Director of Revenue Cycle Management

Modern Recovery Network•Brentwood, TN

8d•Hybrid

About The Position

This role is responsible for managing the day-to-day operations of the revenue cycle, ensuring efficiency and accuracy in billing, claims submission, collections, and payment posting. The Director will monitor key performance metrics, collaborate with various departments to optimize processes, and implement strategies to reduce denials and underpayments. This position also involves supporting payer contract reviews, coordinating with external vendors, and preparing reports for leadership. A key aspect of the role is standardizing revenue cycle processes across different programs and locations, and supporting system and workflow enhancements.

Requirements

5+ years of healthcare revenue cycle experience.
Prior experience managing or supervising billing, collections, AR follow-up, or denials teams.
Strong understanding of commercial insurance billing and payer processes.
Familiarity with billing platforms, clearinghouses, EHRs, and payer portals.
Strong analytical skills and comfort working with revenue cycle KPIs and reporting.
Excellent communication skills and ability to work cross-functionally with clinical, operational, and finance teams.
Highly organized, detail-oriented, and comfortable managing competing priorities.

Nice To Haves

Experience with behavioral healthcare, mental health, substance use treatment, RTC, PHP, IOP, and/or outpatient services is preferred.
Experience with Kipu is preferred.

Responsibilities

Manage day-to-day revenue cycle operations, including billing, claims submission, collections, denials, appeals, and payment posting.
Monitor revenue cycle performance metrics, including AR days, denial rates, clean claim rates, collections, underpayments, and cash trends.
Work closely with operations, admissions, utilization review, clinical, and finance teams to ensure accurate and timely billing.
Review and improve processes related to authorizations, eligibility verification, charge capture, documentation, coding, and claim submission.
Identify root causes of denials and underpayments and implement corrective action plans.
Support payer contract review, reimbursement analysis, and escalation of payer issues.
Coordinate with external billing vendors or internal billing teams to ensure accountability and timely follow-up.
Prepare recurring revenue cycle reports for leadership.
Help standardize revenue cycle processes across multiple programs, entities, and locations.
Support system improvements, workflow enhancements, and integration of acquired or new programs.