Senior Manager/Director of Revenue Operations

Role Overview

The Senior Manager/Director of Revenue Operations will lead the transition of insurance billing operations in-house, building systems, workflows, and teams to support growth. This role combines leadership with hands-on execution across the revenue cycle, including eligibility verification, utilization review, claims management, payer relations, reimbursement, denial resolution, and billing compliance.

What You Will Do

Responsibilities include managing insurance billing operations, building and improving revenue cycle workflows, developing the team and infrastructure, maintaining internal controls, and monitoring and improving clean claim rates, days in accounts receivable, authorization approval rates, denial trends, net collection percentages, and reimbursement variances.

Why It Might Be a Fit

The ideal candidate has experience building revenue cycle operations, improving performance, and working closely with clinical and operational teams. Strong analytical and problem-solving skills, with the ability to translate data into operational improvements, are required.

Requirements

• Proven experience in healthcare revenue cycle management, preferably in behavioral health, substance use treatment, or a related setting.
• Experience building or expanding in-house insurance billing and revenue cycle operations.
• Strong background in insurance billing, claims management, accounts receivable, and denial resolution.
• Ability to develop workflows, establish priorities, and implement solutions in a growing organization.
• Strong understanding of CPT, HCPCS, and ICD-10 coding, payer guidelines, and behavioral health billing requirements.
• Proficiency with EMR/EHR platforms, clearinghouses, and revenue cycle technology. Experience with Kipu, CollabMD, Apero, and QuickBooks is strongly preferred.
• Working knowledge of HIPAA, applicable OASAS requirements, and federal healthcare billing requirements.

Benefits

• Health, dental, and vision benefits (full-time employees)
• Compensation commensurate with experience (salary range: $125,000 – 145,000)