Revenue Cycle Director

Description

Job Title: Director of Revenue Cycle

Location: Chicago  Job Type: Full-Time
Reports to: Chief Operating Officer | Direct Reports: Revenue Cycle Manager; Revenue Biller

About Us:

God Restoring Order (GRO) Community is a mental healthcare provider that specializes in trauma recovery services for males of color ages 5 and up. GRO services are grounded in an understanding of the neurological, biological and psychological effects of trauma. GRO services include mental health and wellness, stress management, and community outreach. 

Position Summary:

The Director of Revenue Cycle is responsible for leading and managing the end-to-end revenue cycle functions to ensure accurate, timely, and compliant billing, collections, and reimbursement for services provided. This leadership role oversees key functions including patient intake, insurance verification, billing, claims management, payment posting, denial management, and accounts receivable. The Director will work cross-functionally with clinical, operations, and finance teams to improve revenue performance, enhance payer relationships, and support strategic financial goals across all entities.

Key Responsibilities:

• Develop and implement revenue cycle strategies and workflows to optimize billing and collections across the organization and its entities.
  
• Oversee all aspects of revenue cycle operations, including client intake, insurance eligibility, charge capture, coding, claims submission, payment processing, and denial resolution.
  
• Ensure compliance with federal, state, and payer regulations, including Medicaid and commercial insurance requirements.
  
• Manage and monitor revenue’s accounts receivable performance, KPIs, aging reports, and cash flow metrics.
  
• Partner with finance, intake and clinical leadership to improve documentation, reimbursement rates, and audit preparedness.
  
• Lead and supervise a team of billing and revenue cycle staff, providing training, performance feedback, and process improvement guidance.
  
• Serve as the primary point of contact with payers, clearinghouses, and third-party billing vendors.
  
• Oversee credentialing and contracting processes in coordination with HR and clinical departments.
  
• Collaborate with IT and operations to ensure systems (e.g., EHR/EMR, billing software) support efficient and accurate workflows.
  
• Prepare and present regular revenue cycle reports, trends, and risk areas to senior leadership.

Competencies:

• Strong Revenue Strategy & Optimization
• Regulatory Compliance & Risk Management
• Analytical Thinking & Reporting
• Staff Leadership & Development
• Cross-Functional Collaboration
• Process Improvement & Workflow Design
• EHR/Billing System Proficiency
• Communication & Stakeholder Engagement

Work Setting:

• Hybrid/40 hour work week minimum 
• Some travel may be required; 15% 

Qualifications:

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field (Master’s preferred).
• Minimum 5–7 years of progressive leadership experience in revenue cycle management within healthcare or behavioral health settings.
• In-depth knowledge of billing regulations, payer requirements, and reimbursement methodologies (including Medicaid and MCOs).
• Minimum of 5 years Medicaid billing experience required
• Strong analytical, systems, and process improvement skills.
• Proficiency in EHR and billing systems.
• Proven track record of reducing denials, improving cash flow, and enhancing revenue performance.
• Excellent communication, leadership, and cross-functional collaboration skills.
• Certification in medical billing or coding (e.g., CMRS, CPC) a plus.

What We Offer:

• Competitive salary and benefits package.
• A supportive and dynamic work environment committed to social impact.
• Opportunities for professional development and growth.