revenue cycle director

Tenet Healthcare

<div><h3 class="jobSectionHeader"><b>Job Summary</b></h3>
<p>The <b>National</b> <b>Director Revenue Cycle</b> is responsible for end-to-end management of people, processes and systems supporting Tenet Physician Resources (TPR) patient service revenue. In this role, the Director will provide leadership across all levels of TPR to support the revenue cycle and meet/exceed established goals.
</p><p>The revenue cycle is defined as all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. The National Director is responsible for enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure. These functional areas act interdependently during a patient visit, contributing critical information required for clinical service and procuring payment. Thus, the National Director concentrates resources on improving core clinical care delivery and protecting the assets of the organization. The position will provide leadership and subject matter expertise related to the development of a compliant, comprehensive revenue cycle across TPR.</p>
<h3 class="jobSectionHeader"><b>
Responsibilities</b></h3>
<ul><li>The National Director will be responsible for improving cash collections, minimize bad debt and work with Operations Directors to ensure timely claims posting; meeting or exceeding all budgeted targets.</li>
<li>Develop a high-performance team as measured through achievement of benchmark process outcomes, audit and compliance results, financial goals and employee satisfaction.
</li><li>Recruit and build leadership and management talent throughout the revenue cycle operation.
</li><li>Ensure transparency on goals and performance improvement throughout the revenue cycle process.</li>
<li>Lead effectively across matrix structures achieving high performance outcomes, as defined above, for staff involved in revenue cycle that report to other areas of the operation, including physicians, managers and staff at point of service charge entry and cash collection.</li>
<li>Provide subject matter expertise in the functional areas of billing, collections &amp; bad debt, payment processing, denial management, accounts receivable finance operations, health information management (HIM), patient financial services, fee schedule development and maintenance, documentation and coding, and charge capture.
</li></ul><h3 class="jobSectionHeader"><b>Qualifications</b></h3>
<p><b>Required:</b></p>
<ul>
<li>Bachelor's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>8-12 years in consulting, project management, and/or general management experience in provider-based revenue cycle management.</li>
<li>Business expertise, financial acumen and interpersonal skills to effectively work through a complex organization to influence and facilitate sustainable change.</li>
<li>Advanced interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations with a wide variety of influential internal and external parties.</li>
<li>Strong leader with a collaborative nature who can develop solutions, with multiple and geographically dispersed stakeholders, to complex process and organizational issues.</li>
<li>Up to 10% national travel. We will run a MVR on the final candidate.</li>
</ul>
<p><b>Preferred:</b></p>
<ul>
<li>Master's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>Previous experience as a Revenue Cycle Director.</li>
<li>Healthcare operations management experience in a health plan, managed care organization, medical group or hospital setting.</li>
<li>Knowledge of or exposure to Athena Health (and specifically its billing, collection and EHR subsystems).</li>
</ul>
<p><b>Compensation:</b></p>
<ul>
<li>Pay: $150,000 - $200,000 annually. Compensation depends on location, qualifications, and experience.
</li><li>Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
</li><li>Management level positions may be eligible for sign-on and relocation bonuses.</li>
</ul>
<p><b>Benefits:</b></p>
<p>
The following benefits are available, subject to employment status:</p>
<ul>
<li>Medical, dental, vision, disability, life, AD&amp;D and business travel insurance</li>
<li>Manager Time Off &ndash; 20 days per year</li>
<li>Discretionary 401k with up to 6% employer match</li>
<li>10 paid holidays per year</li>
<li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li>
<li>Employee Assistance program, Employee discount program</li>
<li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.</li>
<li>For Colorado employees, paid leave in accordance with Colorado&rsquo;s Healthy Families and Workplaces Act.</li>
</ul>
<p>#LI-JR1</p>
<p>Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.<br>
Tenet participates in the E-Verify program. Follow the link below for additional information.<br>
E-Verify: http://www.uscis.gov/e-verify<br>
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
</p>
2603006136</div>
<br>
<ul><li>The National Director will be responsible for improving cash collections, minimize bad debt and work with Operations Directors to ensure timely claims posting; meeting or exceeding all budgeted targets.</li>
<li>Develop a high-performance team as measured through achievement of benchmark process outcomes, audit and compliance results, financial goals and employee satisfaction.
</li><li>Recruit and build leadership and management talent throughout the revenue cycle operation.
</li><li>Ensure transparency on goals and performance improvement throughout the revenue cycle process.</li>
<li>Lead effectively across matrix structures achieving high performance outcomes, as defined above, for staff involved in revenue cycle that report to other areas of the operation, including physicians, managers and staff at point of service charge entry and cash collection.</li>
<li>Provide subject matter expertise in the functional areas of billing, collections &amp; bad debt, payment processing, denial management, accounts receivable finance operations, health information management (HIM), patient financial services, fee schedule development and maintenance, documentation and coding, and charge capture.</li></ul>
<br>
<div><p><b>Required:</b></p>
<ul>
<li>Bachelor's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>8-12 years in consulting, project management, and/or general management experience in provider-based revenue cycle management.</li>
<li>Business expertise, financial acumen and interpersonal skills to effectively work through a complex organization to influence and facilitate sustainable change.</li>
<li>Advanced interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations with a wide variety of influential internal and external parties.</li>
<li>Strong leader with a collaborative nature who can develop solutions, with multiple and geographically dispersed stakeholders, to complex process and organizational issues.</li>
<li>Up to 10% national travel. We will run a MVR on the final candidate.</li>
</ul>
<p><b>Preferred:</b></p>
<ul>
<li>Master's degree in Business Administration, Public Health, Health Administration or related field.</li>
<li>Previous experience as a Revenue Cycle Director.</li>
<li>Healthcare operations management experience in a health plan, managed care organization, medical group or hospital setting.</li>
<li>Knowledge of or exposure to Athena Health (and specifically its billing, collection and EHR subsystems).</li>
</ul>
<p><b>Compensation:</b></p>
<ul>
<li>Pay: $150,000 - $200,000 annually. Compensation depends on location, qualifications, and experience.</li>
<li>Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.</li>
<li>Management level positions may be eligible for sign-on and relocation bonuses.</li>
</ul>
<p><b>Benefits:</b></p>
<p>
The following benefits are available, subject to employment status:</p>
<ul>
<li>Medical, dental, vision, disability, life, AD&amp;D and business travel insurance</li>
<li>Manager Time Off &ndash; 20 days per year</li>
<li>Discretionary 401k with up to 6% employer match</li>
<li>10 paid holidays per year</li>
<li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li>
<li>Employee Assistance program, Employee discount program</li>
<li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.</li>
<li>For Colorado employees, paid leave in accordance with Colorado&rsquo;s Healthy Families and Workplaces Act.</li>
</ul>
<p>#LI-JR1</p></div>

