Senior Director of Revenue Cycle Management - Accounting

Bay Cove Human Services, Inc.•Boston, MA

34d

About The Position

Bay Cove Human Services’ mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program sites throughout Greater Boston and Southeastern Massachusetts. Job Summary: The Senior Director of Revenue Cycle serves as the leader responsible for directing all aspects of the revenue cycle process, ensuring timely and accurate billing, maximizing collections, and collaborating with cross-functional teams to drive the financial strength, compliance and operational effectiveness of the organization. As the Senior Director, Revenue Cycle at Bay Cove, you will oversee the entire Revenue Cycle organization, providing leadership, vision, and strategic direction to ensure the highest standards in billing, collections, and revenue optimization. This role is critical in aligning the revenue cycle with Bay Cove’s mission, vision, and goals, ensuring that systems and processes support the ongoing delivery of quality care and the organization’s long-term sustainability. You will be responsible for developing, implementing, and updating strategic plans for the revenue cycle, in alignment with Bay Cove’s strategic objectives. The Senior Director, Revenue Cycle is a trusted advisor and partner to the Finance and Operations teams, providing expert recommendations and actionable insights to support data-driven decision-making and operational excellence. This is an exempt position.

Requirements

Bachelor’s degree in Healthcare Management, Business Administration, or related field is required; Master’s degree is preferred.
Minimum of 10 years of revenue cycle management experience, including at least 5 years of direct management or leadership in a healthcare organization.
Proven leader with outstanding interpersonal, communication, and team-building skills; demonstrated ability to inspire and lead others through change and drive organizational results.
Extensive knowledge and hands-on experience in revenue cycle operations, with deep familiarity with behavioral health and physician practice industry KPIs strongly preferred.
Comprehensive understanding of current behavioral health industry trends, regulations, and policies.
Strong foundation in medical terminology and the ability to communicate effectively with clinical teams, payers, and operational leadership.
Exceptional problem-solving skills with the capacity to assess complex situations, identify issues, and prioritize competing demands.
Demonstrated success in revenue cycle review, analysis, and the implementation of process improvements that lead to measurable outcomes.
Advanced proficiency in Microsoft Office applications is essential.
Solid working knowledge of patient accounting systems and clearinghouse functionality, is preferred.
Strategic, big-picture thinker capable of translating vision into actionable plans and measurable results.
Innovative approach to leadership, with a passion for continuous improvement and operational excellence.
Ability to foster a culture of accountability, collaboration, and high performance.
Comfortable working in a fast-paced, changing environment within the healthcare sector.
Ability to read, interpret, and create actionable plans related to changing healthcare policies and regulations.
Commitment to Bay Cove’s mission and values, with a drive to support quality care through effective revenue cycle management.

Nice To Haves

Master’s degree is preferred.
Extensive knowledge and hands-on experience in revenue cycle operations, with deep familiarity with behavioral health and physician practice industry KPIs strongly preferred.
Solid working knowledge of patient accounting systems and clearinghouse functionality, is preferred.

Responsibilities

Work collaboratively with the Operations leadership team to improve front office workflows and the effectiveness of Revenue Cycle Management operations.
Serve as a strategic partner to Finance and Operations to evaluate the organization’s collection capabilities, drive adherence to payer contracts, and optimize reimbursement.
Monitor, assess, and respond to current and emerging internal and external healthcare trends, establishing direction for revenue cycle activities that anticipate changes in the behavioral health landscape.
Oversee all Revenue Cycle functions, assuring the proper handling of billing and directing all related activities to guarantee the timely submission of claims and the maximization of reimbursement.
Facilitate the creation and ongoing development of the departmental mission, goals, policies, procedures, and budget, setting and upholding high standards for the Revenue Cycle Staff.
Conduct regular reviews of departmental performance, ensuring compliance with all legal, accreditation, and regulatory requirements.
Analyze and assess staff productivity and efficiency, maintaining a focus on the highest standards of quality patient care and service excellence.
Provide leadership, direct supervision, and training and education of Revenue Cycle staff, offering guidance and support in areas of problem solving, staffing, operational needs, technical education, and budget management.
Develop and implement the strategic vision for Bay Cove’s revenue cycle, fostering teamwork and collaboration across all levels of the organization to achieve outstanding results.
Manage direct reports, including hiring, onboarding, training, delegation of work assignments, performance management, and professional development planning.
Ensure that the productivity and actions of the managed group support and advance the operational goals of Revenue Cycle Management.
Drive continuous improvement by evaluating and implementing industry best practices, innovations, and process enhancements, including the use of lean methodology to improve outcomes.
Establish and refine processes to support timely billing, efficient adjudication of claims, and the achievement of benchmark cash goal levels.
Develop, monitor, and manage departmental budgets to ensure the efficient use of resources and achievement of budgetary goals, with continuous analysis of operational costs and the cost to collect.
Create and oversee denial management processes to identify and eliminate root causes of denials, minimizing their impact on the organization.
Collaborate with revenue cycle leaders and clinical department leadership to maximize revenue and key performance indicators (KPIs).
Regularly review performance metrics, benchmark against best practices, set data-driven goals, and implement initiatives to drive continued revenue cycle improvement.
Provide direction and subject matter expertise to information technology team to promote the efficient and effective use, adoption, innovation, or revenue cycle technology and to ensure technologies are updated and current and align with industry best practices.