Director of Revenue Cycle Management

Position Summary

We are seeking an experienced and strategic Director of Revenue Cycle Management to lead and optimize all aspects of the revenue cycle for a growing multi-site healthcare organization. This leader will be responsible for developing best-in-class revenue cycle processes that maximize reimbursement improve cash flow reduce denials ensure regulatory compliance and enhance the overall patient financial experience.

The ideal candidate is an experienced healthcare revenue cycle leader with a strong background in Federally Qualified Health Centers (FQHCs) California reimbursement regulations and multi-site healthcare operations.

Key Responsibilities

Revenue Cycle Leadership

Develop implement and continuously improve revenue cycle policies procedures and operational systems that maximize reimbursement while maintaining compliance and minimizing billing errors including:

• Patient registration insurance eligibility authorization and benefits verification
• Charge capture coding accuracy and charge entry
• Claims submission tracking and resolution
• Accounts receivable management including denials appeals collections and bad debt
• Payment posting reconciliation and credit balance resolution

Organizational Collaboration & Training

• Build strong partnerships across clinical operational and executive leadership teams to optimize revenue cycle performance.
• Collaborate with the COO and Front Office leadership to strengthen front-end revenue cycle functions including patient registration documentation insurance verification and point-of-service collections.
• Communicate regulatory reimbursement and revenue cycle updates throughout the organization.
• Educate departments on how operational performance impacts revenue cash flow patient satisfaction and overall organizational financial health.

Reporting Analytics & Contract Management

• Develop and present monthly revenue cycle performance reports including KPIs trends variances and improvement recommendations.
• Analyze revenue cycle metrics and quickly identify issues affecting reimbursement or cash collections.
• Ensure ongoing compliance with all applicable federal state and payer regulations.
• Review negotiate and maintain favorable payer contracts reimbursement methodologies and payment terms.
• Maintain expertise in Medicare Medi-Cal CMS regulations and California FQHC reimbursement requirements.

Revenue Integrity & Denial Management

• Monitor reimbursement activity to ensure timely payment of all claims.
• Develop proactive strategies to reduce denials and improve first-pass claim acceptance.
• Implement corrective action plans to resolve payment delays and reimbursement issues.
• Monitor regulatory changes and adjust revenue cycle processes accordingly.

Leadership & Staff Development

• Recruit develop mentor and retain high-performing revenue cycle billing coding registration and financial counseling staff.
• Establish measurable productivity quality and performance standards.
• Provide coaching education and professional development opportunities.
• Develop internal controls and workflows that improve efficiency accountability and compliance.
• Ensure appropriate staffing levels while effectively managing scheduling overtime and daily operations.
• Foster a culture of collaboration continuous improvement and exceptional customer service.

Qualifications

Education

• Bachelors degree in Business Administration Finance Accounting Healthcare Administration Health Management or a related field required.
• Masters degree (MBA MHA or related field) strongly preferred.

Experience

• Minimum of five years of progressive leadership experience managing healthcare revenue cycle operations.
• Seven or more years of revenue cycle leadership within a multi-site California Federally Qualified Health Center (FQHC) strongly preferred.
• Demonstrated success improving revenue cycle performance reimbursement collections and operational efficiency.
• Experience with payer contract negotiations and regulatory compliance.

Preferred Certifications

• Certified Revenue Cycle Specialist (CRCS) Certified Revenue Cycle Professional (CRCP) Certified Revenue Cycle Executive (CRCE) or similar certification preferred.
• Certified Professional Coder (CPC) Certified Coding Specialist (CCS) or equivalent coding certification preferred.

Knowledge Skills & Abilities

• Strong knowledge of the complete healthcare revenue cycle including registration coding billing collections denials management and reimbursement.
• Comprehensive understanding of Medicare Medi-Cal CMS regulations and California FQHC reimbursement methodologies.
• Proven leadership experience managing exempt and non-exempt healthcare professionals.
• Strong analytical skills with the ability to interpret financial and operational data to drive performance improvements.
• Excellent written verbal presentation and interpersonal communication skills.
• Outstanding organizational project management and problem-solving abilities.
• Ability to effectively manage multiple priorities in a fast-paced healthcare environment.
• High level of integrity professionalism and accountability.
• Demonstrated commitment to culturally competent care and serving diverse patient populations.
• Bilingual English/Spanish (written and verbal) is highly desirable.
• Strong computer proficiency including Microsoft Office Suite (Excel Word Outlook) electronic health records (EHR/EMR) practice management systems and revenue cycle software.

Compensation & Benefits

• Salary:$152000 to $178000 annually
• Comprehensive benefits package
• Direct Hire opportunity
• Stable mission-driven nonprofit healthcare organization
• Collaborative and supportive leadership team

Apply Today

If you are an experienced healthcare purchasing professional looking to make an impact with a respected nonprofit healthcare organization we would love to hear from you.

Please email your resume to: