Director of Revenue Cycle Management

Job Description

Job Description

Hillcrest Children & Family Center is a non-profit organization dedicated to the provision of comprehensive, evidence-based mental health services in Washington, DC. We are committed to fostering community awareness, eliminating systemic barriers, and delivering compassionate, high-quality care to individuals navigating mental health challenges.

The Director of Revenue Cycle Management is a strategic partner responsible for overseeing the organization's entire financial lifecycle, from initial provider credentialing and pre-billing through final claims adjudication. As a key strategic partner to executive management, the Director manages the claims processing cycle by tracking unpaid balances through rigorous weekly and monthly aging reports. Acting as the senior Billing Manager, they are responsible for proactively alerting executive leadership to potential write-offs, developing cross-departmental workflows to minimize errors, and aggressively pursuing appeals when appropriate to safeguard and optimize organizational revenue.

Key Responsibilities:

• Manage the credentialing process to ensure that clinical providers are linked to the appropriate payers per their specifications
• Pre-auditing of billing with verification of completeness and accuracy of claims prior to billing
• Ensuring all claims are submitted with a goal of zero errors
• Accurately post all insurance claims
• Timely follow up on claims denials, exceptions, or exclusions
• Managing explanation of benefits (EOB) and alerting supervisor of unusual trends
• Utilizing monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days
• Regularly meeting with executive leaders to discuss and resolve reimbursement issues or billing obstacles
• Assist with software configuration around billing coding, and billing matrices
• Provide necessary development of workflows, procedures, and training needs for other departments
• Achievement of Key Performance Indicators (KPI’s) at or above the 95% benchmark
• Perform additional duties as requested around accounts receivable and grant management as defined by executive leadership
• Maintains familiarity with regulations and governing bodies around Medicaid, MCO’s, MHRS, DBH standards

Qualifications:

• Bachelor's degree required. Master's degree in Healthcare Administration, Business Management, or other relevant Human Health Services field highly preferred.
• 5-7 years of billing, billing management and account management experience in behavioral health, mental health, or clinic based setting.
• Billing and coding certifications strongly preferred (e.g., CPB, CPC, CRCR)
• Experience with behavioral health electronic medical record systems and configuration of billing matrices preferred

Benefits:

• Affordable Medical, Dental, and Vision insurance.
• 401K Retirement Plan and Life Insurance.
• Generous Paid Time Off (PTO), Sick Leave, and Paid Company Holidays.
• Opportunities for leadership training and professional development.
• Employee Assistance Programs (EAP) to support your professional and personal well-being.

Position: Hybrid - 2 days in office, 3 days remote

Salary Range: $95,000 - $110,000 based on experience