TPR National Director, Revenue Cycle - Remote based in the US

TriasMD

<div><p>TriasMD is seeking a Director of Revenue Cycle Management (RCM) to lead and optimize the end-to-end revenue cycle across its growing network of ambulatory surgery centers (ASCs) and affiliated physician practices.</p><p>
This role will serve as the internal owner of revenue cycle performance, responsible for overseeing outsourced RCM vendors, partnering with operations and clinical leadership, and implementing data-driven processes to improve collections performance, reduce denials, and accelerate cash flow.</p><p>
The Director will play a critical role in building a scalable revenue cycle infrastructure for a private equity-backed, multi-site healthcare platform experiencing rapid growth.</p><p>
This role reports to the Chief Financial Officer.</p><p><b>
Key Responsibilities</b></p><p><b>
Revenue Cycle Strategy &amp; Performance</b></p><ul><li>
Own the end-to-end revenue cycle, including front-end intake, coding, billing, collections, and denial management.</li><li>
Establish and manage RCM performance dashboards tracking key metrics including:<ul><li>
Net collection rate</li><li>
Denial rate</li><li>
AR days</li><li>
AR aging</li><li>
Charge lag</li><li>
First-pass claim acceptance</li></ul></li><li>
Develop and execute initiatives to improve collections performance and reduce revenue leakage.</li></ul><p><b>
Vendor Management &amp; Accountability</b></p><ul><li>
Serve as the primary internal owner of outsourced RCM vendor performance.</li><li>
Manage billing vendors and ensure compliance with service level agreements (SLAs).</li><li>
Conduct regular vendor performance reviews focused on:<ul><li>
denial trends</li><li>
collections performance</li><li>
turnaround times</li><li>
payer follow-up effectiveness</li></ul></li><li>
Partner with vendors to identify and resolve operational issues impacting claims and reimbursement.</li></ul><p><b>
Denial Management &amp; Root Cause Analysis</b></p><ul><li>
Lead denial analytics to identify root causes across the revenue cycle.</li><li>
Distinguish between preventable operational denials and payer-related issues.</li><li>
Implement structured processes to reduce high-volume denial categories, including:<ul><li>
authorization failures</li><li>
eligibility verification issues</li><li>
coding errors</li><li>
claim submission errors.</li></ul></li></ul><p><b>
Front-End Revenue Cycle Optimization</b></p><p>
Partner closely with operations to strengthen front-end processes, including:</p><ul><li>
insurance eligibility verification</li><li>
prior authorization workflows</li><li>
patient financial counseling</li><li>
point-of-service collections.</li></ul><p>
Implement systems and workflows that reduce first-pass denials and billing errors.</p><p><b>
Aged Accounts Receivable Recovery</b></p><ul><li>
Lead targeted initiatives to reduce aged accounts receivable.</li><li>
Oversee recovery strategies for &gt;90-day AR balances.</li><li>
Identify opportunities to recover collectible legacy AR and improve follow-up workflows.</li></ul><p><b>
Process Improvement &amp; Automation</b></p><p>
Identify and implement improvements in revenue cycle operations, including:</p><ul><li>
automation of eligibility verification</li><li>
clearinghouse claim edits and scrubbing controls</li><li>
automation of authorization tracking</li><li>
improved documentation and coding workflows.</li></ul><p>
Evaluate emerging technology solutions and automation tools to improve efficiency.</p><p><b>
Cross-Functional Collaboration</b></p><p>
Serve as the bridge between:</p><ul><li>
Operations</li><li>
Clinical teams</li><li>
Finance</li><li>
RCM vendors</li></ul><p>
Ensure operational workflows support efficient revenue cycle performance and reduce preventable denials.</p><p><b>
Key Performance Metrics</b></p><p>
The Director of RCM will be accountable for improving the following metrics:</p><ul><li>
Net Collection Rate (target: <b>97%+</b>)</li><li>
Denial Rate (target: <b>&lt; 5% initially, trending toward &lt; 2%</b>)</li><li>
Net AR Days (target: <b>&lt; 40 days</b>)</li><li>
AR &gt;90 days (target: <b>&lt; 25%</b>)</li><li>
Charge lag (target: <b>&lt; 3 days</b>)</li></ul><p>
</p><p><b>Qualifications</b></p><p><b>
Required</b></p><ul><li>
8+ years of experience in healthcare revenue cycle management</li><li>
3+ years in ASC, surgical specialty, or physician practice RCM</li><li>
Experience managing outsourced RCM vendors</li><li>
Deep understanding of:<ul><li>
ASC billing</li><li>
payer contracting and reimbursement</li><li>
denial management</li><li>
coding and charge capture workflows</li></ul></li></ul><p><b>
Preferred</b></p><ul><li>
Experience in private equity-backed healthcare platforms</li><li>
Experience scaling revenue cycle operations across multi-site organizations</li><li>
Strong data and analytics capability (Power BI, Tableau, or similar tools)</li></ul><p><b>
Leadership &amp; Skills</b></p><p>
The ideal candidate will demonstrate:</p><ul><li>
Strong operational leadership</li><li>
Ability to manage cross-functional teams</li><li>
Deep analytical capability</li><li>
Strong communication skills to work with physicians, operators, and finance leaders</li></ul><p>
The candidate must be able to translate revenue cycle data into actionable operational improvements.</p><p><b>
Impact of Role</b></p><p>
This role will directly impact:</p><ul><li>
cash flow</li><li>
working capital</li><li>
EBITDA performance</li><li>
payer reimbursement integrity</li></ul><p>
and will be a key contributor to TriasMD&rsquo;s continued growth and operational scalability.</p><p><b>
Compensation</b></p><p>
Competitive base salary plus performance-based bonus aligned with revenue cycle performance improvements.</p></div><p></p>

