DESCRIPTIONThe VP of Revenue Cycle owns the end-to-end revenue cycle for all AltaPoint programs, from verification of benefits and utilization review through billing, collections, denials management, and cash posting. Reporting directly to the CFO, this leader is accountable for maximizing net collections, reducing days in A/R, protecting reimbursement through strong payer relationships, and building scalable revenue cycle infrastructure that supports the organization's growth.
This is a hands-on leadership role in a multi-site, multi-payer environment. The right candidate has deep behavioral health and substance use disorder billing expertise, understands both in-network and out-of-network reimbursement dynamics, and can lead a team while still knowing how to work a claim.
Essential Duties and ResponsibilitiesRevenue Cycle Leadership
- Own the full revenue cycle across all AltaPoint programs: VOB, pre-authorization, utilization review coordination, charge capture, claims submission, payment posting, denials and appeals, patient financial responsibility, and collections.
- Develop, document, and enforce standardized revenue cycle policies, procedures, and workflows across programs.
- Establish and report on key performance indicators including net collection rate, clean claim rate, days in A/R, A/R over 90 days, denial rate, appeal overturn rate, and cash forecasting accuracy.
- Deliver a monthly revenue cycle dashboard and narrative to the CFO and executive team, with clear identification of trends, risks, and corrective actions.
- Partner with the CFO on monthly close activities related to revenue, including contractual allowance and bad debt reserve methodology.
Billing, Collections, and Denials
- Ensure timely, accurate, and compliant claim submission across all levels of care (residential/ARMHP, PHP, IOP, detox where applicable) using appropriate revenue codes, CPT/HCPCS codes, and modifiers.
- Lead denials management with root-cause analysis and feedback loops to admissions, clinical, UR, and medical records teams.
- Oversee appeals, including clinical appeals in coordination with UR and clinical leadership, and external review processes.
- Manage the single-case agreement (SCA) process for out-of-network admissions.
- Oversee patient financial counseling, self-pay estimates, payment plans, and private-pay collections in a manner consistent with AltaPoint's values.
- Manage relationships and performance of any outsourced billing, collections, or clearinghouse vendors.
Payer Strategy and Contracting Support
- Support the CFO and executive team in payer contracting, rate negotiations, and contract renewals, including modeling reimbursement impact of proposed terms.
- Maintain a current contract matrix (rates, authorization requirements, timely filing limits, billing rules) for all contracted payers and ensure the billing team operates from it.
- Build and maintain productive working relationships with provider relations and network management contacts at commercial payers, MCOs, and EAPs.
- Monitor payer policy changes, fee schedule updates, and behavioral health parity developments and translate them into operational changes.
Front-End Revenue Integrity
- Partner with the VP of Admissions to ensure accurate and timely VOBs, realistic benefit explanations to prospective guests and families, and clean intake documentation.
- Coordinate with utilization review to ensure authorizations are secured, tracked, and extended before lapses, and that clinical documentation supports medical necessity at each level of care.
- Work with clinical and medical records leadership to ensure documentation completeness, timeliness, and audit readiness.
Compliance and Audit
- Ensure all revenue cycle activities comply with federal and state regulations, payer requirements, HIPAA, the No Surprises Act, Georgia DBHDD rules applicable to licensed programs, and AltaPoint policies.
- Lead responses to payer audits, records requests, and recoupment efforts; maintain an audit log and defensible documentation practices.
- Identify compliance risks in billing practices and escalate promptly to the CFO and Compliance.
Systems and Technology
- Serve as the business owner for billing and revenue cycle functionality within the EHR/practice management system and clearinghouse; drive configuration, reporting, and optimization.
- Evaluate and recommend revenue cycle technology, automation, and analytics tools that improve throughput and visibility.
- Ensure data integrity between admissions, clinical, and billing systems.
Team Leadership
- Recruit, train, develop, and lead the revenue cycle team (billing, collections, VOB/authorization specialists, cash posting).
- Set clear productivity and quality expectations; conduct regular performance reviews and coaching.
- Build cross-functional partnerships with admissions, clinical, nursing, UR, and program leadership so the revenue cycle is understood as a shared responsibility.
- Foster a culture of accountability, integrity, and service consistent with AltaPoint's mission.
QualificationsRequired
- Bachelor's degree in Business, Healthcare Administration, Finance, or a related field, or equivalent experience.
- Seven or more years of progressive revenue cycle experience, with at least three years in a leadership role.
- Significant experience in behavioral health and/or substance use disorder treatment billing, including detoxification, residential, PHP, and IOP levels of care.
- Demonstrated expertise in commercial insurance reimbursement, including both in-network contracted and out-of-network/SCA environments.
- Working knowledge of UB-04 and CMS-1500 billing, revenue codes, CPT/HCPCS coding, and behavioral health authorization and UR processes.
- Track record of measurably improving net collections, reducing A/R, and lowering denial rates.
- Strong analytical and reporting skills; advanced Excel proficiency.
- Experience with behavioral health EHR/billing platforms (e.g., Kipu, Sunwave, AveaOffice, CollaborateMD, or similar) and clearinghouses.
- Ability to communicate financial concepts clearly to clinical and non-financial audiences.
Preferred
- Experience in a multi-site or multi-entity behavioral health organization.
- Experience supporting payer contract negotiations and building reimbursement models.
- Familiarity with the Georgia payer landscape and DBHDD-licensed program requirements.
- Certified Revenue Cycle Representative (CRCR), Certified Healthcare Financial Professional (CHFP), or similar credential.
- Experience with revenue cycle integration during acquisitions or program launches.
Core Competencies- Ownership and accountability for results
- Analytical rigor and data-driven decision making
- Process discipline with the flexibility to adapt across programs
- Ethical judgment and unwavering integrity in billing practices
- Relationship building with payers, clinicians, and guests
- Calm, solutions-oriented leadership under deadline and cash-flow pressure
Working Conditions- Primarily office-based with regular travel to AltaPoint program locations in Georgia.
- Extended hours may be required during month-end close, audits, or system implementations.
- Must be able to work at a computer for extended periods.
Compensation and BenefitsCompetitive salary commensurate with experience, performance-based incentive opportunity, health/dental/vision insurance, retirement plan with company match, paid time off, and professional development support.
