Director of Revenue Cycle

Vivie Career•Alexandria, MN

5h•Onsite

About The Position

As a Director of Revenue Cycle, you will provide strategic and operational leadership across revenue cycle functions supporting skilled nursing facilities, senior housing and HCBS service lines. You will lead efforts to ensure accurate, compliant, and timely billing and collections across a diverse payer mix, including private pay, Medicaid waiver programs, Medicare, and managed care organizations. In partnership with Operations, Clinical, Finance, Compliance, and other cross-functional leaders, you will help strengthen financial performance, reduce revenue leakage, improve processes, and support a seamless financial experience for residents, participants, and families.

Requirements

Bachelor's degree in Finance, Accounting, Healthcare Administration, or related field required; equivalent direct experience in healthcare revenue cycle management may be considered.
5+ years of experience in healthcare revenue cycle management required.
Demonstrated success managing both private pay and government-funded revenue streams.
Strong knowledge of private pay billing, resident contracts, Medicaid waiver programs, managed care models, and Medicare reimbursements.
Proven ability to lead change, influence cross-function partners, and manage complex operational and reimbursement issues.
Ability to pass state mandated background checks.
Physical capability to perform all essential job functions.
Ability to read, write, and speak English to ensure effective communication with team members, residents, and community partners.

Nice To Haves

Direct experience in senior housing, home care, post-acute care, or related healthcare settings strongly preferred.

Responsibilities

Lead Revenue Cycle Strategy & Operations: Provide strategic direction for revenue cycle operations across skilled nursing facilities, senior housing and HCBS service lines, aligning billing, collections, and reimbursement practices with organizational growth, occupancy, and service expansion goals. Drive consistency, standardization, and best practices across multi-site or multi-state operations while serving as a trusted partner to executive leadership, operations, and clinical teams.
Oversee End-to-End Revenue Cycle Functions: Lead all aspects of the revenue cycle, including financial intake, eligibility verification, authorizations, private pay billing, Medicaid waiver and managed care billing, Medicare billing where applicable, charge capture, accounts receivable follow-up, denials management, appeals, collections, cash posting, reconciliation, and resident or participant account resolution. Ensure processes support timely reimbursement, operational accuracy, and a positive customer experience.
Provide Payer Contract, Credentialing & Compliance Oversight: Oversee payer contract management and credentialing activities across service lines, ensuring reimbursement terms, billing requirements, rates, authorizations, and service definitions are accurately understood and operationalized. Partner with Finance, Legal, Compliance, and Operations to support negotiations, monitor contract performance, address payment variances, and prevent revenue disruption related to expired contracts, enrollment delays, or credentialing lapses. Maintain compliance with federal, state, and payer-specific regulations as well as internal controls and documentation standards.
Drive Financial Performance, Systems Optimization & Improvement: Establish and monitor key revenue cycle metrics such as days in A/R, net collection rate, denial trends, underpayments, delinquency rates, and cost to collect. Identify opportunities to reduce revenue leakage, improve charge capture, strengthen workflows, and enhance reporting accuracy. Provide leadership for revenue cycle systems, implementations, upgrades, automation, and data integrity efforts in collaboration with IT, Operations, Finance, Clinical, and Quality teams.
Lead, Develop & Support Teams: Build, mentor, and support revenue cycle leaders and team members across multiple service lines or locations. Establish clear expectations, accountability, and performance standards while fostering a culture of collaboration, continuous improvement, and service excellence. Support workforce planning, talent development, and succession efforts to ensure long-term operational strength.
Other Duties as Assigned: The duties and responsibilities listed above are representative of the nature and level of work assigned and are not necessarily all inclusive.