Revenue Cycle Manager

DOCTORS URGENT CARE

<p><b>Role Overview</b></p><p>We are seeking a seasoned and high-energy <b>Billing Director</b> to spearhead our financial operations. This is a leadership role designed for a professional who doesn't just manage spreadsheets, but masters the art of people management. You will be responsible for the integrity of our billing cycle, ensuring strict HIPAA compliance, and developing the next generation of billing talent within the firm.</p><p><b>Key Responsibilities</b></p><ul><li><b>Strategic Oversight:</b> Manage the full-cycle billing process to ensure accuracy, timeliness, and maximum revenue retention.</li><li><b>Reporting &amp; Analytics:</b> Prepare and present comprehensive <b>weekly and monthly financial reports</b> directly to the Owners, highlighting KPIs, collection rates, and areas for improvement.</li><li><b>Compliance &amp; Security:</b> Act as the primary gatekeeper for <b>HIPAA guidelines</b>, ensuring all team workflows and data handling protocols meet legal standards for patient privacy.</li><li><b>Conflict Resolution:</b> Proactively identify and resolve internal team conflicts or departmental friction using professional mediation techniques.</li><li><b>Training &amp; Mentorship:</b> Design and execute training programs for both entry-level staff and mid-level managers to standardize excellence across the department.</li></ul><p><b>Candidate Requirements</b></p><ul><li><b>Experience:</b> * Minimum <b>5 years</b> of dedicated experience in billing operations in managerial and leadership capacity.</li><li>At least <b>2 years</b> in a Director position.</li><li><b>Leadership Skills:</b> Proven track record of resolving workplace conflict and fostering a collaborative environment.</li><li><b>Expertise:</b> Deep understanding of medical billing (if applicable), insurance claim life cycles, and HIPAA regulations.</li><li><b>Communication:</b> Exceptional English communication skills, with the ability to translate complex financial data into actionable insights for ownership.</li></ul><p><b>Compensation &amp; Benefits</b></p><p>We value our leadership team and offer a competitive package to reflect that:</p><ul><li><b>Monthly Salary:</b> Up to PKR 250,000.</li><li><b>Medical Reimbursement:</b> Comprehensive health coverage support.</li><li><b>Leave Encashment:</b> Financial credit for unutilized annual leaves.</li><li><b>Performance Bonuses:</b> Rewarding excellence and hitting collection targets.</li></ul><p>Job Type: Full-time</p><p>Work Location: On the road</p>

Billing Director

Family Centers

<div><p>Onsite</p><p>
Full Time, 35 hours</p><p>
Greenwich, CT</p><p></p><p><b><br>
Overview</b></p><p>
The Director of Revenue Cycle provides strategic and operational leadership for all revenue cycle functions at Family Centers. This role oversees billing, coding, collections, payer enrollment, and denial management to ensure financial sustainability and compliance with applicable regulations, including HRSA and Federally Qualified Health Center (FQHC).</p><p>
Working closely with the Chief Financial Officer and organizational leadership, the Director of Revenue Cycle leads initiatives to improve revenue integrity, optimize reimbursement, strengthen internal controls, and enhance the overall efficiency of revenue cycle operations across Family Centers&rsquo; multi-site clinics.</p><p><b>
The Role</b></p><ul><li>
Lead and implement revenue cycle strategies that support the organization&rsquo;s financial goals and long-term sustainability.</li><li>
Oversee all revenue cycle operations including charge capture, coding, billing, collections, payer enrollment, credentialing oversight, and denial management.</li><li>
Monitor KPIs such as days in accounts receivable, payer reimbursement trends, and denial rates, and implement improvement strategies.</li><li>
Ensure compliance with FQHC regulations, HRSA requirements, and sliding fee scale policies.</li><li>
Review payer contracts to ensure reimbursements align with negotiated rates and identify opportunities for improvement.</li><li>
Maintain strong internal controls related to revenue management and safeguarding of financial assets.</li><li>
Collaborate with leadership to improve workflows, resolve operational issues, and increase overall efficiencies.</li><li>
Recruit, train, and manage revenue cycle staff while promoting accountability, professional development, and cross-training.</li><li>
Oversee departmental policies, procedures, and performance standards to ensure consistency and compliance.</li><li>
Utilize electronic health record and billing systems to monitor performance, analyze trends, and identify improvement opportunities.</li><li>
Prepare and present revenue cycle performance reports and financial metrics to senior leadership.</li><li>
Other duties as assigned</li></ul><p><b>
Requirements</b></p><ul><li>
Bachelor&rsquo;s degree plus at least 10 years of healthcare revenue cycle experience, encompassing leadership responsibility.</li><li>
Demonstrated knowledge of healthcare billing practices, payer reimbursement processes, and revenue cycle operations.</li><li>
Understanding of Medicare, Medicaid, CPT, CDT, and ICD-10 coding standards.</li><li>
Experience managing teams and driving performance improvement.</li><li>
Proficiency with Microsoft Office and healthcare billing systems.</li></ul><p><b>
Preferred</b></p><ul><li>
At least 5 years of experience working in a Federally Qualified Health Center (FQHC) or community health center setting.</li><li>
Professional certification such as CRCR, HFMA, or similar.</li><li>
Experience with Epic or comparable electronic health record systems.</li><li>
Demonstrated success improving revenue cycle performance and operational efficiency.</li></ul><p><b>
About Family Centers</b></p><p>
Family Centers is a private, nonprofit organization providing health, education, and human services to children, adults, and families throughout Fairfield County. Our team of more than 300 professionals and over 500 trained volunteers collaborate to deliver a wide range of responsive and innovative programs. Through our comprehensive network of services, more than 26,000 children, adults, families, and communities each year receive the care, encouragement, and resources they need to realize their potential.</p><p><b>
Benefits &amp; Perks</b></p><p>
At Family Centers, we believe in taking care of our compassionate staff who care for our community. We offer a comprehensive benefits package designed to support employee health, financial wellbeing, and work-life balance.</p><p>
Full-time employees enjoy:</p><ul><li>
Generous Paid Time Off &ndash; Up to 15 vacation days annually (increases to 25 days after 10 years), 11 paid holidays, up to 3 personal days, and up to 10 sick days</li><li>
Half-Day Summer Fridays (in select programs)</li><li>
Medical, Dental &amp; Vision Coverage Options</li><li>
Health Savings Account (HSA) with monthly employer contributions</li><li>
Flexible Spending Accounts (FSA &amp; DCA)</li><li>
403(b) Retirement Plan with up to 6% employer contribution</li><li>
Employer-Paid Long-Term Disability, Life &amp; AD&amp;D Insurance</li><li>
Employee Assistance Program (EAP)</li><li>
Voluntary benefits including Critical Illness Insurance, Pet Insurance, and supplemental Life Insurance</li><li>
Tuition Assistance (eligible after 6 months of service)</li></ul><p>
Family Centers has been consistently recognized as one of the Top Workplaces in Western Connecticut by Hearst Connecticut Media and holds a perfect 100 Encompass rating from Charity Navigator.</p><p>
For more information and to apply, please visit <b>www.familycenters.org</b> or our LinkedIn page.</p><p>
Family Centers is committed to providing equal employment opportunities to all applicants and employees as indicated in applicable federal and/or state laws.</p></div><p></p>

