Director of Revenue Cycle

Overview About Us Verbal Beginnings is here to make a difference and give every child a chance. Our philosophy of changing lives and commitment to our core values has been the driving force that has allowed us to make an impact for an entire decade. It’s the same commitment to care with an expanding footprint that allows us to serve even more amazing kiddos and their families than ever before! Our Mission: Changing lives. One child at a time. One professional at a time. Summary: The Director of Revenue Cycle leads and continuously improves all end-to-end revenue cycle functions, including patient access, insurance verification and authorizations, billing and claims submission, reimbursement, denial management, and collections. This leader is responsible for optimizing net revenue realization and cash flow through effective payer collaboration, disciplined performance management, and data-driven process improvement, while maintaining regulatory and contractual compliance. Working cross-functionally with clinical, administrative, and finance stakeholders, the Director ensures a seamless, patient-centered revenue cycle that minimizes denials, improves first-pass resolution, and supports a best-in-class patient financial experience. Responsibilities Revenue Cycle Oversight Ensure accurate, timely, and compliant claims submission and adjudication in accordance with payer contracts, ABA medical policies, and applicable federal/state requirements Own performance outcomes across cash acceleration, net collections, clean-claim rate/first-pass yield, denial rate, days in A/R, and aged A/R reduction, with clear work-queue governance and SLAs. Implement and continuously refine standardized workflows, controls, and quality checks to reduce revenue leakage and improve accuracy across eligibility, authorizations, coding, billing, and collections. Establish a structured denial prevention and appeals program, including root-cause analytics, payer escalation pathways, and corrective-action plans. Leadership and Team Management Lead, mentor, and develop revenue cycle and authorization teams (managers, supervisors, and frontline staff), building clear accountability, cross-training, and coverage models. Set measurable performance expectations tied to defined KPIs; conduct routine coaching, audits, and performance reviews; and deliver ongoing training on payer rules, documentation requirements, and system workflows. Promote a culture of continuous improvement, collaboration, and patient-centered service, balancing productivity with accuracy and compliance. Compliance and Regulatory Adherence Ensure adherence to payer-specific ABA billing rules, coding guidelines, and documentation requirements, including audit readiness and consistent application of internal policies. Maintain current knowledge of regulatory and payer policy changes impacting ABA services; translate updates into operational procedures, training, and system configuration. Oversee internal and external audits (coding, documentation, eligibility/auth, billing) and implement remediation plans to minimize compliance and financial risk. Financial Reporting and Analysis Provide senior leadership with regular reports and analysis on key performance indicators (KPIs) for revenue cycle operations, including claim denial rates, accounts receivable aging, cash collections, and patient registration accuracy. Analyze financial data to identify trends and insights that can improve operational performance and revenue generation. Collaborate with finance to reconcile revenue cycle data with financial statements and contribute to the annual budgeting and forecasting process. Collaboration with External Partners Maintain strong working relationships with third-party payers, insurance companies, and other external vendors, including those involved in pre-certification and authorizations. Serve as the primary point of contact for payer inquiries regarding patient eligibility, benefits, and pre-certification requirements. Assist with negotiations and manage relationships with insurance providers to ensure timely and appropriate reimbursement for services rendered. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Qualifications Education: Bachelor’s degree, or progress towards, in healthcare administration, business administration, finance, or a related field. Experience: Minimum of seven (7) to ten (10) years of experience in healthcare revenue cycle management, with at least three (3) years of leadership experience overseeing revenue cycle functions. Certifications: Certification in healthcare revenue cycle management is preferred. Skills: Strong leadership and management skills, with experience in cross-functional team oversight. Expertise in both revenue cycle management and intake processes, including patient registration, insurance verification, and coding/billing practices. In-depth knowledge of healthcare regulations, payer-specific policies, and coding guidelines. Advanced analytical and problem-solving skills, with the ability to interpret financial data and implement improvements. Strong communication and interpersonal skills, with the ability to collaborate effectively with clinical, administrative, and external stakeholders. Verbal Beginnings’ personnel policies, procedures, and practices prohibit discrimination on the basis of race, color, religious creed, disability, ancestry, national origin, age, or sex. Verbal Beginnings’ employment opportunities are provided for applicants with disabilities and reasonable accommodation(s) are made to meet the physical or mental limitations of qualified applicants or employees. Salary Range USD $90,000.00 - USD $110,000.00 /Yr. Revenue Cycle Oversight Ensure accurate, timely, and compliant claims submission and adjudication in accordance with payer contracts, ABA medical policies, and applicable federal/state requirements Own performance outcomes across cash acceleration, net collections, clean-claim rate/first-pass yield, denial rate, days in A/R, and aged A/R reduction, with clear work-queue governance and SLAs. Implement and continuously refine standardized workflows, controls, and quality checks to reduce revenue leakage and improve accuracy across eligibility, authorizations, coding, billing, and collections. Establish a structured denial prevention and appeals program, including root-cause analytics, payer escalation pathways, and corrective-action plans. Leadership and Team Management Lead, mentor, and develop revenue cycle and authorization teams (managers, supervisors, and frontline staff), building clear accountability, cross-training, and coverage models. Set measurable performance expectations tied to defined KPIs; conduct routine coaching, audits, and performance reviews; and deliver ongoing training on payer rules, documentation requirements, and system workflows. Promote a culture of continuous improvement, collaboration, and patient-centered service, balancing productivity with accuracy and compliance. Compliance and Regulatory Adherence Ensure adherence to payer-specific ABA billing rules, coding guidelines, and documentation requirements, including audit readiness and consistent application of internal policies. Maintain current knowledge of regulatory and payer policy changes impacting ABA services; translate updates into operational procedures, training, and system configuration. Oversee internal and external audits (coding, documentation, eligibility/auth, billing) and implement remediation plans to minimize compliance and financial risk. Financial Reporting and Analysis Provide senior leadership with regular reports and analysis on key performance indicators (KPIs) for revenue cycle operations, including claim denial rates, accounts receivable aging, cash collections, and patient registration accuracy. Analyze financial data to identify trends and insights that can improve operational performance and revenue generation. Collaborate with finance to reconcile revenue cycle data with financial statements and contribute to the annual budgeting and forecasting process. Collaboration with External Partners Maintain strong working relationships with third-party payers, insurance companies, and other external vendors, including those involved in pre-certification and authorizations. Serve as the primary point of contact for payer inquiries regarding patient eligibility, benefits, and pre-certification requirements. Assist with negotiations and manage relationships with insurance providers to ensure timely and appropriate reimbursement for services rendered. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Education: Bachelor's degree, or progress towards, in healthcare administration, business administration, finance, or a related field. Experience: Minimum of seven (7) to ten (10) years of experience in healthcare revenue cycle management, with at least three (3) years of leadership experience overseeing revenue cycle functions. Certifications: Certification in healthcare revenue cycle management is preferred. Skills: Strong leadership and management skills, with experience in cross-functional team oversight. Expertise in both revenue cycle management and intake processes, including patient registration, insurance verification, and coding/billing practices. In-depth knowledge of healthcare regulations, payer-specific policies, and coding guidelines. Advanced analytical and problem-solving skills, with the ability to interpret financial data and implement improvements. Strong communication and interpersonal skills, with the ability to collaborate effectively with clinical, administrative, and external stakeholders. Verbal Beginnings' personnel policies, procedures, and practices prohibit discrimination on the basis of race, color, religious creed, disability, ancestry, national origin, age, or sex. Verbal Beginnings' employment opportunities are provided for applicants with disabilities and reasonable accommodation(s) are made to meet the physical or mental limitations of qualified applicants or employees.