Director of Revenue Cycle Management

Summary The Director of Revenue Cycle Management (RCM) is responsible for leading and optimizing Boulder Care's end-to-end revenue cycle operations to maximize cash collections, ensure compliant billing practices, and support sustainable financial performance. This role partners closely with Finance, Clinical Operations, Product, Technology, Compliance, and third-party vendors to improve processes, strengthen controls, and provide actionable financial insights. The Director will directly supervise the Revenue Cycle Manager and provide strategic leadership over all aspects of patient billing, coding, collections, payer operations, revenue integrity, and revenue cycle analytics. The Director will also own the partnership with Candid and other technology vendors to optimize system functionality, automate workflows, and continuously improve the overall revenue cycle experience. The position plays a critical role in supporting accurate financial reporting, improving key performance indicators, ensuring compliance with healthcare regulations and payer requirements, and supporting Boulder Care's continued growth. Core Responsibilities Revenue Cycle Leadership Provide strategic leadership and oversight of all revenue cycle functions, including: Charge capture Coding support Claims management Payment posting Denials management Appeals Collections Revenue integrity Develop and execute initiatives to improve revenue cycle performance, cash flow, and operational efficiency. Establish measurable goals and key performance indicators (KPIs) for the revenue cycle organization. Foster a culture of accountability, continuous improvement, and exceptional customer service. Serve as Finance's executive leader for revenue cycle strategy, providing recommendations to the Controller and executive leadership regarding reimbursement trends, payer performance, cash flow optimization, and revenue cycle risks. Financial Performance Monitor revenue cycle performance through dashboards and analytics. Analyze trends impacting revenue, collections, denial rates, aging, reimbursement, and payer performance. Identify opportunities to improve net collections and reduce revenue leakage. Partner with Accounting during the monthly close process to support revenue recognition, accounts receivable valuation, allowance methodologies, and audit support. Support budgeting, forecasting, and financial planning related to revenue operations. Revenue Integrity & Compliance Ensure billing and collection activities comply with: Federal and state healthcare regulations Medicare and Medicaid requirements Commercial payer contracts HIPAA Internal policies and procedures Maintain strong internal controls supporting accurate financial reporting and compliance with GAAP. Partner with Compliance and Legal on regulatory changes impacting reimbursement. Promote accurate documentation and billing practices that maximize compliant reimbursement. Operational Excellence Evaluate workflows and implemen...