Director of Revenue Cycle

HeartShare

<div><div><div>The Director of Billing at HeartShare Human Services is responsible for leading and optimizing all aspects of predominantly Medicaid billing and overall revenue cycle performance across the organization, ensuring timely and accurate claim submission, maximizing reimbursement, and maintaining compliance with all federal and state Medicaid regulations. This role oversees a data-driven billing operation, leveraging analytics, key performance indicators (KPIs), and system reporting to monitor productivity, denial trends, reimbursement rates, and accounts receivable performance, while driving continuous improvement through the use of technology, including the Millin billing platform, and implementation of best practices that enhance efficiency, accuracy, and financial outcomes. The Director partners closely with Fiscal, Program Operations, and Compliance teams to ensure billing integrity, strengthen internal controls, and support strategic decision-making related to revenue generation and regulatory compliance.</div></div><p><b>
Primary Responsibilities and Essential Functions of Position:
</b></p><div><div><b>Revenue Cycle Oversight</b></div></div><ul><li><div>
Lead and manage the full Medicaid revenue cycle, including claim submission, rebilling, payment posting, denial management, and accounts receivable reconciliation.</div></li><li><div>
Ensure timely claim submission and reimbursement optimization across all Medicaid-funded programs and other non-Medicaid programs (e.g., private pay, ISS).</div></li><li><div>
Monitor aging accounts receivable and implement strategies to maintain optimal collection timelines.</div></li></ul><div><div><b>
Data Analytics and KPI Management</b></div></div><ul><li><div>
Develop and monitor KPIs for billing operations, including:</div></li><li><div>
Clean claim rate</div></li><li><div>
Days in accounts receivable</div></li><li><div>
Denial rates and root cause trends</div></li><li><div>
Claims submission timeliness</div></li><li><div>
Reimbursement cycle times</div></li><li><div>
Billing productivity metrics</div></li><li><div>
Utilize the Millin system reporting and data analytics tools to analyze billing performance and identify opportunities for revenue improvement.</div></li><li><div>
Produce regular billing analytics reports and dashboards for Fiscal leadership, highlighting operational trends, revenue performance, and risk areas.</div></li></ul><div><div><b>
Team Leadership and Operational Management</b></div></div><ul><li><div>
Lead, mentor, and supervise the billing team to ensure high performance, accuracy, and accountability.</div></li><li><div>
Establish performance expectations and productivity metrics for billing staff.</div></li><li><div>
Support professional development and cross-training to strengthen team capacity and operational resilience.</div></li></ul><div><div><b>
Compliance and Regulatory Oversight</b></div></div><ul><li><div>
Ensure compliance with all Medicaid regulations, billing policies, and payer requirements.</div></li><li><div>
Oversee internal billing audits and coordinate preparation for external Medicaid or regulatory audits.</div></li><li><div>
Maintain up-to-date knowledge of Medicaid regulatory changes and reimbursement guidelines.</div></li></ul><div><div><b>
Process Improvement and Systems Optimization</b></div></div><ul><li><div>
Evaluate billing workflows and implement process improvements to reduce errors, increase automation, and improve reimbursement turnaround.</div></li><li><div>
Collaborate with IT and Fiscal to optimize use of the Millin billing system, including reporting functionality and workflow configuration.</div></li><li><div>
Identify opportunities for system enhancements, data integrity improvements, and operational efficiencies.</div></li></ul><div><div><b>
Cross-Functional Collaboration</b></div></div><ul><li><div>
Partner with program leadership, clinical teams, and fiscal staff to resolve billing issues and strengthen documentation processes that support compliant billing.</div></li><li><div>
Serve as the primary liaison with Medicaid representatives and external partners related to billing and reimbursement matters.</div></li></ul><ul><li><div><div>
Bachelor&rsquo;s degree in Accounting, Finance, Healthcare Administration, or a related field <b>required</b>.</div></div></li><li><div><div>
Minimum 7&ndash;10 years of healthcare or human services billing experience, including at least 3&ndash;5 years in a leadership position overseeing Medicaid billing operations.</div></div></li><li><div><div>
Demonstrated experience managing billing operations using Millin or comparable Medicaid billing and revenue cycle platforms.</div></div></li><li><div><div>
Advanced Excel skills experience required (e.g., VLookup, Pivot Table).</div></div></li><li><div><div>
Strong experience developing and monitoring billing key performance indicators (KPIs), operational dashboards, and performance metrics.</div></div></li><li><div><div>
Advanced knowledge of Medicaid billing regulations, claim submission protocols, rate structures, and payer requirements.</div></div></li><li><div><div>
Proven ability to analyze billing data to identify revenue unaccounted loss of income due to underbilling, unbilled, errors, denial trends, and process improvement opportunities.</div></div></li><li><div><div>
Strong analytical, leadership, and communication skills with the ability to translate complex billing data into actionable insights.</div></div></li><li><div><div>
Experience implementing workflow improvements and automation within billing or revenue cycle processes.</div></div></li><li><div><div>
Experience managing billing operations in a human services, behavioral health, or nonprofit environment preferred.</div></div></li><li><div><div>
Demonstrated ability to train, mentor, and develop billing staff while promoting accountability and performance management.</div></div></li><li><div><div>
Familiarity with Medicaid audits, regulatory reporting, and compliance oversight.</div></div></li></ul><p>
</p><div><div><b>Benefits</b></div></div><div><div>
At HeartShare we offer a comprehensive benefit package based on full-time/part-time status. You can expect:</div></div><ul><li><div>
Rewarding Work in a team environment.</div></li><li><div>
Paid vacation, sick, personal days, and holidays.</div></li><li><div>
403(B) retirement plans with employer contribution.</div></li><li><div>
Health, dental, vision and life insurance.</div></li><li><div>
Employee Assistance Program (EAP).</div></li><li><div>
Flexible spending account (Dependent Care, Medical, Parking, and Transit).</div></li><li><div>
Employee Appreciation Programs and Events.</div></li><li><div>
Tuition Assistance Program.</div></li><li><div>
Professional Development opportunities.</div></li><li><div>
Wellhub Discount</div></li><li><div>
Verizon Wireless Discount.</div></li><li><div>
BJs Membership discount.</div></li><li><div>
Discounts on Broadway tickets, movie tickets, theme parks, sporting events, gift certificates &amp; more</div></li></ul><div><div>
HeartShare is an Equal Opportunity Employer (EOE). If you need to request accommodation during the recruiting process, please reach out to Leaves@heartshare.org.
</div></div><p></p><div><div><b>About Heartshare</b></div></div><div><div>
Who WE ARE:</div></div><div><div>
For over 150 years, Heartshare has been dedicated to championing and empowering New Yorkers society has too often overlooked and underestimated.</div></div><p>
</p><div><div>To learn more about HeartShare, please visit our website at www.heartshare.org or Follow us on Twitter LinkedIn YouTube Instagram Facebook</div></div><div><div>
HeartShare Human Services of New York | Homepage</div></div><div><div>
HeartShare Human Services of New York nurtures and empowers children and adults with intellectual and developmental disabilities.</div></div></div>

