Revenue Cycle Director (52221)

Aurora Mental Health & Recovery (AMHR) is seeking an experienced Revenue Cycle Director to lead our financial operations and maximize revenue across all claim-related activities. Reporting to the Chief Financial Officer, this senior leadership role oversees the full revenue cycle process, from eligibility verification to claims adjudication and payment. The ideal candidate is a strategic leader with deep expertise in medical billing, coding compliance, and payer contract management, ensuring timely collections and accurate reimbursement. This role requires collaboration across clinical, quality, and IT teams to optimize revenue cycle processes, enhance EHR functionality, and drive continuous improvement. Join AMHR and make a meaningful impact in our mission-driven, innovative, and supportive environment!

Schedule. This position follows a Monday–Friday, 8:00 AM–5:00 PM schedule, with flexibility during Revenue Cycle close and other critical deadlines. It is eligible for a hybrid work model, allowing a mix of remote and in-office work. Employees are expected to be in the office at least two days per week and work from home up to three days. The schedule may be adjusted based on training, department needs, or client requirements.

Essential functions:

• Senior Leader Accountabilities: Lead a team of managers or individual contributors. Ensure that managers provide focus and direction to their respective teams. Foster development of leaders and create a culture of accountability. Develop goals, strategic plans, company policies, and make decisions on the direction of the organization. Mobilize and influence external stakeholders and outside resources. Effectively communicate sr. leadership decisions and organizational strategy and plans to managers. Also, share key external updates with team. Set performance indicators.
• Establish and implement revenue cycle policies, processes, controls, and reporting systems.
• Lead the revenue cycle team in all processes related to coding, billing, and collections with ongoing process improvement analysis.
• Direct staff to ensure that accurate submission of all claims and timely collections occur in accordance with all third-party contract terms including, Medicaid, Medicare, managed care, commercial insurance, and direct patient pay.
• Perform internal billing audits to ensure coding compliance, charge capture, and reimbursement based on medical record documentation consistent with payer regulations and guidelines.
• Work collaboratively with the quality improvement team to facilitate the improvement in coding and clinical documentation practices which support appropriate billing and reimbursement for the level of service rendered.
• Ensure that unprocessed claims and denials are reviewed, reworked, and resubmitted to ensure revenue maximization.
• Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
• Collaborate with clinical leaders, Quality team, and Client Experience team to ensure appropriate training in and adherence to revenue cycle policies and procedures.
• Develop a deep understanding of EHR product capabilities and end-to-end processes as pertains to Revenue Cycle functions; leveraging this understanding to ensure product use is maximized and providing direction and oversight of billing setup and configuration. Work closely with the IT Enterprise Application Services team to identify development opportunities to enhance the EHR system.
• Create and maintain strong relationships with payors to ensure that contracts are current, fee schedules negotiated, the organization is properly credentialed, and any payment related issues are resolved timely.
• Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes such as bad debt expense, AR days outstanding, and other KPIs.
• Maintain current and in-depth knowledge of government and third-party payer billing regulations and guidelines. Communicate major changes to leadership, and coordinate with IT for any necessary system changes.
• Manage the resolution of client billing issues and ensure appropriate follow-up is done to manage client relationship.