Director of Revenue Cycle

Director of Revenue Cycle

Full-Time, On-Site in Bremerton, WA

Hiring Range: $107,910.40 – $137,592.00 per year
 

Benefits at a Glance 

• Comprehensive Coverage: Health, Dental & Vision 
• Generous PTO: Up to 19 days + 2 mental health days + 10 holidays (pro-rated for part-time)
• Fully Paid YMCA Membership for you and eligible family members
• Company-Paid Life & Disability Insurance 
• Student Loan Assistance & Professional Development 
• 403(b) Retirement Plan with Company Contributions 
• Employee Assistance Program (EAP) 
• Pet Insurance 
• Free Wellness App (2MorrowHealth) 
• Collaborative, Supportive Team Environment 

Kitsap Mental Health Services (KMHS) is seeking a Director of Revenue Cycle to lead the agency's revenue cycle operations. This position helps ensure billing, reimbursement, and revenue processes support the delivery of sustainable behavioral health services. The role leads teams responsible for front-end and back-end revenue cycle functions while guiding improvements that strengthen financial performance. If you're committed to building systems that support quality care, we welcome your application.

Primary Responsibilities:

•         Provide leadership and oversight for all revenue cycle operations, including front desk, authorization management, billing, payment posting, accounts receivable, collections, denial management, and revenue integrity activities.

•         Develop and manage revenue cycle performance metrics, reporting structures, scorecards, and improvement plans.

•         Monitor key revenue cycle indicators and implement strategies to improve performance outcomes.

•         Collaborate with clinical and operational leaders to improve documentation workflows, charge capture processes, code selection practices, and billing handoffs.

•         Maintain controls for provider credentialing and payer enrollment activities.

•         Lead root-cause analysis of denials, payment delays, underpayments, and unbilled services.

•         Assign corrective actions, track results, and communicate findings to responsible teams.

•         Partner with Finance on revenue projections, contractual allowances, accounts receivable valuation, reconciliations, and month-end close activities.

•         Establish service expectations and performance standards for client-facing revenue cycle functions.

•         Analyze reimbursement barriers and develop corrective action plans that strengthen cash flow and collection performance.

•         Develop and maintain revenue cycle policies, procedures, workflows, and internal controls.

•         Ensure compliance with applicable federal, state, local, payer, and behavioral health billing requirements.

•         Lead revenue cycle audits, monitoring activities, and compliance reviews.

•         Partner with Information Technology and vendors to improve system functionality, reporting capabilities, automation, and analytics.

•         Evaluate payer contracts and assess operational, reimbursement, authorization, reporting, and implementation impacts.

•         Coordinate system configuration, testing, staff training, implementation planning, and post-launch monitoring for payer agreements.

•         Oversee revenue reporting, forecasting, dashboard development, and operational analysis.

•         Develop and implement staff training related to payer requirements, coding practices, customer service, billing regulations, and revenue cycle processes.

•         Oversee testing and validation of billing system and electronic health record changes.

•         Collaborate with agency leadership on strategic initiatives, service expansions, growth opportunities, and revenue cycle readiness activities.

•         Maintain productive relationships with payers, regulatory agencies, auditors, providers, clients, and external stakeholders.

•         Promote accountability, customer service excellence, stewardship, data-informed decision making, and continuous improvement throughout the agency.

•         Participate in audits, accreditation activities, regulatory reviews, payer assessments, and corrective action planning.

•         Provide reports and recommendations to executive leadership regarding revenue cycle performance and operational improvement opportunities.

•         Oversee Billing, Authorizations, Customer Contact, Call Center, Front Desk, and Scheduling functions.

•         Provide leadership, coaching, supervision, and performance management for direct reports.

•         Collaborate with the Chief Compliance and Privacy Officer in the annual performance review process.

Minimum Qualifications:

EDUCATION: Bachelor's degree in Business Administration, Healthcare Administration, Finance, Accounting, Public Health, or a related field.

EXPERIENCE/SKILLS: Minimum six (6) years’ experience in healthcare revenue cycle management, including at least three (3) years in supervisory or leadership role.

Minimum three (3) years of management or supervisory experience.

Demonstrated experience overseeing multiple revenue cycle functions including front-desk and back-end revenue cycle operations, including eligibility or authorization workflows, claims, denial accounts receivable and collections.

Preferred Qualifications:

EDUCATION: Master's degree in Healthcare Administration, Business Administration, Finance, or related field.

EXPERIENCE/SKILLS: Seven (7) or more years of healthcare revenue cycle leadership experience .Experience within community behavioral health, FQHC, CCBHC, or integrated healthcare settings. Experience working with Medicaid, Medicare, Managed Care Organizations, and understanding of value-based payment models.

Experience with electronic health record systems, revenue cycle analytics, and revenue integrity programs.

Performance Requirements:

KNOWLEDGE:

• Comprehensive knowledge of healthcare revenue cycle operations and reimbursement methodologies.
• Knowledge of CPT, HCPCS, ICD-10, and behavioral health coding requirements.
• Knowledge of federal, state, and local healthcare regulations affecting billing and reimbursement.
• Knowledge of HIPAA, HITECH, fraud and abuse regulations, and healthcare compliance standards.
• Knowledge of Medicaid, Medicare, Managed Care contracting, and third-party payer requirements.
• Understanding of healthcare financial reporting, budgeting, and revenue forecasting principles.
• Knowledge of electronic health records and healthcare information systems.

SKILLS:

• Excellent communication and presentation skills.
• Strong analytical and problem-solving capabilities.
• Advanced financial and operational reporting skills.
• Ability to establish and maintain effective working relationships with staff, providers, payers, and community partners.
• Ability to manage multiple priorities and deadlines in a fast-paced environment.
• Strong organizational, leadership, and project management skills.