Revenue Cycle Management Director

Revenue Cycle Management Director

Dallas - Corporate - Dallas, TX 75202

Overview

This position supports our Mission — To expand access to compassionate, high-quality mental health care.

Description

The Director, Revenue Cycle Management (RCM) will oversee and optimize the end-to-end revenue cycle across Turnwell Mental Health Network's multi-site organization. This leader is responsible for driving operational excellence, compliance, and financial performance within patient access, billing, coding, collections, and reimbursement. By partnering with clinical, operational, and financial teams, the RCM Director ensures consistent, scalable processes that maximize revenue capture, support the patient experience, and align with organizational growth. This role serves as a key advisor to executive leadership and is accountable for the financial health and integrity of the revenue cycle across all service lines — including general psychiatric care, Therapy, TMS, Spravato®, IV Ketamine, and IOP.

Core Responsibilities

Leadership & Strategy

• Develop and execute a comprehensive revenue cycle strategy that supports Turnwell's multisite expansion and long-term scalability.
• Lead, mentor, and develop revenue cycle teams across patient access, billing, collections, and coding functions.
• Establish and monitor KPIs, dashboards, and performance metrics to ensure optimal cash flow, reduced denials, and continuous improvement.
• Set clear performance expectations, conduct regular reviews, and foster a culture of accountability and professional growth.

Operational Excellence

• Oversee day-to-day revenue cycle operations, ensuring consistent and standardized processes across all Turnwell sites.
• Partner with site leaders and clinical staff to identify and resolve revenue cycle issues impacting patient experience or collections outcomes.
• Implement best practices in charge capture, coding accuracy, claims submission, and reimbursement optimization across all specialty service lines.
• Lead revenue cycle audits and root cause analyses to reduce denial rates and accelerate collections.

Compliance & Quality

• Ensure full adherence to federal, state, and payer regulations, including HIPAA, CMS guidelines, and state-specific billing requirements.
• Monitor compliance with coding standards (CPT, ICD-10, HCPCS) and payer contract requirements across all service lines.
• Stay current on industry trends, regulatory changes, and payer policy updates to proactively adapt revenue cycle processes.
• Maintain compliance with specialty program-specific requirements, including REMS documentation obligations for Spravato® billing.

Technology & Process Improvement

• Lead the implementation and ongoing optimization of EHR and practice management system functionality to support revenue cycle efficiency.
• Drive automation, workflow standardization, and technology adoption to improve accuracy and reduce manual rework across billing operations.
• Identify and implement process improvement initiatives that reduce denials, shorten A/R days, and strengthen overall revenue cycle performance.

Collaboration & Reporting

• Serve as a key advisor to executive leadership on revenue performance, financial risks, and strategic opportunities.
• Prepare and present monthly revenue cycle performance reports, including KPIs, trend analyses, denial summaries, and reimbursement forecasts.
• Partner with finance, operations, and clinical leadership to align revenue cycle processes with organizational priorities and growth initiatives.
• Collaborate with the RCM team, Practice Managers, and Billing Lead to identify workflow improvements and resolve cross-functional billing challenges.

Qualifications

Required

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field (Master's preferred).
• Minimum 7–10 years of progressive revenue cycle management experience in healthcare, with at least 3 years in a leadership role.
• Proven experience overseeing revenue cycle operations in a multi-site or multi-specialty healthcare organization.
• Strong knowledge of payer rules, healthcare reimbursement methodologies, and coding standards (CPT, ICD-10, HCPCS).
• Demonstrated success implementing process improvements and technology solutions to enhance revenue cycle performance.
• Excellent communication, leadership, and problem-solving skills with the ability to influence across clinical, operational, and financial teams.
• Commitment to HIPAA compliance, patient confidentiality, and ethical billing practices.

Preferred

• Certified Revenue Cycle Professional (CRCP), Certified Professional Biller (CPB), or equivalent designation.
• Prior experience in behavioral health, mental health, or specialty healthcare billing environments.
• Familiarity with specialty mental health billing requirements for TMS, Spravato®, IV Ketamine, or IOP service lines.
• Experience with revenue cycle management (RCM) platforms, EHR optimization, and data reporting tools.
• Track record of leading organizational change and driving measurable improvements in A/R performance and denial reduction.

Core Competencies

Revenue Cycle Strategy & Leadership - Denial Management & Process Improvement

Operational Excellence (Multi-Site) - Medical Coding (CPT / ICD-10 / HCPCS)

Financial Analysis & KPI Management - EHR / PM System Optimization

Regulatory Compliance (HIPAA / CMS) - Cross-Functional Collaboration

Team Development & Mentorship - Executive Reporting & Communication

Work Environment & Physical Requirements

This is a full-time, in-office role based in Dallas, TX. The position involves extended periods of computer use, review of financial and operational data, and regular communication with payers, clinical staff, and executive leadership. The RCM Director may be required to support or visit multiple Turnwell Mental Health Network locations. Occasional lifting of up to 20 pounds may be required. This role requires sustained focus, sound professional judgment, and the ability to work effectively across a fast-paced, growth-oriented environment. Relocation assistance is not available for this position.

Compensation & Benefits

Turnwell Mental Health Network offers a competitive compensation package commensurate with experience. Benefits eligibility is determined based on employment status and organizational policy. Details will be provided during the recruitment process.

About Turnwell Mental Health Network

Turnwell Mental Health Network is a comprehensive mental health practice dedicated to providing compassionate, evidence-based care to individuals across all stages of their mental health journey. Our services include general psychiatric evaluation and medication management, individual and group therapy, Transcranial Magnetic Stimulation (TMS), Spravato® (esketamine), IV Ketamine therapy, and Intensive Outpatient Programming (IOP). We are committed to breaking barriers to mental health care and empowering our communities through innovation, clinical excellence, and compassion.