Director of Finance
About The Position
The Director of Finance leads the organization’s financial operations, revenue cycle, healthcare billing oversight, and compliance. The role directly supervises and develops the billing team, contributes to organizational strategy and budgeting, and provides financial analysis to guide agency priorities, service expansion, and resource allocation. The Director also presents financial performance to the Board and Finance Committee in clear, mission-focused terms. The position oversees the full revenue cycle, accounting functions, financial systems, internal controls, budgets, forecasts, grant and restricted-fund tracking, financial reporting, banking relationships, cash flow, and liquidity. It ensures accurate and timely financial close and audit coordination, compliance with GAAP and applicable nonprofit and behavioral healthcare requirements, and effective coordination with clinical, billing, support, and HR teams. The Director serves as system owner for financial and integrated software platforms and may take on other assignments at the Executive Director’s discretion.
Requirements
- At least 5 years of progressive nonprofit or related finance experience, including audit coordination and reporting, with extensive experience in healthcare billing environments and revenue cycle management.
- Strong understanding of GAAP, fund accounting, healthcare billing regulations such as Medicaid and OMH guidelines, and nonprofit compliance.
- Proficiency with QuickBooks Online, Bill.com, medical billing or EHR software, and advanced Excel.
- Experience supervising staff, developing teams, leading strategic planning, and managing hands-on financial operations.
- Excellent communication, organizational, and analytical skills.
Nice To Haves
- A Bachelor’s or Master’s degree specifically in Accounting, Finance, or Business Administration.
- Significant experience managing nonprofit fiscal operations, including grant tracking and reporting.
- Experience with centralized data management frameworks and pulling data from disparate software platforms, such as QuickBooks, payroll systems, and EHRs.
- Background overseeing medical coding and billing, as well as insurance regulation compliance in a healthcare setting.
- Demonstrated ability to balance short- and long-term financial strategy in a changing healthcare climate with small financial margins.
- Experience with Paylocity.
Responsibilities
- Directly supervise, mentor, and evaluate the billing team, fostering a collaborative, accountable, high-performing revenue cycle team.
- Serve on the management team and contribute to strategic planning, budgeting, and high-level decision-making.
- Provide actionable financial analysis to support agency priorities, service expansion, and resource allocation.
- Attend and present at Board and Finance Committee meetings, explaining financial performance in accessible, mission-linked terms.
- Provide strategic oversight of the full revenue cycle, from service entry through cash receipt, in partnership with billing, support, and clinical teams.
- Monitor revenue-cycle metrics, claim denial trends, accounts receivable aging, and reimbursement efficiencies.
- Ensure accurate recording of earned revenue, receivables, and contractual adjustments in accordance with GAAP and funder requirements.
- Reconcile billing data to the general ledger monthly and identify and resolve discrepancies between clinical billing software or EHR platforms and financial systems.
- Ensure compliance with payer contracts, billing documentation standards, and behavioral healthcare, OMH, and Medicaid regulations.
- Develop, document, and maintain agency-wide policies for billing, receipting, reconciliation, and write-off approvals.
- Oversee accounting functions, including accounts payable, accounts receivable, bank reconciliation, and journal entries.
- Maintain and enforce internal controls to safeguard assets and ensure compliance with GAAP, nonprofit requirements, and behavioral healthcare regulations.
- Ensure timely and accurate month-end and year-end closings, including coordination with external auditors.
- Develop and monitor annual budgets and rolling forecasts in collaboration with department heads.
- Oversee restricted net asset schedules, grant tracking, and financial and contractual reporting obligations.
- Manage banking relationships, investment accounts, cash flow, and operating liquidity.
- Serve as system owner for financial and integrated software platforms, including QuickBooks Online, Bill.com, and related integrations; ensure proper configuration, security, and user access workflows.
- Partner with HR on payroll integration, benefits reconciliation, and compliance.
- Perform other assignments and tasks at the discretion of the Executive Director.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
