Revenue Cycle Director

NEIGHBORHOOD OUTREACH ACCESS TO HEALTH•Phoenix, AZ

5d•$109,787 - $121,985•Onsite

About The Position

Revenue Outreach Access to Health (NOAH) is a Federally Qualified Health Center (FQHC) that offers comprehensive, integrated, and affordable healthcare services to people in need. We serve over 40,000 neighbors with a variety of services, including medical, dental, behavioral health, nutrition, preventive health, eligibility assistance, and health education programs. At NOAH, we are dedicated to promoting the overall wellness of our employees by fostering a supportive and balanced work environment. We understand the importance of physical, mental, and emotional well-being, and we strive to create a workplace where our team members can thrive both personally and professionally. Join us in making a difference in our community while enjoying a fulfilling and rewarding career. The Director of Revenue Cycle Management (RCM) is a strategic and operational leader responsible for optimizing all aspects of the patient revenue cycle at NOAH. This includes oversight of coding, claims, reimbursement, collections, and denials management. The Director plays a vital role in supporting the financial health of the organization and must ensure revenue is captured efficiently, accurately, and compliantly.

Requirements

Deep knowledge of full revenue cycle workflows; as well as billing/coding procedures for Medicaid, Medicare, and Commercial insurers.
Proven ability to monitor and improve RCM performance through data-driven strategies.
Strong understanding of healthcare payer contracting and reimbursement mechanisms.
Exceptional leadership, team development, and communication skills.
Ability to synthesize complex data into actionable insight and communicate clearly across audiences.
Proficiency in electronic health record/practice management systems (preferably EPIC) and data reporting tools (Excel, Tableau, Power BI, etc.).
Adept at navigating change, solving problems, and implementing process improvement initiatives.
Strong project management and cross-functional collaboration skills.
Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field; equivalent professional experience may be considered in lieu of a degree.
Minimum of 10 years of progressive experience in Revenue Cycle operations, including 5+ years in an RCM manager or director-level role.
New Hires are required to pass pre-employment background check and drug testing (effective 11/1/2022).
Must reside within the state of Arizona

Nice To Haves

Experience in a Federally Qualified Health Center (FQHC)
EPIC certification in Charge Review, Payment Posting, Self-Pay Follow Up, Insurance Follow Up, and/or Coding.
Advanced training or certification in Revenue Cycle Management, Healthcare Compliance, or Project Management is a plus.

Responsibilities

Leads and manages the RCM department, including billing, coding, payment posting, and insurance follow-up functions.
Oversees department structure and staffing; recruits, hires, trains, coaches, and evaluates performance of RCM staff.
Builds and reinforces a culture of accountability, ownership, and continuous improvement.
Conducts regular staff meetings to communicate expectations, share updates, and address issues proactively.
Administers disciplinary actions and performance improvement plans in accordance with organizational policy.
Promotes team engagement, career development, and professional growth.
Owns full lifecycle of the revenue cycle process, ensuring timely and accurate charge capture, coding, billing, collections, denial management, and cash posting.
Monitors KPIs weekly and monthly (e.g., AR days, denial rate, clean claim rate, net collection rate) and initiates corrective action in collaboration with department leads and CFO.
Presents regular KPI dashboards, trends, and action plans to the CFO and executive team.
Provides feedback and financial insight to the accounting team for accurate month-end close, revenue recognition, and forecasting.
Coordinates with billing contractors and monitors the quality, productivity, and compliance of their work.
Ensures contracted resources are effectively utilized while actively developing internal team capacity to reduce long-term dependency.
Leads development, implementation, and enforcement of comprehensive and compliant SOPs for all RCM functions.
Works closely with stakeholders to mitigate gaps and designs and delivers billing-related training programs for RCM, Front Office, Community Resources, and PEC teams to ensure complete and accurate data collection at point of service.
Leads initiatives to reduce revenue leakage, increase clean claims, and reduce avoidable denials and write-offs.
Ensures compliance with payer contract terms, FQHC-specific billing regulations (e.g., PPS, wraparound), Medicaid guidelines, and other federal/state requirements.
Oversees and ensures accuracy of AHCCCS PPS reconciliations and other state/federal submissions.
Partners with IT and system vendors to ensure RCM systems (e.g., billing, claims, clearinghouse) are configured correctly and optimized for efficiency.
Manages high-level and complex patient billing inquiries with professionalism and empathy.
Participates in the annual budgeting process; assists CFO and Controller with revenue projections and modeling.
Collaborates with peer organizations and industry groups to remain current on FQHC billing best practices.
Attends and contributes to cross-functional meetings, trainings, and community initiatives as required.
Performs other duties as assigned.