Jefferson Center for Mental Health · 1 day ago
Director of Revenue Operations
Wheat Ridge, CO
Full-time
Hybrid
Director/Executive
$121K/yr - $150K/yr
7+ years expJefferson Center for Mental Health is dedicated to building a community where mental health matters and equitable care is accessible to all. The Director of Revenue Integrity & Financial Operations is a key leadership role responsible for overseeing revenue cycle management and operational finance functions, maximizing reimbursement, and improving operational efficiency while managing a team of financial operations professionals.
CommunitiesHealth CareMental HealthNon Profit
Responsibilities
Lead and manage all aspects of the revenue cycle, including billing, collections and credentialing
Provide leadership and direction to mid-level RCM management
Contribute to coding and payer relations strategies
Ensure accurate and compliant billing practices by overseeing claim submission, payment processing, and collections
Develop and optimize billing and coding workflows to enhance revenue and ensure adherence to payer guidelines and regulatory standards
Ensure all revenue cycle operations are in compliance with relevant federal, state, and payer regulations, including HIPAA, ICD-10, CPT, 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
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 Director of Finance 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
Provide ongoing education and training to internal teams (e.g., clinical staff, billing, and coding teams) on revenue integrity, coding practices, and regulatory requirements
Qualification
Required
Bachelor's degree in healthcare administration, finance, accounting, business, or a related field
At least 7-10 years of experience in healthcare revenue cycle management, financial operations, or a similar leadership position
Strong background in coding, billing, collections, payer relations, and operational finance
In-depth knowledge of healthcare billing, coding, compliance regulations (ICD-10, CPT, HCPCS), payer rules, reimbursement policies, and financial systems optimization
Proven leadership skills, with experience managing and mentoring a team
Ability to collaborate effectively across departments
Strong analytical and problem-solving abilities, with a focus on data-driven decision-making and process optimization
Excellent communication skills, with the ability to educate, train, and interact effectively with a wide range of stakeholders
Strong attention to detail with the ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and compliance
Ability to think strategically and provide insights and recommendations that align with organizational goals
Preferred
Experience in healthcare financial operations within a hospital, physician group, or large medical practice, particularly in community-based healthcare or mental health settings
Familiarity with financial data analytics and performance reporting tools (e.g., Power BI, Tableau)
Experience in denial management and payer contracting
Bilingual (English/Spanish) preferred
Company
Jefferson Center for Mental Health
Jefferson Center is a nonprofit, community-focused mental health care and substance use services provider.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Kiara Kuenzler
President and CEO
David Goff
VP, Administration and CFO
Recent News
Colorado Community Media
2024-05-20
Company data provided by crunchbase