ARE YOU INTERESTED IN ASSISTING WITH BUILDING A SENIOR MANAGEMENT TEAM? LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY is looking for individuals who would like to help us make a different in others' lives. Individuals who align with our five pillars: Compassion, Acceptance, Respect, Empowerment, Stewardship should join us. Position Summary The Director of Revenue Cycle is responsible for overseeing front-end revenue cycle functions to ensure accurate, timely, and compliant reimbursement for services. This role supervises Revenue Cycle Specialists and leads front-end financial processes including eligibility verification, funding assignment, and authorization management. In a behavioral health and Centralized Receiving System (CRS) environment, the Director of Revenue Cycle plays a critical role in ensuring proper alignment between clinical services, funding sources (e.g., Medicaid, DCF/Managing Entity, grants), and billing practices. This position works in close collaboration with Operations, Resource Navigators and the Controller to ensure seamless coordination between front-end processes and downstream billing functions, while maintaining a clear separation of responsibilities. This position will also oversee contract/grant billing functions to maximize revenue integrity and compliance. Position Summary The Director of Revenue Cycle is responsible for overseeing front-end revenue cycle functions to ensure accurate, timely, and compliant reimbursement for services. This role supervises Revenue Cycle Specialists and leads front-end financial processes including eligibility verification, funding assignment, and authorization management. In a behavioral health and Centralized Receiving System (CRS) environment, the Director of Revenue Cycle plays a critical role in ensuring proper alignment between clinical services, funding sources (e.g., Medicaid, DCF/Managing Entity, grants), and billing practices. This position works in close collaboration with Operations, Resource Navigators and the Controller to ensure seamless coordination between front-end processes and downstream billing functions, while maintaining a clear separation of responsiblities. This position will also oversee contract/grant billing functions to maximize revenue integrity and compliance. Key Responsibilities Revenue Cycle Oversight Oversee front-end and revenue cycle functions, including: Eligibility verification Authorization management Funding assignment Ensure services are billed to the correct payer source (Medicaid, insurance, DCF/CFBHN, grants) Team Leadership & Supervision Supervise and support Revenue Cycle Specialist and UM Supervisor Provide training, coaching, and performance management Establish clear expectations, workflows, and accountability Foster a culture of accuracy, compliance, and continuous improvement CRS & Front-End Financial Integrity Ensure intake and eligibility processes support clean claims and proper funding assignment Maintain clear separation between clinical decision-making and financial determination Collaborating with Clinical Leadership and Resource Navigators to align workflows Compliance & Risk Management Ensure adherence to: HIPAA Medicaid/Medicare regulations DCF/CFBHN guidelines Maintain audit readiness and support internal/external audits Identify and mitigate revenue and compliance risks Cross-Functional Collaboration Partner with (healthcare) Clinical leadership CRS/Access teams Resource Navigators Finance department Ensure alignment between service delivery, documentation, and reimbursement Qualifications Education Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required Experience 5+ years of experience in healthcare revenue cycle management Experience in behavioral health, nonprofit, or DCF-funded environments strongly preferred Prior supervisory experience required Experience managing outsourced billing vendors preferred Skills & Competencies Strong knowledge of: Medicaid, Medicare, and managed care billing DCF/Managing Entity funding models Excellent analytical and problem-solving skills Strong leadership and team development abilities Ability to interpret data and drive performance improvements Effective communication and cross-functional collaboration Key Performance Indicators (KPIs) Days in Accounts Receivable (A/R) Clean Claim Rate Denial Rate & Resolution Time Net Collection Rate Funding Assignment Accuracy % of Services Successfully Billed Work Environment Office-based with collaboration across clinical and administrative teams May require flexibility to support operational needs Summary This role serves as the bridge between clinical operations and financial performance , ensuring that services delivered are accurately funded, compliant, and fully reimbursed .
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