Director of Revenue Cycle

Director of Revenue Cycle - Charlotte, NC

About Us:

Mosaic Pediatric Therapy is the leading, multi-state provider of applied behavioral analysis (ABA)

therapy to children with autism. Our mission is to expand the reach of our lift-changing services to

touch more children and families in need. We are the proud recipient of Glassdoor’s 2024 Best Places

to Work award, top 5% nationally in employee satisfaction (Workday benchmarking), and top 3%

nationally in client (patient) family satisfaction (Behavioral Health Center of Excellence benchmarking).

Position Summary:

Join the management team reporting to the VP of Revenue Cycle to lead the payer billing, patient

financial services, and credentialing teams at a rapidly growing, mission-driven organization. We’re

seeking an experienced healthcare leader with a “roll up your sleeves” attitude to drive effective,

accurate, and compliant billing activities in an effort to maximize reimbursement and cashflow;

therefore supporting our rapid organic growth strategy.

Responsibilities:

● Oversee all aspects of the revenue cycle and receivables management operation, including

billing, collections, and denials management as well as the credentialing/contracting process for

all providers and locations within our organization; ensuring compliance with regulatory and

accrediting agency requirements.

● Ensure the activities of the RCM team are conducted in a manner that is consistent with the

overall department protocol and are compliant with federal, state, and payor regulations,

guidelines, and requirements in an effort to identify and prevent Fraud and Abuse. Collaborates

with executive leadership to facilitate and maintain internal and external reporting

requirements.

● Oversee key RCM department leaders: Billing, Client Financial Services, and Credentialing.

● Ensure management is informed regarding all major issues impacting the revenue cycle billing

and collections process.

● Acts as the key owner of revenue cycle performance and coordinates activities and

communication between external vendors (e.g. payors, software, 3rd party resources) and

internal stakeholders and teammates.

● Identifies, implements, and monitors Key Performance Indicators (KPIs) across the entire

department and drive continuous improvement by promptly taking action to remedy

operational and collections issues.

● Ensures all major third-party reimbursement issues are addressed and resolved appropriately

and according to the established policies and procedures.

● Analyze data trends affecting charges, coding, collections, accounts receivable, and write-offs

and propose improvement opportunities to executive leadership.

● Collaborate with clinical operations leaders and other cross-functional teams, as appropriate, to

reduce preventable errors, minimize denials, and improve the client experience.

● Review, approve, and communicate department-related expenses and client & insurance

refunds.

● Develop, maintain, and enforce departmental policies, procedures, and work practices to

ensure maximum accuracy of financial and insurance data.

● Remain current on all industry trends and developments to proactively identify opportunities

for revenue cycle optimization.

● Maintain a high level of professionalism and confidentiality in handling sensitive client

information.

Required Skills/Abilities:

● 5 years of progressive revenue cycle leadership experience

● Knowledge and experience in revenue accounting, revenue cycle best practices, and Medicaid

and commercial payor enrollment processes

● Extensive knowledge of the rules and regulations that govern HIPAA, insurance billing, client

financial services, and credentialing (behavioral health billing a plus)

● Ability to effectively analyze and visually present data in a clear and concise manner.

● Works closely with executive leadership to achieve metrics that exemplify a best-in-class

provider organization.

● Ability to establish and maintain collaborative working relationships with both internal and

external stakeholders.

● Ability to be flexible and adaptable.

● Strong organizational, administrative, prioritization, and problem-solving skills.

● Ability to work independently and make sound judgements within established guidelines.

● Comfort and capability to communicate financial responsibility and collect from clients

compassionately.

● Excellent interpersonal, verbal, and written skills.

● Ability to act with discretion, tact, and professionalism in all situations.

Education/Related Experience:

● Bachelor’s degree in healthcare- related field or business administration required (Master’s

degree preferred)

● Extensive Microsoft Office experience to include Word, Excel, PowerPoint, etc.

Physical Requirements:

● Prolonged sitting required and prolonged periods of standing possible.

● Continuous use of mouse and keyboard.

● Able to lift and carry 25 pounds.