Children's Aid · 5 days ago
Director of Revenue Cycle Management
New York, NY
Full-time
Hybrid
Lead/Staff, Director/Executive
$125K/yr - $130K/yr
5+ years expChildren's Aid is a dedicated organization focused on health and wellness, seeking a Director of Revenue Cycle Management. The role involves establishing effective claims management processes, supervising the Billing Unit, and collaborating with various stakeholders to optimize revenue and ensure compliance with regulations.
CommunitiesEducationHealth CareNon ProfitSocial ImpactUnderserved Children
Responsibilities
Develop, implement, and monitor effective policies and procedures to ensure effective revenue cycle management
Collaborate with the Vice President of Health & Wellness and Health & Wellness Deputies to design, implement, and monitor key performance indicators (KPIs) for revenue cycle operations
Provide timely, data-driven insights and strategic guidance to divisional and senior leadership to support informed decision-making, optimize program revenue, and ensure financial sustainability
Cultivate and manage relationships with insurers/managed-care providers, regulatory agencies, internal stakeholders, and external partners to facilitate streamlined operational processes
Working in collaboration with Information Technology, Finance, clinic, and billing staff to ensure seamless billing, problem solve challenges and employ timely solutions
Prepare comprehensive revenue projections with a primary focus on Medicaid and managed care programs; regularly reconcile projected versus actual collections and lead investigation and resolution of variances and revenue anomalies
Develop and deliver accurate, timely revenue and receivables reports for divisional senior leadership and program managers
Partner closely with Agency Fiscal staff to ensure appropriate revenue recognition, accurate receivable recording, and compliance with established accounting standards
Establish and oversee methodologies for cash-receipt recording to ensure integrity, consistency, and audit readiness of agency financial records
Responsible for developing, reviewing, and editing divisional billing policies and procedures to ensure accuracy, compliance, and operational efficiency
In collaboration with the CWFS Foster Care Administration, assure that all aspects of Foster Care program revenue (Medicaid per diem) are accurate and appropriate
Review and negotiate contracts with managed care organizations and commercial insurers
Supervise and monitor the credentialing process
Comply with all privacy laws including HIPAA, etc
Other duties as assigned
Qualification
Required
Bachelor's degree required
Minimum 5 years of experience supervising medical billing staff
Demonstrated experience managing Medicaid and commercial billing at scale
Hands-on experience with Electronic Health Record (EHR) and practice management systems
Advanced Excel proficiency
In depth knowledge and understanding of revenue cycle management principles
In depth knowledge and understanding of Medicaid and managed care guidelines
In depth knowledge and understanding of medical insurance policies and procedures
In depth knowledge and understanding of EDI institutional and professional claims formats, denial management and appeals
In depth knowledge and understanding of medical billing and terminology, coding, and collections
In depth knowledge and understanding of payer enrollment/credentialing
Proven leader with the ability to set team goals and prioritize daily operations and projects
Collaborative manager with strong written, oral, interpersonal, and organizational skills
Preferred
Family planning, primary care, and behavioral health experience preferred
eClinicalWorks (eCW) experience preferred
Revenue cycle certification preferred
Company
Children's Aid
Our Mission: Children's Aid helps children in poverty to succeed and thrive.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$0.05MKey Investors
MCU Foundation
2025-10-07Grant· $0.05M
Leadership Team
Phoebe Boyer
President and CEO
Jason Rok
Deputy Chief Financial Officer
Recent News
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