Director of Revenue Cycle Management

Barber National Institute • Erie, PA

1d

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
• High school diploma required
• Minimum of 5–10 years of progressive revenue cycle leadership experience in healthcare, behavioral health, or human services settings
• Proven experience overseeing billing teams, denial management, collections, reimbursement workflows, and payer relations
• Strong experience with Medicaid/Medicare billing, Waiver billing, and commercial payer compliance
• Experience optimizing revenue cycle processes and implementing operational improvements
• Experience working with EHR integrations, billing systems, and healthcare finance technologies
• Valid driver’s license and ongoing compliance with agency and insurer driving eligibility requirements

Nice To Haves

• Bachelor’s degree strongly preferred in Business, Healthcare Administration, Finance, Accounting, Health Information Management, or related field
• Preferred 7–12 years of experience managing complex, multi-site revenue cycle operations with multiple funding streams
• Industry certifications preferred (CRCE, CRCP, CPC)

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

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: High school or GED