Revenue Cycle Director

Access: Supports for LivingMiddletown, NY
$81,000 - $85,000Onsite

About The Position

Do Work That Matters. In a Culture That Means It. Be part of a team that values connection, accountability, and real impact. Why Access? Because how we work matters just as much as what we do. At Access, our Culture Playbook isn’t a poster on the wall – it’s how we show up for each other and for the people we support. You’ll be part of a team that is: Clear about expectations, Supportive and accountable, Focused on outcomes that matter to people. And committed to helping people live the healthiest and fullest lives possible – while making sure out staff can do the same.

Requirements

  • 5 years of experience in healthcare revenue cycle management and/or medical billing processes including knowledge of ICD-10, CPT, and HCPCS codes required
  • 5 years of progressive related supervisory experience required
  • Experience with Electronic Health Record (EHR) systems Medical Billing Clearinghouses
  • Applicants will possess intermediate computer skills with demonstrated strengths in Excel and database software
  • Applicants must have strong problem solving and analytical skills
  • Applicants must be able to lead and work effectively in a team environment and independently when necessary
  • In-depth knowledge of Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance billing processes particularly for NYS behavioral health services

Responsibilities

  • Responsible for oversight of billing team of up to 8 staff
  • Supervisory position in charge of maintaining billing systems, insurance verification/authorization management, directing billing, and collections
  • Clear understanding and working knowledge of claims processing, payer denials and appeals processes
  • Preparation of recurring and adjusting journal entries within areas of responsibility.
  • Completes financial analysis for audits and performs monthly and year-end receivables and income analysis to ensure revenue is maximized, advising on corrective actions and implementation plans.
  • Monitors and evaluates work productivity standards including identified Key Performance Indicators of billing team and individual staff for total revenue, collection rates, days receivables outstanding, and claim denials; supervise, coach and take necessary action to facilitate achievement of performance targets
  • Proactively reviews payer-aging reports and establishes achievable goals for accounts receivable reduction and/or cash acceleration. Notifies leaders of potential systemic issues and high risk/high exposure situations. Recommends and implements solutions for resolving aging receivables
  • Understands and can effectively back-up any position within the Billing Finance unit for which they supervise. Develops cross-training plans for staff to accommodate times of vacancy/absence
  • Maintains billing and accounts receivable guidelines by writing and updating policies and procedures including recommends changes to departmental procedures, and workflow to promote process improvements.
  • Compiles and distributes to leaders’ analytical reports weekly, biweekly, and monthly on productivity, billing, collections, denials, and write-offs for monitoring operations and updating financial systems
  • Complies with federal, state, and local legal requirements by understanding existing and new legislation; enforcing adherence to requirements; advising management on needed actions.
  • Possess intermediate computer skills, which include knowledge of word processor, spreadsheet, and database software and file maintenance. Responsible to create and design useful spreadsheets & databases independently and utilizes skills to assist and train others.
  • Write formal staff evaluations, provide feedback to the staff, and offer mentoring opportunities to allow staff to grow and achieve agency outcomes.
  • Responsible for communicating effectively with staff and leaders on a consistent basis
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