Director of Revenue Cycle Management

The Director establishes enterprise visibility and accountability while adapting processes to the different reimbursement and contract models across the organization.Key Responsibilities


* Enterprise Revenue Cycle Leadership: Lead revenue-cycle strategy and execution across all operating businesses and revenue streams.

Establish common enterprise standards, controls, KPIs and operating routines while recognizing the different requirements of Behavioral Health, IDD, Schools, Employment Services and other programs.


* Revenue Models & Payer Complexity: Ensure effective processes across Medicaid and other third-party payers, county and government funding, fee-for-service arrangements, commercial and government contracts and other program revenue.

Maintain clear ownership and expertise for payer-specific, contractual and regulatory billing requirements.


* Service Capture, Documentation & Authorization: Partner with Operations to ensure services delivered are captured completely and supported by required documentation, authorizations and other prerequisites for billing.

Identify upstream operational issues that prevent billing and establish escalation/accountability before they become revenue or cash problems.


* Billing, Claims & Invoicing: Oversee the process from billable activity through claim submission or invoicing.

Establish billing calendars, completeness checks, quality controls and escalation processes.

Monitor billing lag, unbilled revenue, rejected claims/invoices and rebilling activity by business and payer.


* Accounts Receivable & Collections: Own enterprise AR performance and collections.

Segment receivables by business, payer, program and aging; establish collection strategies and escalation protocols for aged or high-risk balances.

Ensure material receivables have documented status, next steps and ownership rather than rolling forward without action.


* Cash Application & Reconciliation Support: Own timely and accurate cash application and reduction of unapplied/unidentified cash.

Ensure payment information is available to support AR integrity and partner with Accounting on reconciliations and month-end close.

Resolve systemic causes of unapplied cash rather than relying on repeated manual clean-up.


* Denials, Underpayments & Revenue Leakage: Own denial prevention and resolution, underpayments, avoidable write-offs and revenue leakage.

Use root-cause analysis to distinguish documentation/authorization, operational, payer, system and billing-process issues.

Quantify financial impact, assign corrective actions and track recovery or prevention.


* Performance Management & Visibility: Establish RCM scorecards and operating reviews by business, payer, program and revenue stream.

Provide clear visibility to service-to-bill timing, billing completeness, clean claims/invoices, denials, AR aging, collections, cash application and leakage.

Escalate material trends early.


* Cross-Functional Partnership...