Bay Cove Human Services · 14 hours ago
Senior Director of Revenue Cycle Management
Greater Boston
Full-time
Onsite
Director/Executive
$140K/yr - $150K/yr
10+ years expBay Cove Human Services is dedicated to helping individuals overcome challenges and achieve their personal potential. The Senior Director of Revenue Cycle will lead all aspects of the revenue cycle process, ensuring timely billing and maximizing collections while collaborating with various teams to enhance financial strength and operational effectiveness.
ConsultingHealth CareHome Health CareNon Profit
No H1B
Responsibilities
Work collaboratively with the Operations leadership team to improve front office workflows and the effectiveness of Revenue Cycle Management operations
Serve as a strategic partner to Finance and Operations to evaluate the organization’s collection capabilities, drive adherence to payer contracts, and optimize reimbursement
Monitor, assess, and respond to current and emerging internal and external healthcare trends, establishing direction for revenue cycle activities that anticipate changes in the behavioral health landscape
Oversee all Revenue Cycle functions, assuring the proper handling of billing and directing all related activities to guarantee the timely submission of claims and the maximization of reimbursement
Facilitate the creation and ongoing development of the departmental mission, goals, policies, procedures, and budget, setting and upholding high standards for the Revenue Cycle Staff
Conduct regular reviews of departmental performance, ensuring compliance with all legal, accreditation, and regulatory requirements
Analyze and assess staff productivity and efficiency, maintaining a focus on the highest standards of quality patient care and service excellence
Provide leadership, direct supervision, and training and education of Revenue Cycle staff, offering guidance and support in areas of problem solving, staffing, operational needs, technical education, and budget management
Develop and implement the strategic vision for Bay Cove’s revenue cycle, fostering teamwork and collaboration across all levels of the organization to achieve outstanding results
Manage direct reports, including hiring, onboarding, training, delegation of work assignments, performance management, and professional development planning
Ensure that the productivity and actions of the managed group support and advance the operational goals of Revenue Cycle Management
Drive continuous improvement by evaluating and implementing industry best practices, innovations, and process enhancements, including the use of lean methodology to improve outcomes
Establish and refine processes to support timely billing, efficient adjudication of claims, and the achievement of benchmark cash goal levels
Develop, monitor, and manage departmental budgets to ensure the efficient use of resources and achievement of budgetary goals, with continuous analysis of operational costs and the cost to collect
Create and oversee denial management processes to identify and eliminate root causes of denials, minimizing their impact on the organization
Collaborate with revenue cycle leaders and clinical department leadership to maximize revenue and key performance indicators (KPIs)
Regularly review performance metrics, benchmark against best practices, set data-driven goals, and implement initiatives to drive continued revenue cycle improvement
Provide direction and subject matter expertise to information technology team to promote the efficient and effective use, adoption, innovation, or revenue cycle technology and to ensure technologies are updated and current and align with industry best practices
Qualification
Required
Bachelor's degree in Healthcare Management, Business Administration, or related field is required; Master's degree is preferred
Minimum of 10 years of revenue cycle management experience, including at least 5 years of direct management or leadership in a healthcare organization
Proven leader with outstanding interpersonal, communication, and team-building skills; demonstrated ability to inspire and lead others through change and drive organizational results
Extensive knowledge and hands-on experience in revenue cycle operations, with deep familiarity with behavioral health and physician practice industry KPIs strongly preferred
Comprehensive understanding of current behavioral health industry trends, regulations, and policies
Strong foundation in medical terminology and the ability to communicate effectively with clinical teams, payers, and operational leadership
Exceptional problem-solving skills with the capacity to assess complex situations, identify issues, and prioritize competing demands
Demonstrated success in revenue cycle review, analysis, and the implementation of process improvements that lead to measurable outcomes
Advanced proficiency in Microsoft Office applications is essential
Solid working knowledge of patient accounting systems and clearinghouse functionality, is preferred
Strategic, big-picture thinker capable of translating vision into actionable plans and measurable results
Innovative approach to leadership, with a passion for continuous improvement and operational excellence
Ability to foster a culture of accountability, collaboration, and high performance
Comfortable working in a fast-paced, changing environment within the healthcare sector
Ability to read, interpret, and create actionable plans related to changing healthcare policies and regulations
Commitment to Bay Cove's mission and values, with a drive to support quality care through effective revenue cycle management
Preferred
Master's degree is preferred
Extensive knowledge and hands-on experience in revenue cycle operations, with deep familiarity with behavioral health and physician practice industry KPIs strongly preferred
Solid working knowledge of patient accounting systems and clearinghouse functionality, is preferred
Company
Bay Cove Human Services
Bay Cove Human Services is an organization that treats mental illness, developmental disabilities, and substance use disorders.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Carley Lubarsky
Chief Operating Officer
Julie Celano
Chief Human Resources Officer, Senior Vice President
Recent News
2025-03-04
Company data provided by crunchbase