The Behavioral Health Service Line Revenue Cycle Director is responsible for leading and managing all aspects of the revenue cycle operations across both inpatient and outpatient behavioral health services, including Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP). This role ensures accurate billing, timely collections, and compliance with all payer and regulatory requirements, thereby optimizing financial performance and supporting the organization’s mission.
Key Responsibilities
Leadership & Team Management
- Supervise and mentor the revenue cycle team, including hiring, training, performance evaluations, and professional development.
- Foster a culture of accountability, continuous improvement, and excellence.
Revenue Cycle Operations
- Oversee end-to-end revenue cycle processes, including charge capture, coding, billing, collections, and denial management.
- Ensure adherence to standardized departmental policies and procedures.
Compliance & Regulatory Oversight
- Maintain up-to-date knowledge of federal, state, and payer-specific regulations.
- Ensure compliance with HIPAA, CMS guidelines, and other regulatory bodies.
Collaboration & Communication
- Work closely with clinical and operational leaders to ensure accurate documentation and coding practices.
- Liaise with hospital accounting and finance departments for budgeting, reporting, and general ledger reconciliation.
Performance Monitoring & Reporting
- Develop and monitor key performance indicators (KPIs) to assess the effectiveness of revenue cycle processes, and to support Operational Leadership.
- Prepare and present regular reports/presentations on revenue cycle performance to senior leadership, and during meetings as requested.
Utilization Review Oversight
- Manage the utilization review process to ensure appropriate service authorization and reimbursement.
Continuous Improvement
- Identify opportunities for process enhancements to improve efficiency and financial outcomes.
- Implement best practices and innovative solutions to address revenue cycle challenges.
Qualifications
Education
- Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field is strongly preferred.
Experience
- Minimum of 5 years of progressive experience in revenue cycle management within the behavioral health industry preferred.
- Demonstrated experience in managing revenue cycle operations for both inpatient and outpatient services.
Certifications
- Certification as a Professional Coder (CPC) is required.
Skills & Competencies
- In-depth knowledge of medical coding systems, including ICD-10, CPT, HCPCS, DRG, APC, and revenue code structures.
- Proficiency in Microsoft Excel and familiarity with electronic health record (EHR) and billing systems.
- Strong analytical and problem-solving skills with the ability to identify root causes of billing issues.
- Excellent communication and interpersonal skills to effectively collaborate with diverse teams.
- Experience in developing and implementing performance metrics and dashboards is a plus.
Supervisory Responsibilities
Direct oversight and performance management of the revenue cycle over-all performance, as well as team members, including billing specialists, coders, and other related staff.
Salary Information
Minimum Annual Salary $110,000
Maximum Annual Salary $125,000
EOE
This Behavioral Health service line as 32 inpatient adult beds and an Outpatient Trinity Clinic providing a broad continuum of outpatient services to the District of Columbia.
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