Head of Revenue Cycle

Mindful Health Solutions

9d • $190,000 - $240,000

About The Position

Reporting to the CFO, the Head of Revenue Cycle owns revenue cycle operations across Radial’s network and leads the operational changes needed to improve performance. The role spans eligibility, prior authorization, charge capture, coding, claims, denials, accounts receivable, and patient collections. Coding is currently handled in-house, while billing is managed by an outsourced partner; within the first year, the role will evaluate whether to retain or change this model and lead a transition if needed.

The position works across operations, clinical, product, and finance teams to trace denials and delays to their upstream causes and improve workflows rather than simply rework claims. It leads the in-house coding team, manages the billing partner through clear service-level expectations and accountability, and owns revenue cycle metrics and payer performance. The role also partners with product on automation in RadialOS and with AI, and manages a payer mix that includes commercial plans, Medicare, Tricare, and VA Community Care.

Requirements

• Able to analyze payer policies and identify provisions driving denials.
• Able to address root causes by improving upstream workflows, such as intake forms, rather than relying solely on denial rework.
• Able to explain revenue variances to a CFO and root causes to front-desk staff.
• Experience moving billing between a vendor and an in-house team and understanding the challenges involved.
• Able to make data-based in-house-versus-vendor decisions and own the outcome.
• Uses AI to identify denial patterns, draft appeals, and automate repetitive work, and encourages the team to do the same.

Nice To Haves

• Experience with behavioral health, interventional psychiatry, or neuromodulation billing.
• Experience with specialty drug buy-and-bill.
• Coding or revenue cycle certifications such as CPC, CRCR, or similar.

Responsibilities

• Own revenue cycle end to end, including eligibility, prior authorization, charge capture, coding, claims, denials, accounts receivable, and patient collections.
• Trace denials and delays to intake, scheduling, documentation, and credentialing issues, and work with operations, clinical, and product teams to improve workflows.
• Lead the in-house coding team and manage the billing partner with clear SLAs and accountability.
• Evaluate the revenue cycle operating model within 12 months, make a data-based recommendation, and lead a transition if the model changes.
• Partner with finance on forecasting, cash, month-end close, and payer contract performance.
• Own clean claim rate, denial rate, days in AR, and net collection rate metrics.
• Partner with product to automate revenue cycle work in RadialOS and with AI.
• Manage a payer mix that includes commercial plans, Medicare, Tricare, and VA Community Care.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed