RCM Director
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Job Description
RCM Director managing revenue cycle operations focusing on Medicaid billing in a growing behavioral health organization. Leading a billing team and optimizing revenue cycle performance.
Responsibilities:
- Own end-to-end revenue cycle operations across Medicaid (in-network and out-of-network) within behavioral health programs
- Lead and manage performance of third-party billing vendors and/or internal billing staff
- Drive improvements in A/R days, denial rates, collections, and first-pass claim acceptance
- Oversee claim submission, follow-up, appeals, and payer engagement with a focus on Medicaid and behavioral health payers
- Ensure accurate charge capture, documentation alignment, and coding integrity in collaboration with clinical and administrative teams
- Utilize EMR/RCM platforms (Kipu and/or Collaborate MD strongly preferred)
- Build and refine billing workflows, policies, and internal controls to support scaling operations
- Provide reporting, forecasting, and revenue cycle performance insights to senior leadership
- Stay current on payer policy changes, Medicaid updates, and behavioral health billing regulations
- Train, mentor, and support internal billing/RCM staff where applicable
Requirements:
- 5–10+ years of progressive RCM experience in behavioral health, substance abuse treatment, or mental health facilities (required)
- Direct experience in drug rehab, addiction treatment, or outpatient behavioral health billing environments strongly required
- Proven leadership experience managing RCM teams and/or third-party billing vendors
- Deep expertise in Medicaid billing (network and out-of-network) within behavioral health settings
- Strong command of denial management, appeals, A/R optimization, and payer reimbursement strategies
- Experience with Kipu and/or Collaborate MD strongly preferred
- Exposure to revenue cycle analytics, automation, or AI-driven billing tools is a plus
- Strong analytical and operational problem-solving skills
- Ability to operate in a fast-growing, multi-site environment
Benefits:
- Standard benefits package provided
- 401(k) is not currently offered
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