Director of Revenue Cycle | New Opening at Hope in Springfield!

Hope•Springfield, IL

3d•$80,000 - $120,000•Onsite

About The Position

The Director of Revenue Cycle provides strategic leadership and operational oversight for all stages of the organization’s financial intake workflows, including patient/client registration, billing, coding compliance, claims submission, and collections. This role is directly responsible for preventing revenue leakage, accelerating cash flow, minimizing payer denials, and leading the modernization of billing technology to support long-term organizational growth.

Requirements

Deep, authoritative knowledge of ABA-specific billing principles, authorization cycles, and autism-funding legislation (commercial insurance mandates and Medicaid/state-funded programs).
Advanced analytical mindset capable of translating complex financial, claim-level data into clear executive summaries for non-technical clinical leaders (e.g., Clinical Directors).
Strong leadership and boundary-setting skills to manage team dynamics, drive staff development, and advocate for operational priorities.
High proficiency in navigating specialized ABA EHR/billing applications (e.g., CentralReach) and integrating them cleanly with mainstream ERPs like Microsoft Business Central.

Nice To Haves

Master’s degree preferred.
Professional certification in medical billing/coding or certified revenue cycle executive (CRCE) credentials a significant asset.

Responsibilities

Design, implement, and monitor the end-to-end revenue cycle process to maximize reimbursement accuracy and maintain a healthy, predictable cash flow across all clinical sites.
Oversee the authorization pipeline to ensure seamless coordination between intake, clinical scheduling, and payer approvals; minimize unbilled therapy hours due to lapsed or incorrect authorizations.
Directly supervise, mentor, and evaluate the performance of the billing, intake, and credentialing team, establishing clear productivity metrics and high standards for quality assurance.
Build and maintain analytical data dashboards to track key performance indicators (KPIs) such as Days Sales Outstanding (DSO), clean claim rates, and denial trends; implement aggressive root-cause solutions to reduce recurring behavior-health payer rejections.
Identify bottlenecks in current systems and lead initiatives to integrate modern automation tools, electronic data interchanges (EDI), and advanced workflows between our ABA practice management/EHR software and Microsoft Business Central.
Serve as the primary point of contact for managed care organizations (MCOs), Medicaid, and commercial insurance networks. Ensure absolute compliance with specialized behavior health documentation, CPT coding standards (e.g., adaptive behavior assessment and treatment codes), and audit criteria.
Oversee the provider credentialing process to ensure Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs) are linked to commercial and state panels quickly, minimizing delays in billable care.
Collaborate closely with the Controller and CFO during month-end close to reconcile accounts receivable sub-ledgers to the general ledger.
Assist internal or external audit teams by providing comprehensive billing trails, revenue distribution schedules, and grant or contract utilization reports.
Stay continuously updated on legislative and legislative-adjacent changes affecting ABA insurance mandates, non-profit grant opportunities, and autism-funding policies.