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Director of Revenue Cycle

Location
Work At Location Address
Type
Full Time
Status
Inactive
Job Published
07-09-2025

Description

- This strategic role is responsible for overseeing the Trust Fund Eligibility and Revenue Cycle departments, ensuring accurate billing, claims processing, collections, and benefits management. The ideal candidate will lead with a strong sense of service excellence, accountability, and commitment to our mission of enhancing the lives of individuals with intellectual and developmental disabilities.
  
  Essential Functions:
  
  Provide direct leadership to the Revenue Cycle Manager and Trust Fund Eligibility Manager, ensuring cohesive operations across the full revenue lifecycle.
- Establish and maintain departmental goals, KPIs, and best practices in alignment with
- Caregiver Inc.’s mission and regulatory requirements.
- Oversee timely and accurate billing, claims submission, and reimbursement processes across all services, including Host Home/Family Model, adaptive aides, and ancillary care.
- Ensure accurate maintenance of individual benefits and trust fund accounts through compliance with state and federal eligibility guidelines.
- Partner with IT and operations to continuously improve systems, workflows, and automation of billing and eligibility functions.
- Lead initiatives to reduce denials, optimize reimbursement, and improve revenue cycle efficiency through performance improvement and staff training.
- Regularly monitor department reporting and financial metrics; implement corrective actions as needed to improve outcomes.
- Ensure team compliance with payer requirements (Medicare, Medicaid, Commercial), HIPAA, and applicable federal/state laws.
- Foster a culture of transparency, compassion, and accountability aligned with the organization’s person-centered approach.
- Represent the revenue cycle function in cross-functional leadership meetings and strategic planning sessions.
- Proven success in managing multi-site or multi-state operations, preferably in IDD or long-term care settings.
- Expertise in payer regulations, revenue cycle KPIs, denial management, trust fund oversight, and Medicaid/Medicare compliance.
- Advanced knowledge of revenue cycle systems, data analytics, and Excel; experience working with billing software and EHRs.
- Strong interpersonal, coaching, and communication skills; ability to build trusting relationships across teams.
- Demonstrated commitment to ethical leadership, inclusion, and quality service for vulnerable populations.
Education and/or Experience:

Bachelor’s degree in Business Administration, Health Care Administration, Finance, or related field required; Master’s degree preferred.
Minimum of 5 years in revenue cycle leadership