Director of Billing

Tobii Dynavox

<div><div>Why join us?</div><div></div><div><br>
We&rsquo;re on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to <div>express themselves, connect with the world, and live richer lives</div>.</div><div><br>
At Tobii Dynavox, you can grow your career within <div>a dynamic, global company</div> that has a clear, impactful purpose - with the flexibility to also do what truly matters to you outside of work. What&rsquo;s more, you&rsquo;ll be part of a work culture where collaboration is the norm and individuality is welcomed.</div><div></div><div><br>
As a member of our team, you&rsquo;ll have the power to make it happen. You&rsquo;ll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers&rsquo; lives.</div><div>
JOB SUMMARY:</div><div>
The Senior Director, Revenue Cycle Operations is responsible for the strategic leadership, performance, and optimization of the company&rsquo;s end‑to‑end revenue cycle, ensuring accurate, compliant, and timely reimbursement across Medicare, Medicaid, and commercial payers. This executive leader manages Billing &amp; Collections, claims management, denial management, accounts receivable, appeals, and revenue analytics. In the role they will implement continuous improvement processes, tools and ways of working.</div><div></div><div>
The role drives initiatives to enhance operational efficiency to accelerate cash collections, reduce revenue leakage, and build scalable processes to support the company&rsquo;s continued national growth. It ensures alignment between payer strategy and operational execution through close partnership with Finance, Technology, Funding Operations, and Payer Strategy.</div><div></div><div>
The Senior Director drives a culture of accountability, operational excellence, innovation, and continuous improvement while developing high‑performing teams across all revenue cycle functions.</div><div></div><div>
KEY RESPONSIBILITIES:</div><div>
Strategic &amp; Operational Leadership</div><ul><li>
Establish and execute a clear North America revenue cycle strategy with defined KPIs, milestones, and deliverables.</li><li>
Billing &amp; Collections, and all downstream revenue cycle activities.</li><li>
Drive execution of growth and efficiency targets, ensuring alignment with corporate goals.</li><li>
Foster a culture of accountability, ownership, performance, and continuous improvement.</li><li>
Lead recruitment, coaching, and development of directors and revenue cycle leadership.</li></ul><div></div><div>
Core Revenue Cycle Oversight</div><ul><li>
Provide executive oversight of:<ul><li>
Claims billing and submission</li><li>
Payer billing compliance</li><li>
Denial management and appeals</li><li>
Accounts receivable and cash collections</li><li>
Revenue reporting and analytics</li></ul></li><li>
Ensure efficient, compliant operations that maximize reimbursement and reduce revenue leakage.</li></ul><div></div><div>
Billing Accuracy &amp; Reimbursement Optimization</div><ul><li>
Improve clean claim submission rates and reduce claim errors/rework.</li><li>
Ensure proper coding, documentation, and adherence to payer requirements.</li><li>
Strengthen processes that optimize first‑pass acceptance rates.</li></ul><div></div><div>
Denial Prevention &amp; Resolution</div><ul><li>
Lead root‑cause analysis and operational improvements to reduce denials.</li><li>
Develop strategies for appeals, escalation, and collaboration with Payer Strategy.</li><li>
Address systemic payer issues through data‑driven insights.</li></ul><div></div><div>
Revenue Integrity &amp; Compliance</div><ul><li>
Ensure compliance with Medicare, Medicaid, and commercial payer rules governing DME reimbursement.</li><li>
Maintain audit readiness and oversee internal/external audit support.</li><li>
Ensure documentation, authorization, and billing requirements are consistently met.</li><li>
Monitor regulatory changes and risks impacting reimbursement.</li></ul><div></div><div>
Funding &amp; Order-to-Cash Integration</div><ul><li>
Partner closely with Funding leadership, and Payer Strategy to optimize processes across the Order‑to‑Cash lifecycle.</li><li>
Ensure consistency across zones, teams, and operational workflows.</li></ul><div></div><div>
Revenue Analytics &amp; Performance Management</div><ul><li>
Lead the development of revenue cycle reporting for executive use.</li><li>
Provide insights into:<ul><li>
Productivity of team</li><li>
Billing productivity</li><li>
AR aging and performance</li><li>
Denial and reimbursement trends</li><li>
Payer‑specific performance</li></ul></li><li>
Use analytics to identify operational gaps and drive improvement initiatives.</li></ul><div></div><div>
Technology &amp; Process Improvement</div><ul><li>
Partner with Technology and Data teams to optimize revenue cycle systems.</li><li>
Drive automation of billing, authorization, and claims workflows.</li><li>
Improve reporting, dashboards, and integration with operational platforms.</li><li>
Champion innovation and future‑proof tools, processes, and systems.</li></ul><div></div><div>
Key Performance Indicators (KPIs)</div><div>
Success in this role is measured through:</div><ul><li>
Days Sales Outstanding (DSO)</li><li>
Clean Claim Rate</li><li>
First‑Pass Acceptance Rate</li><li>
Denial Rate by Payer</li><li>
Net Collection Rate</li><li>
Appeals rate vs Revenue</li><li>
AR Aging (particularly &gt;90‑day reduction)</li><li>
Funding process compliance &amp; efficiency</li><li>
Achievement of OKRs across all revenue cycle teams</li></ul><div></div><div>
MINIMUM QUALIFICATIONS:</div><div>
Education &amp; Experience</div><ul><li>
Bachelor&rsquo;s degree in Business Administration or related field, or equivalent experience.</li><li>
10+ years of leadership experience in healthcare revenue cycle operations.</li><li>
Experience in DME, home medical equipment, healthcare services, or healthcare technology.</li><li>
Deep understanding of Medicare, Medicaid, and commercial payer reimbursement.</li><li>
Proven success scaling revenue operations in high‑growth healthcare organizations.</li></ul><div>
Leadership Competencies</div><ul><li>
Visionary strategic leader who sets clear direction and motivates teams.</li><li>
Resilient and able to persevere through challenges while maintaining long‑term focus.</li><li>
Decisive decision‑maker with strong judgment.</li><li>
Influential communicator skilled at aligning stakeholders across functions.</li><li>
Strong interpersonal, presentation, collaboration, and executive communication skills.</li></ul><div>
Technical Skills</div><ul><li>
Strong technical proficiency with MS Office, Teams/Zoom, Teams/Zoom Excel, PowerPoint, and revenue cycle systems is required.</li></ul><div></div><div>
WORK ENVIRONMENT REQUIREMENTS:</div><ul><li>
Primarily based in the Pittsburgh office two to three days each week.</li><li>
Primarily desk‑based role with low/moderate noise level.</li><li>
Occasional domestic and international travel up to 10% may be required.</li></ul><div>
Apply today!</div><div></div><div>
We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we&rsquo;d love to hear from you.</div><div></div><div>
Where we stand:</div><div></div><div>
We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger.</div><div></div><div>
Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.</div><div></div><div><br>
Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled</div></div>

Senior Director, Revenue Cycle Operations

Backpack Healthcare

<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><h2 class="jobSectionHeader"><b>Sr. Revenue Cycle Manager</b></h2>
<p><b>
Location:</b> Remote<br>
<b>Department:</b> Finance<br>
<b>Reports to:</b> VP Finance</p>
<p><b>
Compensation: </b>$80,000/year</p>
<p></p>
<h3 class="jobSectionHeader"><b>Build the Revenue Engine Behind Mission-Driven Care</b></h3>
<p>
Backpack Medical Group is seeking an experienced <b>Sr. Revenue Cycle Manager</b> to lead and operationalize our end-to-end revenue cycle across a multi-state behavioral health organization.</p>
<p>
This is a high-impact leadership role responsible for stabilizing, strengthening, and scaling billing operations that support care delivery to underserved Medicaid populations.</p>
<p>
You will directly manage a team of 3&ndash;4 billing specialists and take full ownership of billing operations &mdash; from patient intake through claim resolution, posting, and collections.</p>
<p><b>
Mandatory Requirement:</b> Advanced experience with eClinicalWorks (ECW)<br>
<b>Strongly Preferred:</b> Behavioral health and Medicaid experience &amp; Lean Six Sigma Certification</p>
<p></p>
<h2 class="jobSectionHeader"><b>What You'll Accomplish in the First 60 Days</b></h2>
<p>
You'll immediately focus on stabilizing and strengthening our revenue cycle infrastructure by:</p>
<ul>
<li><p>Stabilizing urgent revenue cycle gaps</p>
</li>
<li><p>Building foundational reporting infrastructure</p>
</li>
<li><p>Correcting system mappings and configuration issues</p>
</li>
<li><p>Implementing controls to eliminate:</p>
<ul>
<li><p>Aged claims</p>
</li>
<li><p>Posting errors</p>
</li>
<li><p>Patient and payer balance backlogs</p>
</li>
</ul></li></ul><p>This role is both strategic and hands-on &mdash; ideal for someone who thrives on fixing broken processes and building scalable systems.</p>
<p></p>
<h2 class="jobSectionHeader"><b>Ideal Candidate Profile</b></h2>
<p>
We're looking for a leader who is:</p>
<ul>
<li><p>A systems thinker who can stabilize complex workflows</p>
</li>
<li><p>Hands-on (not purely strategic)</p>
</li>
<li><p>Comfortable repairing inefficient or broken processes</p>
</li>
<li><p>Data-driven and audit-oriented</p>
</li>
<li><p>Highly organized and detail-obsessed</p>
</li>
<li><p>A strong communicator across finance, clinical, and technical teams</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Purpose of the Role</b></h2>
<p>
This performance agreement outlines expectations and success metrics for the Sr. Revenue Cycle Manager/ Director at Backpack Medical Group.</p>
<p>
This role is critical to:</p>
<ul>
<li><p>Strengthening billing infrastructure</p>
</li>
<li><p>Improving collections performance</p>
</li>
<li><p>Accelerating cash flow</p>
</li>
<li><p>Standardizing revenue cycle operations</p>
</li>
<li><p>Supporting scalable behavioral health services for underserved Medicaid populations</p>
</li>
</ul><p>You will be accountable for end-to-end revenue cycle performance, team leadership, process standardization, and cash acceleration &mdash; directly aligning billing performance with organizational growth and mission delivery.</p>
<p></p>
<h1 class="jobSectionHeader"><b>Scope of Responsibilities</b></h1>
<h2 class="jobSectionHeader"><b>Revenue Cycle Oversight</b></h2>
<p>
Provide operational ownership across the full billing lifecycle, including:</p>
<ul>
<li><p>Eligibility and prior authorization verification</p>
</li>
<li><p>Claim creation, transfer, and submission through <b>eClinicalWorks (ECW)</b></p>
</li>
<li><p>Payment posting, reconciliation, and deposit tracking</p>
</li>
<li><p>Patient balance follow-up and payer balance resolution</p>
</li>
<li><p>Denial management and aged accounts recovery</p>
</li>
</ul><p>Ensure billing compliance across:</p>
<ul>
<li><p>Credentialing status</p>
</li>
<li><p>Supervision requirements</p>
</li>
<li><p>CPT / ICD / POS combinations</p>
</li>
<li><p>Fee schedule mapping</p>
</li>
<li><p>Payer contract terms</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Team Leadership &amp; Operational Management</b></h2>
<ul>
<li><p>Directly supervise and lead 3&ndash;4 billing specialists</p>
</li>
<li><p>Maintain productivity standards, quality audits, and KPI accountability</p>
</li>
<li><p>Develop and document SOPs and internal controls</p>
</li>
<li><p>Manage billing ticket prioritization to ensure timely responses to internal and external inquiries</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Immediate Infrastructure &amp; Stabilization (First 60 Days) ️</b></h2>
<p>
Lead development and operationalization of key infrastructure:</p>
<ul>
<li><p>Validate payer data across systems</p>
</li>
