Director of Revenue Cycle

Kitsap Mental Health Services•Bremerton, WA
•$107,910 - $137,592•Onsite

About The Position

Kitsap Mental Health Services (KMHS) is seeking a Director of Revenue Cycle to lead the agency’s revenue cycle operations and help ensure billing, reimbursement, and revenue processes support sustainable behavioral health services. This role leads front-end and back-end revenue cycle functions and guides improvements to strengthen financial performance. The position oversees Billing, Authorizations, Customer Contact, Call Center, Front Desk, and Scheduling functions, and provides leadership, coaching, supervision, and performance management for direct reports. The position collaborates with the Chief Compliance and Privacy Officer in the annual performance review process. The Director develops and monitors performance metrics, reporting, and improvement plans; partners with clinical, operational, finance, IT, and agency leadership; and oversees compliance, audits, payer agreements, revenue reporting, forecasting, training, and system changes. The role is full-time and on-site in Bremerton, Washington, with occasional travel between KMHS locations. The hiring range is $107,910.40–$137,592.00 per year.

Requirements

  • Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Accounting, Public Health, or a related field.
  • At least six years of experience in healthcare revenue cycle management, including at least three years in a supervisory or leadership role.
  • At least three years of management or supervisory experience.
  • Demonstrated experience overseeing multiple revenue cycle functions, including front-desk and back-end operations, eligibility or authorization workflows, claims, denials, accounts receivable, and collections.
  • Comprehensive knowledge of healthcare revenue cycle operations and reimbursement methodologies.
  • Knowledge of CPT, HCPCS, ICD-10, and behavioral health coding requirements.
  • Knowledge of federal, state, and local healthcare regulations affecting billing and reimbursement.
  • Knowledge of HIPAA, HITECH, fraud and abuse regulations, and healthcare compliance standards.
  • Knowledge of Medicaid, Medicare, managed care contracting, and third-party payer requirements.
  • Understanding of healthcare financial reporting, budgeting, and revenue forecasting principles.
  • Knowledge of electronic health records and healthcare information systems.
  • Excellent communication and presentation skills.
  • Strong analytical and problem-solving capabilities.
  • Advanced financial and operational reporting skills.
  • Ability to establish and maintain effective working relationships with staff, providers, payers, and community partners.
  • Ability to manage multiple priorities and deadlines in a fast-paced environment.
  • Strong organizational, leadership, and project management skills.
  • Ability to interpret and apply complex regulations and reimbursement guidelines.
  • Ability to guide individuals and teams toward organizational goals while maintaining accountability and performance standards.
  • Ability to analyze large volumes of financial and operational data to identify trends and opportunities.
  • Ability to implement system-wide process improvements that enhance revenue cycle outcomes.
  • Ability to build collaborative relationships across departments and levels of leadership.
  • Ability to navigate challenging payer, regulatory, and operational issues effectively.
  • Ability to communicate complex financial and operational concepts to diverse audiences.
  • Ability to exercise sound judgment, professionalism, and discretion when handling confidential information.
  • Ability to use technology and reporting tools to monitor performance and support informed decision-making.

Nice To Haves

  • Master’s degree in Healthcare Administration, Business Administration, Finance, or a related field.
  • Seven or more years of healthcare revenue cycle leadership experience.
  • Experience within community behavioral health, FQHC, CCBHC, or integrated healthcare settings.
  • Experience working with Medicaid, Medicare, and Managed Care Organizations, and understanding of value-based payment models.
  • Experience with electronic health record systems, revenue cycle analytics, and revenue integrity programs.

Responsibilities

  • Provide leadership and oversight for revenue cycle operations, including front desk, authorization management, billing, payment posting, accounts receivable, collections, denial management, and revenue integrity.
  • Develop and manage revenue cycle performance metrics, reporting structures, scorecards, and improvement plans.
  • Monitor revenue cycle indicators and implement strategies to improve performance outcomes.
  • Collaborate with clinical and operational leaders to improve documentation workflows, charge capture, code selection, and billing handoffs.
  • Maintain controls for provider credentialing and payer enrollment activities.
  • Lead root-cause analysis of denials, payment delays, underpayments, and unbilled services; assign corrective actions, track results, and communicate findings.
  • Partner with Finance on revenue projections, contractual allowances, accounts receivable valuation, reconciliations, and month-end close activities.
  • Establish service expectations and performance standards for client-facing revenue cycle functions.
  • Analyze reimbursement barriers and develop corrective action plans to strengthen cash flow and collection performance.
  • Develop and maintain revenue cycle policies, procedures, workflows, and internal controls.
  • Ensure compliance with applicable federal, state, local, payer, and behavioral health billing requirements.
  • Lead revenue cycle audits, monitoring activities, and compliance reviews.
  • Partner with Information Technology and vendors to improve system functionality, reporting, automation, and analytics.
  • Evaluate payer contracts and assess operational, reimbursement, authorization, reporting, and implementation impacts.
  • Coordinate system configuration, testing, staff training, implementation planning, and post-launch monitoring for payer agreements.
  • Oversee revenue reporting, forecasting, dashboard development, and operational analysis.
  • Develop and implement staff training related to payer requirements, coding, customer service, billing regulations, and revenue cycle processes.
  • Oversee testing and validation of billing system and electronic health record changes.
  • Collaborate with agency leadership on strategic initiatives, service expansions, growth opportunities, and revenue cycle readiness.
  • Maintain productive relationships with payers, regulatory agencies, auditors, providers, clients, and external stakeholders.
  • Promote accountability, customer service excellence, stewardship, data-informed decision-making, and continuous improvement throughout the agency.
  • Participate in audits, accreditation activities, regulatory reviews, payer assessments, and corrective action planning.
  • Provide reports and recommendations to executive leadership regarding revenue cycle performance and operational improvement opportunities.
  • Oversee Billing, Authorizations, Customer Contact, Call Center, Front Desk, and Scheduling functions.
  • Provide leadership, coaching, supervision, and performance management for direct reports.
  • Collaborate with the Chief Compliance and Privacy Officer in the annual performance review process.

Benefits

  • Health, dental, and vision coverage.
  • Up to 19 days of PTO, plus two mental health days and 10 holidays; pro-rated for part-time employees.
  • Fully paid YMCA membership for the employee and eligible family members.
  • Company-paid life and disability insurance.
  • Student loan assistance and professional development.
  • 403(b) retirement plan with company contributions.
  • Employee Assistance Program (EAP).
  • Pet insurance.
  • Free wellness app (2MorrowHealth).
  • Collaborative, supportive team environment.
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