trends.
• Work closely with operations, admissions, utilization review, clinical, and finance teams to ensure accurate and timely billing.
• Review and improve processes related to authorizations, eligibility verification, charge capture, documentation, coding, and claim submission.
• Identify root causes of denials and underpayments and implement corrective action plans.
• Support payer contract review, reimbursement analysis, and escalation of payer issues.
• Coordinate with external billing vendors or internal billing teams to ensure accountability and timely follow-up.
• Prepare recurring revenue cycle reports for leadership.
• Help standardize revenue cycle processes across multiple programs, entities, and locations.
• Support system improvements, workflow enhancements, and integration of acquired or new programs.

Qualifications

• 5+ years of healthcare revenue cycle experience.
• Prior experience managing or supervising billing, collections, AR follow-up, or denials teams.
• Strong understanding of commercial insurance billing and payer processes.
• Experience with behavioral healthcare, mental health, substance use treatment, RTC, PHP, IOP, and/or outpatient services is preferred.
• Experience with Kipu is preferred.
• Familiarity with billing platforms, clearinghouses, EHRs, and payer portals.
• Strong analytical skills and comfort working with revenue cycle KPIs and reporting.
• Excellent communication skills and ability to work cross-functionally with clinical, operational, and finance teams.
• Highly organized, detail-oriented, and comfortable managing competing priorities.

Benefits:

• 401(k) with matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• Hybrid, with the potential to transition to a fully remote position.

Job Type: Full-time

Pay: From $95,000 per year

Work Location: Brentwood, TN | Hybrid, with potential to transition to fully remote.