[Hiring] Director of Revenue Cycle @Elevated Community Health

Role Description

The Director of Revenue Cycle provides strategic leadership and operational oversight of all revenue cycle activities for Elevated Community Health (ECH). This position ensures optimized reimbursement, cash flow, regulatory compliance, and the patient financial experience across medical, dental, behavioral health, pharmacy, and enabling services.

• Lead all aspects of revenue cycle performance, including:
  • Patient registration
  • Eligibility verification
  • Sliding fee discount program administration
  • Charge capture
  • Coding
  • Billing
  • Accounts receivable
  • Denial management
  • Payment posting
  • Provider credentialing
  • Payer enrollment
  • Revenue cycle analytics
  • Revenue-related technology systems
• Directly supervise the Eligibility Manager and Patient Access Manager.
• Collaborate closely with clinical, operational, compliance, information technology, and finance leadership to achieve organizational financial goals.
• Support ECH's Access, Stewardship, and Quality (ASQ) priorities.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 7 years' experience in revenue cycle management, including billing and coding.
• 5 years of supervisory experience required.
• Industry certification is required and may include:
  • AAPC® certifications (e.g., Certified Professional Coder® or Certified Professional Biller™)
  • HFMA™ certifications (e.g., Certified Healthcare Financial Professional or Certified Revenue Cycle Representative)
  • AHIMA® certifications (e.g., CDIP® or CCS®/CCS-P®)
• Knowledge of CPT®, CDT®, HCPCS, and ICD10 required.
• Knowledge of CO Medicaid, Medicare, and other public health benefits programs.
• Knowledge of HRSA Health Center Program Compliance Manual.
• Experience with electronic Medical and Dental Office Practice Management systems.
• Proven management and people skills.
• Ability to analyze financial and statistical information.
• Ability to work under pressure and handle multiple tasks.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.

Requirements

• Grants are vital to ECH revenues and may include responsibilities closely associated with grant deliverables.
• Complete all required training as designated by HR and the position supervisor.
• Adhere to all organizational policies and those outlined in the ECH Employee Handbook.
• Comply with all ECH Vaccine Mandates.
• Willingness to travel and work at other ECH locations as determined by the supervisor.
• Comply with all applicable Credentialing and Privileging requirements in a timely manner.
• Embrace the ECH Mission and Vision and agree to work within the ECH Guiding Principles.
• Must participate in quality assurance/improvement activities when applicable.

Benefits

• Insured group health, dental, and vision plans.
• 401 (k) retirement plan with employer match.
• Employer-paid life, AD&D, and long-term disability plans.
• Paid Time Off (PTO), paid holidays, one floating holiday, and sick pay.
• Free access to confidential resources through an Employee Assistance Program (EAP).
• Additional voluntary benefits include:
  • Accident insurance
  • Critical illness insurance
  • Short-term disability insurance
  • Group pet insurance
• Lifestyle Spending Account for full-time employees.
• Fringe benefits like a shared ski medallion, a discounted Rec Center membership, and more.