Senior Director, Revenue Cycle Management

The Senior Director Revenue Cycle  provides strategic oversight and leadership across the full spectrum of revenue operations. This includes designing and driving scalable workflows in authorizations, billing, accounts receivable, and collections to drive sustainable financial performance. By leveraging data-driven insights, the Senior Director, Revenue Cycle  steers organizational policy, ensures company-wide compliance, and leads a high-performing team to ensure operational goals align with broader corporate financial objectives and regulatory requirements.

Essential Functions:

Strategic Revenue Operations & Financial Stewardship

• Executive Oversight: Provide strategic leadership for the end-to-end revenue cycle, including authorization procurement, billing, and accounts receivable management.
• Yield Optimization: Implement company-wide strategies to reduce Days in A/R, improve cash flow, and maximize net collection rates.
• Financial Integrity: Ensure the accuracy of payment postings, adjustments, and general ledger reconciliations to maintain high standards of fiscal transparency and audit readiness.

Authorization Governance & Clinical Integration

• Continuity Strategy: Design and oversee robust ABA-specific authorization workflows to prevent revenue leakage and ensure uninterrupted patient care.
• Cross-Functional Alignment: Lead collaborative initiatives between clinical, finance, and compliance departments to synchronize operational workflows with payer requirements.
• Patient Financial Experience: Manage the strategy for private-pay invoicing and collections, balancing organizational financial performance with a supportive family-centered experience.

Payer Strategy & Advocacy

• Relationship Management: Act as the primary escalation point and negotiator for high-level payer disputes, underpayment trends, and policy changes.
• Regulatory Compliance: Govern the institutional application of CPT codes, modifiers, and payer-specific billing rules to ensure 100% compliance across all service lines.
• Recovery & Revenue Protection: Develop proactive systems to detect and recover underpayments, ensuring the organization receives full contracted value for services rendered.

Advanced Analytics & Performance Intelligence

• Data-Driven Leadership: Establish and monitor executive KPIs (e.g., Clean Claim Rate, First-Pass Resolution) to evaluate departmental health and report on organizational performance.
• Business Intelligence: Leverage RCM data and EHR reporting tools to identify macro-trends in payer behavior and lag times, translating complex data into actionable business improvements.
• Denial Management: Direct structured, trend-based denial prevention and appeals workflows to mitigate recurring systemic issues.

Systems Innovation & Organizational Growth

• Scalability & Automation: Lead the continuous improvement of the RCM tech stack, leveraging automation and EHR enhancements to support rapid organizational scaling.
• Change Management: Drive the implementation of new payer mandates and system upgrades, overseeing the change management and training required for successful adoption.
• Departmental Development: Mentor and lead the billing and authorization teams, fostering a culture of high performance, accountability, and professional growth.

Qualifications:

Education: 

Experience:

Skills and Competencies: