Director of Revenue Integrity and Revenue Cyc at Root Center For Advanced Recovery

Manchester, Connecticut, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Sep, 26

Salary

125000.0

Posted On

03 Jun, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Revenue Integrity, Billing Operations, Denial Management, Accounts Receivable Management, Payer Compliance, Healthcare Analytics, Medicaid Reimbursement, Medicare Reimbursement, Epic EMR, SAMMS, Financial Planning, Process Improvement, Leadership, Regulatory Compliance, Clinical Documentation

Industry

Hospitals and Health Care

Description

At Root Center, we believe our employees are our greatest asset, and we're committed to creating a supportive and engaging work environment where everyone can thrive. We're driven by a clear purpose and a set of core values that shape everything we do, from nurturing growth and promoting well-being to cultivating connections and making a positive impact. In fact, 97% of our newly hired employees would recommend us to their friends for employment opportunities, and 96% said they strengthened their skills in their first few months. If you share our commitment to these values and want to join a team that lives them every day, Root Center might be the perfect fit for you! The Director of Revenue Integrity and Revenue Cycle Operations is responsible for the leadership, oversight, and optimization of the organization's revenue cycle operations. Reporting to the Chief Financial Officer (CFO), this position provides strategic and operational direction for billing, accounts receivable management, reimbursement performance, denial prevention, revenue integrity, payer compliance, and revenue cycle analytics. The Director serves as the organization's subject matter expert for revenue cycle operations and reimbursement processes, ensuring that services are accurately documented, billed, collected, and reimbursed in accordance with regulatory requirements and payer guidelines. This position partners closely with Finance, Clinical Operations, Compliance, Information Technology, and Executive Leadership to improve financial performance, strengthen revenue integrity, and support organizational growth. Salary Range: $100,000 - $125,000 Essential Functions Revenue Cycle Operations * Provides leadership and oversight of all revenue cycle functions, including billing operations, claims management, payment posting, denial management, collections, and accounts receivable performance. * Directs daily revenue cycle operations through leaders and staff while promoting operational efficiency and accountability. * Establishes performance expectations, operational standards, and key performance indicators (KPIs) for revenue cycle functions. * Develops and implements revenue cycle initiatives that improve reimbursement outcomes and support organizational goals. Revenue Integrity & Reimbursement Performance * Oversees organizational revenue integrity efforts to ensure services are appropriately documented, coded, billed, and reimbursed. * Monitors reimbursement trends and identifies opportunities to improve revenue capture, reduce denials, and enhance collection performance. * Leads denial prevention and recovery initiatives through root cause analysis, workflow improvements, and cross-functional collaboration. * Oversees aged accounts receivable management and develops action plans to improve collection performance and cash flow. * Provides reimbursement analysis and operational recommendations to support CFO-led financial planning and payer strategy. Compliance & Regulatory Oversight * Ensures compliance with payer requirements, Medicaid regulations, billing guidelines, and organizational policies. * Maintains oversight of revenue cycle readiness for audits, payer reviews, compliance investigations, and reimbursement-related examinations. * Collaborates with Compliance and Clinical Operations leadership to mitigate reimbursement and documentation risks. * Monitors regulatory changes impacting reimbursement and recommends operational adjustments as necessary. Analytics & Performance Management * Develops and maintains revenue cycle dashboards, management reports, and performance metrics. * Analyzes denial trends, collection performance, payer activity, reimbursement patterns, and operational productivity. * Provides regular performance reporting and recommendations to the CFO and executive leadership. * Utilizes data analytics to identify process improvement opportunities and operational efficiencies. EMR & Revenue Workflow Optimization * Provides strategic oversight of revenue-related workflows within Epic, SAMMS, and other clinical and financial systems. * Partners with Information Technology and operational leadership to optimize system functionality and reimbursement workflows. * Supports implementation of new technologies, workflow redesigns, and system enhancements impacting revenue cycle operations. * Ensures alignment between clinical documentation, billing workflows, and reimbursement requirements. Leadership & Staff Development * Provides leadership, coaching, mentoring, and performance management for revenue cycle leadership and staff. * Builds a culture of accountability, customer service, collaboration, and continuous improvement. * Establishes departmental goals and supports professional development and succession planning initiatives. * Promotes strong working relationships across Finance, Clinical Operations, Compliance, Information Technology, and Executive Leadership. Qualifications/Requirements: * Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required. Professional Coding Certification preferred. * Minimum of eight (8) years of progressive healthcare revenue cycle experience. * Minimum of five (5) years of leadership experience overseeing complex healthcare billing and reimbursement operations. * Demonstrated expertise in Medicaid, Medicare, commercial insurance reimbursement, denial management, accounts receivable management, and revenue cycle optimization. * Behavioral healthcare, substance use disorder treatment, FQHC, or multi-site healthcare experience strongly preferred. * Experience with Epic and healthcare information systems strongly preferred. * Strong knowledge of healthcare reimbursement methodologies, payer regulations, compliance requirements, and revenue cycle best practices. * Proven ability to lead process improvement initiatives and cross-functional teams. * Excellent analytical, communication, organizational, and leadership skills. Exposure Control Risk Level: A. Low risk for potential exposure; contact with hazardous material and sharps containers. Physical Requirements: * Prolonged periods sitting at a desk and working on a computer. * Must be able to lift up to 15 pounds at times. * Able to travel as needed. COMPENSATION & BENEFITS For all benefit eligible employees, we offer a prestigious employment package that includes competitive compensation plus a comprehensive array of benefits including: * Work Life Balance- Flexibility: Great work life balance with clinics closed on Sundays. No current on-call responsibilities. Time off including PTO (4 weeks), three (3) Paid training days and thirteen (13) paid holidays, including your birthday! 35 hour work week and so much more! * Health Insurance & Dental Insurance- with flexible employee contribution options depending upon chosen plan. * Voluntary Vision Insurance * Life Insurance and AD&D – 100% paid by Root Center for Advanced Recovery * Short-Term Disability – 100% paid by Root Center for Advanced Recovery * 403(b) Retirement Plan with a 5% employer match after 6 months of employment and an additional 5% employer contribution after 1 year of employment. * $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such can not be provided in the organization internally. * Annual bonus eligible based on agency performance * Root Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. EEO Statement: Root Center is committed to hiring and retaining a diverse workforce. Root considers applicants for employment without regard to, and does not discriminate on the basis of, an individual’s sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Root Center discriminate on the basis of sexual orientation or gender identity or expression. #sponsored

Responsibilities

Lead and optimize the organization's revenue cycle operations, including billing, reimbursement performance, and denial prevention. Partner with executive leadership and clinical operations to ensure regulatory compliance and improve overall financial performance.