[Hiring] Director / Vice President of Revenue Operations @Release Recovery

Role Description

This is a rare opportunity to step into a high-impact leadership role at the ground floor. We are bringing our revenue cycle operations fully in-house and are looking for an entrepreneurial, forward-thinking leader who is energized by building from 0 → 1, driving innovation, and owning results end to end. Release Recovery is seeking someone who thrives in a growth environment and wants their work to have a direct and lasting impact on the organization.

The Director/Vice President of Revenue Operations will lead the transition of Release Recovery’s insurance billing operations fully in-house, building the systems, workflows, infrastructure, and team needed to support a scalable, high-performing revenue cycle operation. This individual will oversee the full lifecycle of billing and reimbursement operations across all programs and service lines, including:

• Utilization review
• Claims management
• Payer relations
• Reimbursement optimization
• Denial management
• Compliance oversight

Primary Responsibilities:

• Revenue Cycle Leadership:
  • Build, own, and manage the full lifecycle of insurance billing operations from eligibility verification through final reimbursement.
  • Develop, implement, and optimize revenue cycle workflows across residential, outpatient, PHP/IOP, and case management services.
  • Establish internal controls to ensure accurate, compliant, and scalable billing practices.
  • Monitor and improve key performance indicators including:
    • Clean claim rate
    • Days in A/R
    • Authorization approval rates
    • Denial trends
    • Net collection percentages
    • Reimbursement variance analysis
  • Identify process inefficiencies and implement automation and technology solutions to improve operational performance.
• Utilization Review & Authorizations:
  • Oversee authorization strategy and utilization review processes across all levels of care.
  • Ensure timely and accurate submission of clinical documentation supporting medical necessity and level of care.
  • Partner closely with clinical leadership to align documentation practices with payer requirements.
  • Monitor authorization utilization and proactively prevent lapses in coverage.
  • Train and support UR staff and clinical teams on payer guidelines and documentation standards.
• Claims Management & Billing Operations:
  • Own the full claims cycle including claim creation, coding accuracy, submission, and reconciliation.
  • Ensure compliance with CPT, HCPCS, and ICD-10 coding standards specific to behavioral health services.
  • Validate charge capture and supporting documentation prior to claim submission.
  • Manage electronic billing systems, clearinghouses, and EMR integrations.
  • Maintain payer billing rule libraries and submission requirements.
• Denials, Appeals & Accounts Receivable:
  • Develop and execute denial prevention and appeal strategies.
  • Lead reimbursement renegotiation efforts with payers when appropriate.
  • Oversee all insurance appeals, including both clinical and administrative appeals.
  • Analyze denial trends and implement corrective action plans.
  • Supervise A/R follow-up processes to ensure timely claim resolution.
  • Collaborate with legal, compliance, and clinical leadership on complex escalations and payer disputes.
• Payer Relations & Contracting Support:
  • Analyze reimbursement rates, fee schedules, and payer contract performance.
  • Support and participate in payer negotiations through reimbursement analysis, utilization data, and financial modeling.
  • Identify opportunities for contract optimization and improved reimbursement structures.
  • Monitor payer policy updates and communicate operational impacts internally.
• Reporting & Analytics:
  • Build and oversee revenue cycle dashboards and operational reporting.
  • Provide leadership with insights related to payer mix, reimbursement trends, collections performance, and operational KPIs.
  • Forecast revenue based on census, payer mix, and authorization utilization.
  • Conduct root-cause analysis related to revenue leakage and reimbursement delays.
• Compliance & Regulatory Oversight:
  • Ensure compliance with payer contracts, state licensing requirements, and federal billing regulations.
  • Maintain adherence to HIPAA, behavioral health billing regulations, and audit readiness standards.
  • Lead internal billing audits and support external payer audits as needed.
  • Maintain accurate documentation and audit trails for billing and authorization activities.

Qualifications

• Proven experience in healthcare revenue cycle management, preferably within behavioral health, substance use treatment, or a related healthcare setting.
• Strong background in insurance billing, utilization review, claims management, and denial resolution.
• Experience building, scaling, or transitioning billing operations in-house.
• Entrepreneurial mindset with the ability to develop and execute solutions in a fast-paced, growth-oriented environment.
• Demonstrated leadership experience with the ability to build, train, and develop high-performing teams.
• Deep understanding of CPT, HCPCS, and ICD-10 coding, payer guidelines, and behavioral health billing requirements.
• Proficiency with EMR/EHR platforms, clearinghouses, and revenue cycle technologies. Experience with Kipu, CollabMD, and QuickBooks strongly preferred.
• Strong analytical and operational problem-solving skills with the ability to turn data into actionable strategy.
• Working knowledge of HIPAA, OASAS, and federal healthcare billing compliance requirements.

Benefits

• Work alongside respected thought leaders in the recovery space.
• Make a direct, meaningful impact on individuals and families.
• Receive compensation commensurate with experience (salary range: $125,000 - 165,000).
• Be eligible for health, dental, and vision benefits (full-time employees).