Director of Revenue Cycle Management (S0371)
About The Position
The Director of Revenue Cycle Management is a seasoned, mission-driven leader responsible for the strategy, performance, and continuous improvement of the full revenue cycle for a nonprofit integrated health organization. The position oversees revenue processes across primary care, behavioral health, dental, and pharmacy, from patient access and charge capture through billing, collections, denial management, and payment reconciliation. Working closely with executive, clinical, operational, compliance, information technology, and external vendor partners, the director strengthens financial sustainability while advancing access, health equity, regulatory compliance, and a respectful patient financial experience. The role has organization-wide oversight of patient access, eligibility and enrollment support, authorizations, coding and charge integrity, claims, accounts receivable, denials and appeals, cash posting, refunds, vendor performance, patient financial services, and coordination across integrated clinical service lines. The organization serves a diverse payer mix, including Medicaid, Medicare, commercial insurance, self-pay, sliding-fee programs, grants, and other public and community funding sources. This full-time position is based in Durango, Colorado, with hybrid or remote opportunities for residents of Colorado, New Mexico, and Utah. The position is on the day shift and may require travel of up to 25%.
Requirements
- Bachelor’s degree in business, finance, healthcare administration, health information management, or a related field, or an equivalent combination of education and directly relevant experience.
- Ten or more years of progressive revenue cycle experience, including significant leadership responsibility across multiple revenue cycle functions and service lines.
- Demonstrated success improving financial and operational performance in a complex ambulatory, community health, nonprofit, or integrated healthcare environment.
- Advanced knowledge of healthcare reimbursement, Medicaid, Medicare, commercial payer requirements, billing and coding operations, denials, accounts receivable, patient collections, and regulatory compliance.
- Strong analytical capability, including experience with performance dashboards, forecasting, root-cause analysis, and data-informed decision-making.
- Proven ability to lead large-scale change, influence cross-functional stakeholders, and communicate effectively with executives, clinicians, operational leaders, staff, and governance groups.
- Experience managing teams, budgets, vendors, technology initiatives, and competing priorities in a resource-conscious, mission-driven organization.
- Ability to travel between Axis locations; the role may also involve occasional statewide and domestic travel.
- Ability to meet the position’s physical demands, including occasionally lifting or moving 15 to 50 pounds and frequently walking, sitting, standing, or kneeling; occasional climbing or balancing and stooping; and sitting for long periods at a computer.
- Annual flu immunization by November 1, annual TB screening, de-escalation training, and BLS certification, as required for the position.
Nice To Haves
- Experience with NextGen electronic health record and practice management software.
- Professional certification such as CRCR, CHFP, FHFMA, or another relevant revenue cycle, coding, compliance, or health information credential.
- Experience in a nonprofit community clinic, federally supported safety-net setting, multi-site ambulatory organization, or integrated primary care and behavioral health environment.
- Experience with integrated electronic health record, patient accounting, claims, clearinghouse, eligibility, patient engagement, and revenue cycle analytics platforms.
- Knowledge of value-based care, managed care contracting, alternative payment models, risk arrangements, and quality-linked reimbursement.
- Familiarity with sliding-fee programs, financial assistance, grant-funded services, enrollment support, and reimbursement considerations affecting underserved populations.
Responsibilities
- Develop and execute a multi-year revenue cycle strategy aligned with the organization’s mission, strategic plan, service model, access goals, payer environment, and financial sustainability objectives.
- Lead end-to-end revenue cycle operations across integrated service lines and establish accountability for quality, productivity, service, compliance, and financial outcomes.
- Improve net revenue, cash flow, clean claim rates, accounts receivable aging, denial rates, collection yield, and cost to collect while balancing financial stewardship with equitable access to care.
- Build patient-centered processes for registration, insurance verification, benefit coordination, enrollment support, prior authorization, coding, charge capture, claim submission, follow-up, payment posting, credit balances, and collections.
- Ensure consistent revenue cycle workflows across primary care, behavioral health, dental, and pharmacy.
- Direct denial prevention and recovery through root-cause analysis, payer escalation, clinical partnerships, staff education, and sustainable corrective action.
- Establish dashboards, forecasts, and operating reviews that support timely decisions and measurable action plans for leadership and the board, as appropriate.
- Partner with finance on month-end close, revenue estimates, reserves, reconciliations, audit readiness, grant- or program-related reporting, and accurate financial reporting.
- Collaborate with clinical and operational leaders to improve documentation, coding, charge integrity, referral and authorization workflows, and point-of-service accountability.
- Maintain compliance with applicable billing, coding, privacy, payer, contractual, governmental, sliding-fee, and financial assistance requirements; promptly assess and address identified risks.
- Optimize revenue cycle technology, automation, analytics, and work queues across the integrated care environment; lead system implementations and process redesign when needed.
- Manage third-party vendors and payer relationships, including performance standards, issue resolution, contract compliance, and return on investment.
- Develop leaders and teams through clear expectations, coaching, succession planning, workforce planning, and a culture of service, accountability, inclusion, and continuous improvement.
- Promote a respectful and transparent patient financial experience through clear estimates, understandable communications, culturally responsive service, financial assistance, sliding-fee workflows, and consistent service recovery.
Benefits
- Medical insurance (HDHP or PPO)
- Health Savings Account
- Dental insurance
- Flexible Spending Account
- Vision insurance
- Dependent Care Account
- Life insurance
- Short-term disability
- Pet insurance
- Long-term disability
- 401(k) with up to 4% match
- College Invest plans
- Annual wellness benefits
- Professional development benefits
- Three weeks of All Paid Leave (APL) for the first two years of full-time employment
- Personal days (9)
- Company-paid holidays
- Loan repayment programs
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What This Job Offers
Job Type
Full-time
Career Level
Director
