JOB TITLE: Director of Revenue Cycle Management
EMPLOYMENT TYPE: Full-time, 40 hours/wk
SCHEDULED HOURS: Monday-Friday 9:00am-5:00pm
PROGRAM/LOCATION: Finance Department, Windsor, CT/HYBRID (min. 2 days in-office per week)
PC#: 3147
ABOUT THE POSITION:Director of Revenue Cycle ManagementRevenue Cycle Operations- Lead and continuously improve end-to-end revenue cycle processes, including patient registration, eligibility verification, coding, billing, claims submission, payment posting, denials management, and collections.
- Develop, implement, and maintain compliant revenue cycle policies, procedures, and workflows to maximize reimbursement and minimize errors.
- Partner cross-functionally with clinical, operations, and front-office leadership to ensure effective front-end revenue cycle workflows and patient financial processes.
- Oversee contract performance and reimbursement optimization with Medicaid, Medicare, commercial insurers, and other third-party payers.
Performance Management & Reporting- Monitor revenue cycle performance through KPIs, dashboards, and trend analysis; communicate findings and corrective actions to the CFO and senior leadership.
- Identify, prevent, and resolve denials, delayed payments, and underpayments through proactive, data-driven process improvements.
- Develop and present regular revenue cycle performance reports for finance leadership and the Board as needed.
- Drive a culture of continuous improvement, efficiency, and service orientation within the revenue cycle function.
Compliance, Regulatory Oversight & Contract Management- Ensure full compliance with all applicable federal, state, and local regulations governing healthcare billing and revenue cycle operations.
- Stay current on changes to payer policies, regulatory requirements, and behavioral health billing guidelines; adapt internal processes accordingly.
- Implement appropriate systems, internal controls, and audit processes to support accuracy, productivity, and compliance.
- Negotiate, review, and manage payer contracts with Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers to ensure favorable reimbursement rates and terms.
- Maintain a centralized contract repository and tracking system; monitor key contract milestones, renewal dates, rate changes, and termination clauses.
- Analyze payer contract performance against benchmarks; identify variances, underpayments, and opportunities for renegotiation or rate improvement.
- Collaborate with legal counsel and senior leadership to assess contractual risk, resolve disputes, and ensure contract compliance.
- Develop and maintain payer fee schedules and ensure timely updates within billing systems following contract changes.
- Serve as the primary point of contact for payer contract inquiries and escalations; build and sustain effective relationships with payer representatives.
Team Leadership & Development- Recruit, develop, and retain a high-performing revenue cycle team; provide clear goals, training, mentorship, and performance accountability.
- Foster a collaborative, mission-aligned team culture that emphasizes accuracy, responsiveness, and continuous learning.
- Manage and evaluate vendor relationships, including billing services, clearinghouses, and patient payment platforms.
Technology & Systems- Leverage Electronic Health Record (EHR) and practice management systems (e.g., Qualifacts Credible) to optimize revenue cycle workflows and reporting.
- Identify and implement technology enhancements or integrations - including AI-assisted coding tools - to improve efficiency and accuracy.
- Collaborate with IT and operational teams to ensure data integrity and system functionality within revenue cycle platforms.
QUALIFICATIONS: Education: Bachelor's degree in Business, Finance, Accounting, Health Administration, or a related field required. Master's degree (MBA, MHA, or equivalent) strongly preferred.
Experience: Minimum 10 years of progressive revenue cycle experience in a healthcare or behavioral health setting. Minimum 3 years of leadership or supervisory experience managing revenue cycle staff. Experience in a nonprofit or community-based healthcare organization strongly preferred. Demonstrated expertise in Medicaid and Medicare billing; behavioral health billing experience is highly desirable. Proven experience negotiating and managing payer contracts in a healthcare environment.
Skills & Competencies:- Deep understanding of end-to-end revenue cycle functions and healthcare reimbursement models.
- Strong analytical and data-driven mindset with the ability to use reporting tools and dashboards to drive performance.
- Excellent communication, organizational, and stakeholder-management skills.
- Proficiency with EHR/practice management platforms; experience with Qualifacts Credible a plus.
- Working knowledge of ICD-10, CPT, HCPCS coding systems.
- Strong problem-solving skills with demonstrated ability to manage competing priorities in a complex environment.
- Experience with contract management software or payer contract tracking systems preferred.
Preferred Certifications: Certified Revenue Cycle Professional (CRCP), Certified Professional Biller (CPB), or equivalent credential preferred. HFMA membership or certification (CHFP) a plus.
Comprehensive benefits packages include health insurance, ample paid time off (including your birthday!), employer contributions to your 403b Retirement Plan, and competitive insurance premiums with added discounts on pet, home and auto!
Tuition reimbursement and professional development programs, including exclusive tuition discounts for CHR employees at several local colleges/universities
Career development opportunities! FREE robust training curriculum, featuring our Clinical Training Series for interactive learning, practical skill enhancement, and professional growth! Clinical supervision and/or mentoring offered at several programs
Wellness program: Annual wellness stipend, FREE premium subscription to the Calm app, 6 FREE confidential counseling sessions through our Employee Assistance Program
Employee appreciation and involvement, including contests, lunch & learns (meet with our CEO!), employee appreciation events, employee-led resource groups open to all, and more!
And so much more! (Many benefits are available to all staff, regardless of the hours worked, with some subject to eligibility)
COMPENSATION*:$95,328.90 minimum-$142,994.38 maximum
*Actual rates within this range are determined at the time of offer and are based on relevant experience, as well as adherence to our internal equity policy. (Please note, for part-time positions this range would be pro-rated based on hours worked)
