Director of Revenue Cycle

Director Of Revenue Cycle

Kitsap Mental Health Services (KMHS) is seeking a Director of Revenue Cycle to lead revenue operations across the organization. This position plays a key role in ensuring financial processes support timely access to behavioral health services and long-term organizational sustainability. The role partners with leaders throughout KMHS to strengthen performance, improve accountability, and support future growth. If you're committed to building high-performing operations that support quality care, we welcome your application.

Primary Responsibilities:

• Provide leadership and oversight for all revenue cycle operations, including billing, authorizations, coding, payment posting, accounts receivable, denial management, collections, front desk operations, and customer contact functions.
• Develop and implement strategies to improve reimbursement, reduce denials, strengthen revenue integrity, and increase operational efficiency.
• Establish, monitor, and report key performance indicators, productivity standards, quality measures, and financial benchmarks.
• Oversee provider credentialing, recredentialing, payer enrollment, and privileging activities.
• Lead client financial services operations, including billing inquiries, payment arrangements, financial assistance processes, complaint resolution, and customer service standards.
• Analyze revenue cycle performance and develop corrective action plans to improve cash flow, collections, and reimbursement outcomes.
• Oversee claims management activities, including claim submission, denial prevention, appeals, underpayment analysis, and reimbursement recovery efforts.
• Partner with clinical, operational, and finance leaders to support accurate documentation, coding, billing, and compliance practices.
• Develop and maintain revenue cycle policies, procedures, workflows, and internal controls.
• Ensure compliance with Medicare, Medicaid, HIPAA, CCBHC requirements, payer regulations, and other applicable standards.
• Lead revenue cycle audits, monitoring activities, and process improvement initiatives.
• Collaborate with Information Technology and system vendors to optimize EHR functionality, billing systems, reporting tools, workflow automation, and analytics.
• Review payer contracts, reimbursement methodologies, payment trends, and denial patterns and provide recommendations to leadership.
• Oversee revenue reporting, forecasting, dashboard development, and operational analysis.
• Develop staff training and competency programs related to billing regulations, coding updates, reimbursement requirements, and customer service.
• Support organizational growth initiatives, new program implementation, and service expansion efforts.
• Build productive relationships with payers, auditors, regulatory agencies, providers, clients, and external stakeholders.
• Promote accountability, continuous improvement, customer service excellence, and data-driven decision-making throughout revenue cycle operations.
• Partner with agency leadership on payer contract negotiations and implementation of new agreements.
• Participate in audits, accreditation activities, regulatory reviews, payer assessments, and corrective action planning.
• Provide regular reports and recommendations to executive leadership regarding financial performance, reimbursement trends, credentialing status, customer service metrics, and operational opportunities.

Minimum Qualifications :

• EDUCATION: Bachelor's degree in business administration, healthcare administration, finance, accounting, public health, or related field.
• EXPERIENCE/SKILLS: Minimum five (5) years' experience in healthcare revenue cycle management, with 2 years in supervisory or leadership role.
• Minimum three (3) years of general management or supervisory experience.
• Demonstrated experience overseeing multiple revenue cycle functions including billing, collections, coding, reimbursement, and accounts receivable management.

Preferred Qualifications:

• EDUCATION: Master's degree in business administration, Healthcare administration, finance, or related field.
• EXPERIENCE/SKILLS: Seven (7) or more years of healthcare revenue cycle leadership experience. Experience within community behavioral health, FQHC, CCBHC, or integrated healthcare settings. Experience working with Medicaid, Medicare, Managed Care Organizations, and understanding of value-based payment models.
• Experience with electronic health record systems, revenue cycle analytics, and revenue integrity programs.

Performance Requirements:

KNOWLEDGE:

• Comprehensive knowledge of healthcare revenue cycle operations and reimbursement methodologies.
• Knowledge of CPT, HCPCS, ICD-10, and behavioral health coding requirements.
• Knowledge of federal, state, and local healthcare regulations affecting billing and reimbursement.
• Knowledge of HIPAA, HITECH, fraud and abuse regulations, and healthcare compliance standards.
• Knowledge of Medicaid, Medicare, Managed Care contracting, and third-party payer requirements.
• Understanding of healthcare financial reporting, budgeting, and revenue forecasting principles.
• Knowledge of electronic health records and healthcare information systems.

SKILLS:

• Excellent communication and presentation skills.
• Strong analytical and problem-solving capabilities.
• Advanced financial and operational reporting skills.
• Ability to establish and maintain effective working relationships with staff, providers, payers, and community partners.
• Ability to manage multiple priorities and deadlines in a fast-paced environment.
• Strong organizational, leadership, and project management skills.
• Ability to interpret and apply complex regulations and reimbursement guidelines.

ABILITIES:

• Guide individuals and teams toward organizational goals while maintaining high standards of accountability and performance.
• Analyze large volumes of financial and operational data to identify trends and opportunities.
• Implement system-wide process improvements that enhance revenue cycle outcomes.
• Build collaborative relationships across departments and levels of leadership.
• Effectively navigate challenging payer, regulatory, and operational issues.
• Communicate complex financial and operational concepts to diverse audiences.
• Demonstrate sound judgment, professionalism, and discretion when handling confidential information.
• Utilize technology and reporting tools to monitor performance and support informed decision-making.

Worksite-Specific Requirements: check applicable worksite(s)

WORKSITE #1: Campbell Campus

REQUIREMENT: No additional requirements for this worksite location.

WORKSITE # 3 : All Other Sites As Needed

REQUIREMENT: Frequent interaction with leadership, staff, payers, auditors, regulatory agencies, and external stakeholders.

Equipment Operated: Standard office equipment including computers, copiers, printers, scanners, telephones, calculators, and other related business equipment.

Work Environment : Office, remote workspace, and occasional travel between KMHS locations.

Mental/Physical Requirements : While performing the essential functions of the job, the employee is required to:

• Sit, stand, and walk for extended periods.
• Lift, carry, push, and pull:
• Up to 10 pounds (frequently)
• Up to 20 pounds (occasionally)
• Up to 50 pounds (seldom)
• Use hands and arms for reaching, handling, and manipulation, including reaching above shoulder level.
• Have visual acuity sufficient to review detailed financial, billing, and operational reports.
• Have hearing sufficient to communicate effectively in person, virtually, and by telephone.
• Frequently use a computer and other office technology for extended periods.

Our recruitment processes are designed to prevent discrimination against our people regardless of gender identity or orientation, religion, ethnicity, age, neurodiversity, disability status, citizenship, or any aspect which makes someone unique.