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Boulder Care, a Series C addiction treatment company, seeks a Director of Revenue Cycle Management to lead end-to-end revenue cycle operations and optimize cash collections while ensuring compliant billing practices.
You will directly supervise the Revenue Cycle Manager and provide strategic leadership over patient billing, coding, collections, payer operations, revenue integrity, and revenue cycle analytics. Key responsibilities include:
Revenue Cycle Leadership: Oversee all revenue cycle functions including charge capture, coding support, claims management, payment posting, denials management, appeals, collections, and revenue integrity. Develop and execute initiatives to improve revenue cycle performance, cash flow, and operational efficiency. Establish measurable KPIs and foster a culture of accountability and continuous improvement. Serve as Finance's executive leader for revenue cycle strategy, providing recommendations to the Controller and executive leadership on reimbursement trends, payer performance, and cash flow optimization.
Financial Performance: Monitor revenue cycle performance through dashboards and analytics. Analyze trends impacting revenue, collections, denial rates, aging, and payer performance. Identify opportunities to improve net collections and reduce revenue leakage. Partner with Accounting during monthly close processes to support revenue recognition and accounts receivable valuation. Support budgeting, forecasting, and financial planning.
Revenue Integrity & Compliance: Ensure billing and collection activities comply with federal and state healthcare regulations, Medicare and Medicaid requirements, commercial payer contracts, HIPAA, and internal policies. Maintain strong internal controls supporting accurate financial reporting and GAAP compliance. Partner with Compliance and Legal on regulatory changes impacting reimbursement.
Operational Excellence: Evaluate workflows and implement process improvements using Lean methodologies. Partner with Product, Engineering, and Technology teams to improve automation and system functionality. Maintain strong relationships with Candid and other revenue cycle vendors. Oversee third-party billing vendors and outsourced partners.
Leadership & Talent Development: Directly supervise the Revenue Cycle Manager. Coach, mentor, and develop revenue cycle leaders and staff. Establish performance expectations and conduct evaluations. Build succession plans and support employee development.
Cross-Functional Collaboration: Partner closely with Accounting, FP&A, Clinical Operations, Credentialing, Provider Operations, Compliance, Product, and Engineering. Support implementation of new payer contracts and operational initiatives. Present revenue cycle performance and strategic initiatives to Finance leadership and executive management.
