Apply on Employer Site

Colorado Coalition for the Homeless · 1 day ago

Director of Revenue Cycle Operations- 10668

Denver, CO

Full-time

Onsite

Lead/Staff, Director/Executive

$120K/yr - $140K/yr

5+ years exp

The Colorado Coalition for the Homeless is dedicated to preventing homelessness and providing lasting solutions for at-risk families and individuals. The Director of Revenue Cycle Operations will oversee revenue cycle management and operational finance functions, ensuring compliance and efficiency while maximizing reimbursement and minimizing financial risk.

Health CareNon Profit

Responsibilities

Ensure all revenue cycle operations are in compliance with relevant federal, state, and payer regulations, including HIPAA, ICD-10, CPT-4, HCPCS, and payer-specific guidelines

Conduct regular audits of coding, billing, and documentation practices to identify and address discrepancies, ensuring accuracy and compliance

Play a key leadership role in financial audits

Oversee denial management processes, collaborating with billing teams to analyze, resolve, and reduce denials and rejection rates

Implement strategies to improve claim acceptance and expedite payment turnaround times

Contribute the development and management of operational budgets, forecasts, and financial models to ensure the achievement of organizational financial objectives

Conduct cost analysis and develop financial models to support decision-making, improve cost efficiency, and identify opportunities for savings

Process Improvement and Financial Systems Optimization

Continuously assess and optimize financial systems, processes, and workflows to improve efficiency, reduce operational risks, and enhance the overall revenue cycle process

Drive process improvements and leverage technology for automation to streamline procedures and improve operational performance

Collaboratively be point of contact for payer-related issues, including disputes, claims denials, and reimbursement challenges while engaging leadership who also contribute to those areas

Oversee and manage the credentialing team, processes, and ensuring timely enrollment with payers and maintaining compliance with payer requirements

Hold direct oversight of mid-level management for the credentialing department

Oversee the representative payee program, ensuring compliance with relevant regulations and standards

Provide financial guidance and strategic support to various business units, aligning financial goals with operational objectives to drive improvements and achieve organizational priorities

Lead, mentor, and manage a team of financial operations professionals, fostering a culture of continuous improvement, high performance, and cross-departmental collaboration

Work closely with the Financial Controller to ensure alignment on financial reporting, compliance, and areas where operational finance intersects with cost optimization

Prepare regular reports for senior leadership on the health of the revenue cycle, including trends, issues, and areas for improvement

Provide actionable insights and recommendations to enhance financial outcomes and drive improvements in revenue cycle operations

Qualification

Healthcare revenue cycle managementFinancial operationsCodingBillingPayer relationsOperational financeCost analysisFinancial modelingTrainingMicrosoft proficiencyNextGen proficiencyICD-10 proficiencyCPT-4 proficiencyHCPCS proficiencyLeadershipCommunication skillsProblem-solving

Required

Fqhc Experience Is Required

Bachelor's degree in healthcare administration, finance, accounting, business, or a related field

5-7 years of experience in healthcare revenue cycle management, financial operations, or a similar leadership position, with a strong background in coding, billing, collections, payer relations, and operational finance

Expertise in healthcare billing, finance, and accounting principles

Ability to successfully manage numerous tasks simultaneously

Ability to present to multiple levels of staff from VPs to directors, managers, providers, and to ancillary staff

Requires excellent oral and written communication skills

Define problems, collect data, establish facts, and draw valid conclusions

Ability to conduct training sessions and provide professional, accurate feedback on performance as needed

Valid driver's license required. This requirement may be waived, if necessary, based on overall candidate experience and current needs of the business

Preferred

Proficiency in Microsoft and NextGen preferred

Proficiency in ICD-10, CPT-4, HCPCS preferred

Benefits

Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We’re proud to offer same-and opposite-sex domestic partner coverage.

Choice of dental insurance or discount plan.

Vision insurance.

Flexible spending accounts for health care / dependent care / parking expenses.

Free basic life and AD&D insurance coverage.

Employee Assistance Program, a problem-solving resource available to you and your household members.

Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting.

Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year.

Company

Colorado Coalition for the Homeless

The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for families and individuals experiencing or at-risk of homelessness throughout Colorado.

Founded in 1984

Denver, Colorado, USA

501-1000 employees