Director of Revenue Cycle

Job Description

Job Description

Description:

Choices for People provides year-round support and instructional programs designed to aid individuals with disabilities in developing essential life skills. These skills promote inclusion, independence, self-sufficiency, and productivity; and aim to maximize the individual’s quality of life in the least restrictive environment possible.

Choices for People assists in individual goal-oriented program planning, and acts as an advocate in the community through the removal of attitudinal, architectural, environmental, financial, employment-related, communicational, transportation, and other barriers.

Position Summary

The Director of Revenue Cycle is responsible for the strategic and operational oversight of all revenue cycle functions, including billing, claims management, reimbursement, accounts receivable, collections, denial management, and revenue optimization. This position ensures timely and accurate reimbursement from all payor sources while maximizing cash flow and maintaining compliance with organizational, state, federal, and payor requirements.

The Director of Revenue Cycle supervises Residential Finance Specialists and works collaboratively with programs, administration, and finance leadership to improve revenue cycle performance and enhance operational effectiveness.

Duties and Responsibilities ( not all inclusive)

• Direct and oversee all billing and reimbursement functions.
• Ensure timely submission of claims to Medicaid and other payors.
• Manage accounts receivable and collection activities.
• Monitor aging reports and implement corrective action strategies.
• Lead denial management and appeal processes.
• Identify reimbursement trends and opportunities for revenue enhancement.
• Develop and monitor revenue cycle performance metrics.
• Supervise and develop residential finance staff.
• Improve workflows to increase efficiency and reduce reimbursement delays.
• Collaborate with program leadership to ensure accurate census and service documentation.
• Review remittance advice and payment posting accuracy.
• Monitor reimbursement variances and underpayment trends.
• Assist in monthly revenue analysis and forecasting.
• Provide reports and recommendations to finance leadership regarding revenue cycle performance.
• Ensure compliance with billing regulations and payor requirements.
• Maintain working knowledge of Medicaid insurance reimbursement requirements.
• Assist with audits related to billing and reimbursement functions.
• Oversee process for individual benefit eligibility and requirements.
• Oversee individual mandated budgets.

Requirements:

Education and/or Experience:

• Bachelor's degree in Business, Healthcare Administration, Finance, Accounting, or related field preferred.
• Five years of progressively responsible revenue cycle experience.
• Supervisory experience preferred.
• Experience with service coordinators, residential treatment, or Medicaid reimbursement strongly preferred.

Knowledge, Skills, and Abilities:

• Strong understanding of claims processing, AR management, and third-party payor requirements.
• Excellent verbal and written communication skills
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, and governmental regulations.
• Strong attention to detail, organizational skills, and accuracy.
• Ability to maintain confidential information.
• Demonstrated ability to work collaboratively, build relationships, and engage effectively with individuals served, staff, community members, and partners.
• Strong initiative, independence, and time-management abilities.
• Commitment to the organization's mission, vision, and values.
• Proficiency with Microsoft Office and commonly used financial systems
• Ability to represent the organization professionally in community settings, stakeholder meetings, and public events.

Physical Demands:

• Ability to stand, move, and be physically active for extended periods.
• Ability to regularly lift 30–50 pounds.
• Ability to participate in and support activities occurring in a variety of environments (indoor, outdoor, community settings).

Comments:

Failure to provide official transcript(s) or other required verification may result in the withdrawal of the job offer.

All job offers are contingent upon successful completion of a criminal background check and a drug screen.

EEO STATEMENT:

It is the policy and intent of Choices for People Center, Inc. to comply with all federal and state laws concerning non-discrimination and equal employment opportunity, regardless of race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, disability or genetic information (including family medical history), veteran status, or age (40 or older), except where age is a bona fide occupational requirement or qualification; and to take affirmative action towards the goals and intentions of the applicable laws.

Furthermore, it is our policy and intent to practice non-discrimination in regard to the above factors on personnel matters concerning employment, promotion, demotion, transfer, recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training including apprenticeship.