Director of Revenue Cycle

We are seeking a Director of Revenue Cycle to join our great team. Ideally you will have at least 5 years of experience in a Revenue Cycle or Billing Leadership role within a successful clinical organization. Having experience in Pediatric Therapy or ABA Therapy experience is a plus! Our team works very closely together so ability to work well with others eagerness to learn and a focus on patient care is key.

Position Summary

The Director of Revenue Cycle oversees and leads all aspects of the revenue cycle for our collaborative pediatric therapy program. This role is responsible for ensuring the financial health of the program by optimizing front-end and back-end billing operations enhancing revenue integrity and ensuring compliance with payer requirements. The Director of Revenue Cycle partners with Clinical Administrative Operations Finance and IT leadership to improve workflow efficiency reduce denials accelerate cash flow and maintain high levels of patient and provider satisfaction.

This position requires strong expertise in medical billing collections payer contracting and complianceparticularly in the context of pediatric therapy including SLP OT PT and ABA services.

Key Responsibilities

Strategic Oversight

• Lead and develop strategies to optimize revenue cycle performance across all service lines (ABA SLP OT PT and MH).
• Establish and monitor KPIs related to billing collections AR days denial rates and charge lag.
• Oversee revenue cycle analytics and proactively identify trends gaps and opportunities for improvement as well as perform revenue forecasting and supportive financial planning.

Operational Management

• Develop and implement policies and procedures for billing coding invoicing collections and account reconciliation to ensure compliance with organizational standards and regulatory requirements. Ensure clean claim submission timely payment posting and effective denial management.
• Implement policies and controls to maintain compliance with Medicaid commercial payers all third-party payers and specialty-specific regulations.
• Partner with front desk and clinical teams to ensure complete and accurate patient registration and documentation.
• Resolve escalated patient complaints and complex staffing challenges or issues.

Compliance & Contracting

• Monitor regulatory updates (e.g. CMS HIPAA) to ensure compliant billing practices.
• Oversee proper coding and documentation practices in collaboration with coding and clinical staff.

Leadership & Collaboration

• Recruit train and evaluate performance of revenue cycle team members to ensure high performance and adherence to industry best practices.
• Foster a culture of accountability efficiency and continuous improvement.
• Serve as a key resource and strategic advisor to executive leadership on financial operations and revenue opportunities.

Qualifications

Required:

• Minimum of 57 years of progressive leadership experience in healthcare revenue cycle management.
• Ability to troubleshoot payer issues and resolve them
• Demonstrated knowledge of payer requirements and compliance standards related to billing and claims submissions.
• Strong understanding of CPT coding billing guidelines and reimbursement protocols.
• Knowledge of payer requirements for billing and claims submissions.
• Proven expertise in managing end-to-end revenue cycle workflows in multi-location programs.
• Strong analytical and problem-solving skills; proficiency in Excel and revenue cycle software and EHR systems. (Raintree preferred though not required).

Preferred:

• Bachelors degree in Healthcare Administration Finance Business or related field.
• Certified Professional Coder (CPC) or equivalent certification.
• Deep understanding of pediatric therapy billing coding and payor rules including ABA SLP OT PT and MH.
• Ability to review and negotiate payer contracts to maximize reimbursement while managing administrative burden.

Key Competencies

• Leadership and team development
• Financial acumen and strategic thinking
• Process improvement and workflow optimization
• Clear professional communication
• Data-driven decision-making
• Change management

If youre ready tomake a lasting impactin the lives of children and their families while working with anincredible team of professionals we want to hear from you! Apply today and become part of the MetroEHS Pediatric Therapy family where weReveal the Super in Every Child!