Director of Revenue Cycle Management (RCM) - Behavioral Health

Job Description

Job Description

Director of Revenue Cycle Management - Behavioral Health

Location: South Florida

Schedule: Full-Time | Monday-Friday | 8:00 AM-5:00 PM

Work Arrangement: Onsite

Compensation: $100,000+ annually, based on experience

Employment Type: Full-Time | Exempt

A growing healthcare organization in South Florida is seeking an experienced Director of Revenue Cycle Management (RCM) to lead and optimize its full revenue cycle operations.

This is a leadership position supporting continued organizational growth and program expansion. The Director will evaluate current revenue cycle, billing, and financial processes, identify opportunities for improvement, and develop a strategic action plan to improve revenue performance, efficiency, and overall operations.

The ideal candidate will have strong experience in behavioral health revenue cycle management, along with hands-on knowledge of Netsmart, Florida Medicaid, Medicaid MCOs, Medicare, commercial payers, billing, denials, A/R, coding, and revenue-cycle analytics.

Key Responsibilities

• Lead the full revenue cycle, including patient access, intake, eligibility, charge capture, coding, billing, denial management, A/R, and collections.

• Assess current RCM and billing operations to identify process gaps, inefficiencies, and revenue leakage.

• Develop and implement practical, measurable improvement plans.

• Monitor key performance indicators such as clean-claim rate, denial rate, days in A/R, and collection rates.

• Analyze denial trends and identify root causes related to documentation, authorization, credentialing, coding, or billing.

• Oversee accurate patient setup, eligibility verification, charge capture, coding, claim submission, payment posting, and related revenue-integrity functions.

• Manage provider and payer enrollment processes to minimize billing delays.

• Evaluate and improve Netsmart EHR billing configuration, claims workflows, and system processes.

• Maintain strong knowledge of Medicaid, Medicare, commercial insurance, and Florida Medicaid managed care organizations (MCOs).

• Develop RCM dashboards, reports, and financial metrics for executive leadership.

• Lead and develop revenue cycle staff.

• Partner with Finance, IT, Clinical Operations, Compliance, and other departments on process and technology improvements.

• Ensure billing and revenue cycle activities comply with applicable federal, state, and payer requirements.

• Use data and financial reporting to identify issues, prioritize improvements, and measure results.

Qualifications

• Bachelor's degree in Healthcare Administration, Finance, Accounting, Business, or a related field required; Master's degree preferred.

• 7+ years of progressive revenue cycle management experience.

• 2+ years of senior-level revenue cycle management leadership experience.

• Significant experience managing behavioral health revenue cycle operations.

• Experience with primary care, FQHC, community health center, or similar healthcare revenue cycle operations.

• Experience managing complex, multi-program and multi-payer revenue cycles.

• Netsmart EHR experience required.

• Florida Medicaid and Florida Medicaid MCO experience required.

• Strong knowledge of Medicare and commercial payer requirements.

• Strong expertise in claims processing, denial management, A/R, collections, coding, and revenue integrity.

• Experience with provider and payer enrollment.

• Strong analytical and KPI/dashboard experience.

• Demonstrated success with revenue cycle process improvement and technology optimization.

• Strong leadership, communication, project management, and change-management skills.

What You'll Be Doing Initially

The immediate focus will be on understanding the current operation before making changes.

The Director will:

• Review existing RCM, billing, programming, workflows, and systems.

• Gain an understanding of the current team and operational structure.

• Analyze revenue cycle performance and identify areas of opportunity.

• Determine the root causes of billing and revenue challenges.

• Develop a prioritized plan of action to improve processes and financial performance.

• Work collaboratively with leadership and internal teams to implement improvements.

Qualified Director-level RCM professionals with behavioral health experience are encouraged to apply.

\nCompany Description

W3Global was established in 2006 in Fremont, CA with a vision: simplify the recruiting process and develop an industry-disrupting platform to connect candidates with clients. Our cutting-edge Applicant Tracking System enables us to find the right person for the right job, creating value for job seekers and employers. While W3Global initially focused on IT staffing, we have expanded the business to serve many other industries, including accounting and finance, legal, engineering, human resources, government and more.

We’re proud of the investments we’ve made in our team, having grown from four to 1000 employees and evolving into one of the leading recruitment and staffing solution providers in the industry. Our recruiters and account managers are passionate about connecting qualified professionals with the right positions in small, medium, and large companies.

Our Services
W3Global understands the natural ups and downs of an organization’s staffing needs. We are continuously adapting to industry and economic changes to find the right candidates.

We specialize in placing permanent, direct, contract, and temporary positions for companies of any size. Our recruiting services include sourcing, recruiting, screening, interview management, salary negotiations, training, and onboarding.

We are committed to helping organizations redefine their recruitment process by delivering our SaaS-based proprietary application tracking system software.

Our Expertise
W3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs.

As a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.

Company Description

W3Global was established in 2006 in Fremont, CA with a vision: simplify the recruiting process and develop an industry-disrupting platform to connect candidates with clients. Our cutting-edge Applicant Tracking System enables us to find the right person for the right job, creating value for job seekers and employers. While W3Global initially focused on IT staffing, we have expanded the business to serve many other industries, including accounting and finance, legal, engineering, human resources, government and more.\r\n\r\nWe’re proud of the investments we’ve made in our team, having grown from four to 1000 employees and evolving into one of the leading recruitment and staffing solution providers in the industry. Our recruiters and account managers are passionate about connecting qualified professionals with the right positions in small, medium, and large companies.\r\n\r\nOur Services\r\nW3Global understands the natural ups and downs of an organization’s staffing needs. We are continuously adapting to industry and economic changes to find the right candidates.\r\n\r\nWe specialize in placing permanent, direct, contract, and temporary positions for companies of any size. Our recruiting services include sourcing, recruiting, screening, interview management, salary negotiations, training, and onboarding.\r\n\r\nWe are committed to helping organizations redefine their recruitment process by delivering our SaaS-based proprietary application tracking system software.\r\n\r\nOur Expertise\r\nW3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs.\r\n\r\nAs a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.