Director of Revenue Cycle Operations- 10668

Colorado Coalition for the Homeless • Denver, CO

23h • $120,000 - $140,000

About The Position

The Director of Revenue Cycle Operations is a key leadership role within the organization, responsible for overseeing and optimizing both revenue cycle management and operational finance functions. The Director will oversee all aspects of the revenue cycle, including billing and collections, while supporting coding and payer relations, ensuring that financial operations remain accurate, compliant, and efficient. This role will focus on maximizing reimbursement, minimizing financial risk, and improving operational efficiency. Additionally, the Director will contribute to budgeting, forecasting, cost analysis, and financial data modeling, working closely with the Financial Controller, Chief Financial Officer and Senior leadership to align financial strategies with organizational goals. The Director of Revenue Integrity & Financial Operations will be responsible for managing and developing their team of managers across multiple functions.

Requirements

• Bachelor’s degree in healthcare administration, finance, accounting, business, or a related field.
• 5-7 years of experience in healthcare revenue cycle management, financial operations, or a similar leadership position, with a strong background in coding, billing, collections, payer relations, and operational finance.
• Expertise in healthcare billing, finance, and accounting principles.
• Ability to successfully manage numerous tasks simultaneously.
• Ability to present multiple levels of staff from VPs to directors, managers, providers, and to ancillary staff.
• Requires excellent oral and written communication skills.
• Define problems, collect data, establish facts, and draw valid conclusions.
• Ability to conduct training sessions and provide professional, accurate feedback on performance as needed.
• Proficiency in Microsoft and NextGen preferred.
• Proficiency in ICD-10, CPT-4, HCPCS preferred.
• Valid driver’s license required.

Responsibilities

• Ensure all revenue cycle operations are in compliance with relevant federal, state, and payer regulations, including HIPAA, ICD-10, CPT-4, HCPCS, and payer-specific guidelines.
• Conduct regular audits of coding, billing, and documentation practices to identify and address discrepancies, ensuring accuracy and compliance.
• Play a key leadership role in financial audits.
• Oversee denial management processes, collaborating with billing teams to analyze, resolve, and reduce denials and rejection rates.
• Implement strategies to improve claim acceptance and expedite payment turnaround times.
• Contribute the development and management of operational budgets, forecasts, and financial models to ensure the achievement of organizational financial objectives.
• Conduct cost analysis and develop financial models to support decision-making, improve cost efficiency, and identify opportunities for savings.
• Continuously assess and optimize financial systems, processes, and workflows to improve efficiency, reduce operational risks, and enhance the overall revenue cycle process.
• Drive process improvements and leverage technology for automation to streamline procedures and improve operational performance.
• Collaboratively be point of contact for payer-related issues, including disputes, claims denials, and reimbursement challenges while engaging leadership who also contribute to those areas.
• Oversee and manage the credentialing team, processes, and ensuring timely enrollment with payers and maintaining compliance with payer requirements.
• Hold direct oversight of mid-level management for the credentialing department.
• Oversee the representative payee program, ensuring compliance with relevant regulations and standards.
• Provide financial guidance and strategic support to various business units, aligning financial goals with operational objectives to drive improvements and achieve organizational priorities.
• Lead, mentor, and manage a team of financial operations professionals, fostering a culture of continuous improvement, high performance, and cross-departmental collaboration.
• Work closely with the Financial Controller to ensure alignment on financial reporting, compliance, and areas where operational finance intersects with cost optimization.
• Prepare regular reports for senior leadership on the health of the revenue cycle, including trends, issues, and areas for improvement.
• Provide actionable insights and recommendations to enhance financial outcomes and drive improvements in revenue cycle operations.

Benefits

• Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We’re proud to offer same-and opposite-sex domestic partner coverage.
• Choice of dental insurance or discount plan.
• Vision insurance.
• Flexible spending accounts for health care / dependent care / parking expenses.
• Free basic life and AD&D insurance coverage.
• Employee Assistance Program, a problem-solving resource available to you and your household members.
• Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting.
• Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees