Director of Revenue Operations

Find Your Career at Jefferson Center for Mental Health•Wheat Ridge, CO

1d•Hybrid

About The Position

At Jefferson Center, it is our policy and our mission to be inclusive and mindful of the diversity of everyone who comes through our doors. We are passionate about building a community where mental health matters and equitable care is accessible to all races, ethnicities, abilities, socioeconomic statuses, ages, sexual orientations, gender expressions, religions, cultures, and languages. The Director of Revenue Integrity & Financial Operations is a key leadership role within the organization, responsible for overseeing and optimizing both revenue cycle management and operational finance functions. The Director will oversee all aspects of the revenue cycle, including billing, collections, and credentialing, while supporting coding and payer relations, ensuring that financial operations remain accurate, compliant, and efficient. This role will focus on maximizing reimbursement, minimizing financial risk, and improving operational efficiency. Additionally, the Director will contribute to budgeting, forecasting, cost analysis, and financial data modeling, working closely with the Director of Finance, Chief Financial Officer and Senior leadership to align financial strategies with organizational goals. The Director of Revenue Integrity & Financial Operations will be responsible for managing and developing their team of managers across multiple functions. This position will be a hybrid position with two days being located at the Independence Office and three days remote; with occasional travel required for meetings or departmental outreach.

Requirements

Education : Bachelor’s degree in healthcare administration, finance, accounting, business, or a related field. Master’s degree preferred.
Experience : At least 7-10 years of experience in healthcare revenue cycle management, financial operations, or a similar leadership position, with a strong background in coding, billing, collections, payer relations, and operational finance.
Knowledge : In-depth knowledge of healthcare billing, coding, compliance regulations (ICD-10, CPT, HCPCS), payer rules, reimbursement policies, and financial systems optimization.
Leadership : Proven leadership skills, with experience managing and mentoring a team and the ability to collaborate effectively across departments.
Analytical Skills : Strong analytical and problem-solving abilities, with a focus on data-driven decision-making and process optimization.
Communication Skills : Excellent communication skills, with the ability to educate, train, and interact effectively with a wide range of stakeholders, including clinical, administrative, and payer teams.
Attention to Detail : Strong attention to detail with the ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and compliance.
Strategic Focus : Ability to think strategically and provide insights and recommendations that align with organizational goals.

Nice To Haves

Experience in healthcare financial operations within a hospital, physician group, or large medical practice, particularly in community-based healthcare or mental health settings.
Familiarity with financial data analytics and performance reporting tools (e.g., Power BI, Tableau).
Experience in denial management and payer contracting.
Bilingual (English/Spanish) preferred

Responsibilities

Revenue Cycle Management: Lead and manage all aspects of the revenue cycle, including billing, collections and credentialing. Provide leadership and direction to mid-level RCM management. Contribute to coding and payer relations strategies. Ensure accurate and compliant billing practices by overseeing claim submission, payment processing, and collections. Develop and optimize billing and coding workflows to enhance revenue and ensure adherence to payer guidelines and regulatory standards.
Compliance and Regulatory Adherence: Ensure all revenue cycle operations are in compliance with relevant federal, state, and payer regulations, including HIPAA, ICD-10, CPT, HCPCS, and payer-specific guidelines. Conduct regular audits of coding, billing, and documentation practices to identify and address discrepancies, ensuring accuracy and compliance. Play a key leadership role in financial audits.
Denial Management: Oversee denial management processes, collaborating with billing teams to analyze, resolve, and reduce denials and rejection rates. Implement strategies to improve claim acceptance and expedite payment turnaround times.
Operational Budgeting, Forecasting, and Cost Analysis: Contribute the development and management of operational budgets, forecasts, and financial models to ensure the achievement of organizational financial objectives. Conduct cost analysis and develop financial models to support decision-making, improve cost efficiency, and identify opportunities for savings.
Process Improvement and Financial Systems Optimization: Continuously assess and optimize financial systems, processes, and workflows to improve efficiency, reduce operational risks, and enhance the overall revenue cycle process. Drive process improvements and leverage technology for automation to streamline procedures and improve operational performance.
Payer Relations & Credentialing: Collaboratively be point of contact for payer-related issues, including disputes, claims denials, and reimbursement challenges while engaging leadership who also contribute to those areas. Oversee and manage the credentialing team, processes, and ensuring timely enrollment with payers and maintaining compliance with payer requirements. Hold direct oversight of mid-level management for the credentialing department.
Representative Payee Management: Oversee the representative payee program, ensuring compliance with relevant regulations and standards.
Strategic Support for Business Units: Provide financial guidance and strategic support to various business units, aligning financial goals with operational objectives to drive improvements and achieve organizational priorities.
Leadership & Team Management: Lead, mentor, and manage a team of financial operations professionals, fostering a culture of continuous improvement, high performance, and cross-departmental collaboration. Work closely with the Director of Finance to ensure alignment on financial reporting, compliance, and areas where operational finance intersects with cost optimization.
Reporting and Strategic Insights: Prepare regular reports for senior leadership on the health of the revenue cycle, including trends, issues, and areas for improvement. Provide actionable insights and recommendations to enhance financial outcomes and drive improvements in revenue cycle operations.
Education and Training: Provide ongoing education and training to internal teams (e.g., clinical staff, billing, and coding teams) on revenue integrity, coding practices, and regulatory requirements.