Director of Revenue Cycle Management

BNI Talent Acquisition TeamErie, PA
Hybrid

About The Position

As the Director of Revenue Cycle Management at Barber National Institute, you will support the organization’s mission of “making dreams come true” by providing strategic and operational leadership for all revenue cycle functions across the organization. This role ensures financial stewardship and operational excellence that support high-quality services for children and adults with intellectual disabilities, autism, and behavioral health needs. In this role, you will oversee billing, collections, payment posting, denial management, reimbursement optimization, and payer compliance while driving process improvements, workflow efficiency, and financial performance. You will collaborate closely with Finance, Clinical Programs, Information Technology, Governance, Risk & Compliance, and other administrative teams to strengthen systems, improve reimbursement outcomes, and ensure compliance across multiple funding streams. The Director, Revenue Cycle Management will lead enterprise-wide revenue cycle initiatives, analyze key financial indicators, implement process improvements and automation strategies, and foster strong relationships with payers, regulatory entities, and community partners. This role requires a strategic, analytical, and collaborative leader with deep expertise in healthcare revenue cycle operations, reimbursement methodologies, and team leadership. This position requires occasional travel to BNI campuses and regional meetings/events as needed.

Requirements

  • Strong expertise in healthcare revenue cycle operations, reimbursement methodologies, and payer requirements
  • Extensive knowledge of Medicaid, Medicare, Waiver, and commercial payer billing and compliance
  • Experience leading billing, collections, denial management, and reimbursement optimization initiatives
  • Ability to analyze revenue cycle KPIs including AR days, denial trends, and cash collections to drive operational improvements
  • Strong leadership, coaching, and team development skills with experience managing multi-site teams
  • Excellent project management, process improvement, and change management capabilities
  • Experience implementing automation tools and optimizing EHR and billing systems
  • Ability to collaborate effectively across Finance, Clinical Programs, IT, Governance, Risk & Compliance, and executive leadership
  • Strong analytical, strategic thinking, and problem-solving skills
  • Excellent communication, presentation, and relationship-building abilities
  • High degree of professionalism, confidentiality, and ethical judgment
  • Ability to interpret regulatory requirements and ensure compliance with HIPAA, Medicare/Medicaid, and payer standards
  • Strong technical proficiency with billing platforms, EHR systems, and revenue cycle analytics tools

Nice To Haves

  • Industry certifications preferred (CRCE, CRCP, CPC)
  • Valid driver’s license and ongoing compliance with agency and insurer driving eligibility requirements

Responsibilities

  • Leading daily revenue cycle operations including billing, collections, payment posting, and denial management
  • Monitoring and analyzing key financial performance indicators to improve reimbursement and reduce AR days
  • Collaborating with Finance and executive leadership to develop revenue cycle strategies and performance reporting
  • Partnering with Information Technology to optimize EHR systems, billing workflows, and automation initiatives
  • Ensuring compliance with HIPAA, Medicare/Medicaid, Waiver, and payer requirements
  • Identifying process inefficiencies and implementing workflow improvements across revenue cycle functions
  • Coaching, mentoring, and developing revenue cycle team members and leaders
  • Collaborating with Governance, Risk & Compliance to ensure adherence to regulatory standards and organizational policies
  • Building and maintaining relationships with payers, provider coalitions, trade associations, and community partners
  • Supporting regional strategic planning efforts aligned with organizational growth and sustainability goals
  • Preparing reports and presenting revenue cycle trends, risks, and opportunities to executive leadership
  • Participating in organizational initiatives that support operational excellence, financial stewardship, and mission advancement

Benefits

  • Highmark Medical and Mental Health
  • Delta Dental and Davis Vision Coverage
  • Health Savings Account/Flexible Spending Accounts
  • Teladoc Virtual Health
  • 401K Retirement Plan with Employer Match
  • On-Demand Pay
  • Employee Referral Bonus Program
  • Student Loan Forgiveness
  • College Scholarship & Tuition Discounts
  • Employee Discounts
  • Company Paid Life Insurance
  • Short & Long-Term Disability Insurance
  • Employee Assistance Program
  • Erie Campus- discounted on-site weekday childcare
  • Employee discounts for select BNI events and services
  • Generous Paid Time Off
  • Seven Paid Holidays
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