Director of Revenue Cycle Operations- 10668

The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for homeless and at-risk families, children, and individuals throughout Colorado. The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well-being, and stability of those it serves.

Our Philosophy of Service: We believe all people have the right to adequate housing and health care. We work to remove the barriers that restrict access to these rights. Society benefits when adequate housing and health care are available to everyone. We create lasting solutions to homelessness by:

* Honoring the inherent dignity of those we serve, affirming their capabilities and fostering their hope that a better life is possible.

* Building strong, caring and trauma-informed communities through the integration of housing, health care and supportive services.

* Advocating for social and racial equity, inclusion and diversity, and challenging the status quo in partnership with our workforce members and those we serve.

* Achieving excellence through continuous quality assurance, innovation and professional development.

* Using resources judiciously and effectively.

The Director of Revenue Cycle Operations is a key leadership role within the organization, responsible for overseeing and optimizing both revenue cycle management and operational finance functions. The Director will oversee all aspects of the revenue cycle, including billing and collections, while supporting coding and payer relations, ensuring that financial operations remain accurate, compliant, and efficient. This role will focus on maximizing reimbursement, minimizing financial risk, and improving operational efficiency. Additionally, the Director will contribute to budgeting, forecasting, cost analysis, and financial data modeling, working closely with the Financial Controller, Chief Financial Officer and Senior leadership to align financial strategies with organizational goals. The Director of Revenue Integrity & Financial Operations will be responsible for managing and developing their team of managers across multiple functions.

NOTE: In order to ensure that our consumers receive the best possible care the candidate chosen to fill this position will be required to complete our internal credentialing and privileging process prior to a start date. The credentialing and privileging timeline is dependent on the selected candidate's submission of documents necessary for clearance. Please note that a start date will be scheduled once credentialing and privileging is complete.

Additional Requirement

• Valid driver's license required. This requirement may be waived, if necessary, based on overall candidate experience and current needs of the business.

Coalition Benefits

• Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We're proud to offer same-and opposite-sex domestic partner coverage.
• Choice of dental insurance or discount plan.
• Vision insurance.
• Flexible spending accounts for health care / dependent care / parking expenses.
• Free basic life and AD&D insurance coverage.
• Employee Assistance Program, a problem-solving resource available to you and your household members.
• Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting.
• Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year.
The effective date for your benefits will be the first of the month following your date of hire.

Essential Job Functions

• Ensure all revenue cycle operations are in compliance with relevant federal, state, and payer regulations, including HIPAA, ICD-10, CPT-4, HCPCS, and payer-specific guidelines.
• Conduct regular audits of coding, billing, and documentation practices to identify and address discrepancies, ensuring accuracy and compliance.
• Play a key leadership role in financial audits.
• Oversee denial management processes, collaborating with billing teams to analyze, resolve, and reduce denials and rejection rates.
• Implement strategies to improve claim acceptance and expedite payment turnaround times.
• Contribute the development and management of operational budgets, forecasts, and financial models to ensure the achievement of organizational financial objectives.
• Conduct cost analysis and develop financial models to support decision-making, improve cost efficiency, and identify opportunities for savings.
• Process Improvement and Financial Systems Optimization
• Continuously assess and optimize financial systems, processes, and workflows to improve efficiency, reduce operational risks, and enhance the overall revenue cycle process.
• Drive process improvements and leverage technology for automation to streamline procedures and improve operational performance.
• Collaboratively be point of contact for payer-related issues, including disputes, claims denials, and reimbursement challenges while engaging leadership who also contribute to those areas.
• Oversee and manage the credentialing team, processes, and ensuring timely enrollment with payers and maintaining compliance with payer requirements.
• Hold direct oversight of mid-level management for the credentialing department.
• Oversee the representative payee program, ensuring compliance with relevant regulations and standards.
• Provide financial guidance and strategic support to various business units, aligning financial goals with operational objectives to drive improvements and achieve organizational priorities.
• Lead, mentor, and manage a team of financial operations professionals, fostering a culture of continuous improvement, high performance, and cross-departmental collaboration.
• Work closely with the Financial Controller to ensure alignment on financial reporting, compliance, and areas where operational finance intersects with cost optimization.
• Prepare regular reports for senior leadership on the health of the revenue cycle, including trends, issues, and areas for improvement.
• Provide actionable insights and recommendations to enhance financial outcomes and drive improvements in revenue cycle operations.

Qualifications Summary

• Bachelor's degree in healthcare administration, finance, accounting, business, or a related field.
• 5-7years of experience in healthcare revenue cycle management, financial operations, or a similar leadership position, with a strong background in coding, billing, collections, payer relations, and operational finance.
• Expertise in healthcare billing, finance, and accounting principles.
• Ability to successfully manage numerous tasks simultaneously.
• Ability to present multiple levels of staff from VPs to directors, managers, providers, and to ancillary staff.
• Requires excellent oral and written communication skills.
• Define problems, collect data, establish facts, and draw valid conclusions.
• Ability to conduct training sessions and provide professional, accurate feedback on performance as needed.
• Proficiency in Microsoft and NextGen preferred.
• Proficiency in ICD-10, CPT-4, HCPCS preferred.

$120,000 - $140,000 a year

The Colorado Coalition for the Homeless is committed to delivering services, making employment-related decisions, selecting volunteers, and selecting vendors without regard to age over 40, race, sex, color, religion, creed, national origin, ancestry, disability, genetic information, marital status, sexual orientation, gender identity, gender expression, pregnancy, medical condition related to pregnancy, military status, or any other applicable status protected by law.