Director of Revenue Cycle Management

Director of Revenue Cycle Management

Job Summary: The Director of Revenue Cycle Management (RCM) provides enterprise-wide strategic leadership to optimize financial performance, enhance revenue integrity, and ensure a high-performing, compliant revenue cycle operation. This role is accountable for the end-to-end revenue cycle, driving operational excellence, scalability, and continuous improvement across all functions. The Director partners closely with executive leadership to maximize net patient revenue, improve cash flow, and align revenue cycle performance with organizational financial strategy. This position reports directly to the Chief Financial Officer (CFO).

Essential Duties and Responsibilities:

• Lead and execute a comprehensive, enterprise-wide revenue cycle strategy aligned with organizational growth and financial objectives.
• Oversee all revenue cycle operations including patient access, coding, billing, claims management, denial resolution, and collections.
• Drive measurable improvements in key performance indicators such as days in accounts receivable, denial rates, clean claim rates, and net collection rates.
• Identify and eliminate revenue leakage through data-driven analysis and cross-functional process improvement initiatives.
• Serve as the primary executive liaison with payers to resolve operational issues, negotiate performance expectations, and address reimbursement challenges.
• Lead revenue cycle technology optimization, including system implementations, upgrades, automation, and analytics tools.
• Collaborate with clinical, compliance, legal, and IT teams to ensure accurate documentation, coding integrity, and billing compliance.
• Develop and maintain executive-level reporting to communicate performance, risks, and opportunities to senior leadership and governing bodies.
• Build and lead a high-performing revenue cycle team, fostering accountability, engagement, and continuous professional development.

Position Requirements:

Financial and Operational Accountability:

• Drive improvements in cash flow, revenue predictability, and overall financial performance.
• Reduce denials, write-offs, and bad debt through proactive management, root cause analysis, and staff education.
• Partner with executive leadership to align revenue cycle operations with organizational margin goals and long-term financial sustainability.
• Support budgeting, forecasting, and financial planning processes related to revenue cycle operations.

Compliance and Risk Management:

• Ensure full compliance with all federal, state, and payer regulations.
• Maintain audit readiness and proactively mitigate regulatory and financial risk.
• Monitor regulatory changes and implement necessary operational adjustments.

Minimum Qualifications—Education and Experience:

• Bachelor's degree in accounting, finance, or related field.
• 7+ years of progressive financial management experience.
• 3+ years of supervisory experience.
• CPA or equivalent credential preferred.
• Possession of a valid Virginia driver's license and a satisfactory driving record in accordance with agency policy.

Required Qualifications:

• Bachelor's degree in Finance, Business Administration, Healthcare Administration, or a related field.
• Minimum of 10 years of progressive leadership experience in healthcare revenue cycle management.
• Proven success leading complex, multi-functional revenue cycle operations.
• Strong knowledge of healthcare reimbursement methodologies, coding, billing regulations, and payer requirements.
• Demonstrated ability to perform advanced financial analytics and ad-hoc reporting, including development of high-level analyses and dashboards to support the CFO and leadership with data-driven decision making.

Preferred Qualifications:

• Master's degree in Healthcare Administration, Business Administration, or a related field.
• Experience in behavioral health, community health, or public sector healthcare settings.
• Professional certifications such as CRCP, CHFP, CPC, or CCS.
• Experience with myAvatar electronic health records (EHR) system, including reporting and billing workflows.

Core Competencies:

• Strategic leadership and enterprise thinking.
• Advanced financial acumen and revenue optimization.
• Regulatory expertise and risk management.
• Data-driven decision making and analytics.
• Process improvement and change management.
• Executive communication and stakeholder engagement.

Supervisory Responsibilities:

• This position has full supervisory authority over assigned staff. Evaluates and signs performance reviews, approves timecards, and administers rewards/discipline. Officially supervises full-time employees (not temporary/seasonal employees). Not a 'lead worker' position.

Work Environment and Physical Demands:

• Sedentary Work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. While this role may involve desk-based tasks, employees must be able to ambulate independently, operate a motor vehicle, and transition between office and field environments. Field-based responsibilities may include walking short distances, climbing stairs, and carrying essential work items such as a laptop.
• Normal concentration and visual attention required.
• Normal working conditions. Work is typically performed in a standard behavioral health environment with minimal exposure to environmental hazards.
• Staff may occasionally engage in behavior intervention strategies, such as verbal de-escalation or redirection, to support client safety and therapeutic goals.

ADA:

• Richmond Behavioral Health Authority complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our team at View email address on click.appcast.io for more information.

EEO:

• Richmond Behavioral Health Authority provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Starting Salary Range: $115,000 - $130,000