<li><p>Identify and correct posting errors</p>
</li>
<li><p>Lead team through existing Claim Denial Projects</p>
</li>
<li><p>Establish payer portal access across all payers</p>
</li>
<li><p>Conduct internal systems review and adjust settings:</p>
<ul>
<li><p>Validate and correct supervision mappings</p>
</li>
<li><p>Confirm POS, payer ID, and fee schedule crosswalk accuracy</p>
</li>
<li><p>Resolve over-applied postings</p>
</li>
</ul></li></ul><p></p><h2 class="jobSectionHeader"><b>Claims Management &amp; Compliance ✅</b></h2>
<ul>
<li><p>Ensure timely claim submission</p>
</li>
<li><p>Validate coding combinations and billing readiness criteria</p>
</li>
<li><p>Track denials with documented root-cause analysis</p>
</li>
<li><p>Coordinate corrective actions across departments to prevent recurrence</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Payment Posting &amp; Reconciliation Oversight</b></h2>
<ul>
<li><p>Cross-check bank deposits and patient payments for posting accuracy</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Patient &amp; Payer Balance Resolution</b></h2>
<ul>
<li><p>Monitor patient statement generation and notification workflows</p>
</li>
<li><p>Coordinate balance resolution and write-off processes consistent with policy</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Credentialing &amp; Provider Lifecycle Alignment</b></h2>
<ul>
<li><p>Partner with Credentialing, HR, and Clinical leadership to confirm provider readiness prior to billing</p>
</li>
<li><p>Track supervision changes and effective dates</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Reporting, Analytics &amp; Strategic Initiatives</b></h2>
<ul>
<li><p>Monitor A/R aging, denial trends, posting lag, and clean claim performance</p>
</li>
<li><p>Lead targeted initiatives to reduce aged payer and patient balances</p>
</li>
<li><p>Participate in strategic billing initiatives including reimbursement testing and workflow optimization</p>
</li>
</ul><p></p><h1 class="jobSectionHeader"><b>Qualifications</b></h1>
<h2 class="jobSectionHeader"><b>Soft Skills</b></h2>
<ul>
<li><p>Investigative mindset with strong root-cause problem-solving ability</p>
</li>
<li><p>Proven leadership capability with direct team management</p>
</li>
<li><p>Excellent cross-functional communication and stakeholder alignment</p>
</li>
<li><p>Results-oriented and data-driven decision maker</p>
</li>
<li><p>Mission-aligned with improving access to care for underserved populations ❤️</p>
</li>
<li><p>Long-term partnership orientation and commitment to organizational growth</p>
</li>
</ul><p></p><h2 class="jobSectionHeader"><b>Hard Skills</b></h2>
<ul>
<li><p>Advanced <b>eClinicalWorks (ECW)</b> billing experience (mandatory)</p>
</li>
<li><p>MS Excel reporting proficiency (mandatory)</p>
</li>
<li><p>Payment posting expertise</p>
</li>
<li><p>Denial management and A/R recovery experience</p>
</li>
<li><p>Familiarity with Waystar, Availity, payer portals, and payment platforms</p>
</li>
<li><p>Strong CPT / ICD / POS validation knowledge</p>
</li>
<li><p>5+ years of healthcare revenue cycle leadership experience with direct reports</p>
</li>
<li><p>Behavioral health billing and Medicaid experience (preferred)</p>
</li>
</ul><p></p><h3 class="jobSectionHeader"><b>Why This Role Matters</b></h3>
<p>
This is more than a billing leadership role &mdash; it's an opportunity to build operational excellence that directly expands access to behavioral health services.</p>
<p>
If you're a hands-on revenue cycle leader who thrives in complexity and wants to create scalable systems that support mission-driven care, we'd love to hear from you.</p></div></div><br>
</div>
</div></div></div></div></div></div></div></div></div></div></div></div></div><div></div><p><b>Backpack Health is an Equal Opportunity Employer. We believe that the strength of our care depends on the diversity and wellbeing of our team. We celebrate differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other traits that make each person unique. We welcome and encourage diverse candidates to apply for any position for which they are qualified and to bring their unique perspectives, experiences, and talents to our team.</b></p>
<p><b>
Backpack Health is an Equal Opportunity Employer. We believe that the strength of our care depends on the diversity and wellbeing of our team. We celebrate differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other traits that make each person unique. We welcome and encourage diverse candidates to apply for any position for which they are qualified and to bring their unique perspectives, experiences, and talents to our team.</b></p></div>

Sr. Revenue Cycle Manager

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