Director of Revenue Cycle Management (S0371)

Director of Revenue Cycle Management - Full-time – Durango, CO 

Hybrid/Remote opportunities available for residents of Colorado, New Mexico and Utah  

Position Summary:The Director of Revenue Cycle Management is a seasoned, mission-driven leader responsible for the strategy, performance, and continuous improvement of the full revenue cycle for a nonprofit integrated health organization. The role oversees revenue processes across coordinated primary care, behavioral health, dental, and pharmacy, from patient access and charge capture through billing, collections, denial management, and payment reconciliation. Working closely with executive, clinical, operational, compliance, information technology, and external vendors, the director strengthens financial sustainability while advancing access, health equity, regulatory compliance, and a respectful patient financial experience. Scope includes: Organization-wide oversight of patient access, eligibility and enrollment support, authorizations, coding and charge integrity, claims, accounts receivable, denials and appeals, cash posting, refunds, vendor performance, patient financial services, and coordination across integrated clinical service lines. The role supports a diverse payer mix that includes Medicaid, Medicare, commercial insurance, self-pay, sliding-fee programs, grants, and other public and community funding sources. 

Qualifications:  

Required:  

• Bachelor’s degree in business, finance, healthcare administration, health information management, or a related field, or an equivalent combination of education and directly relevant experience.  
• Ten or more years of progressive revenue cycle experience, including significant leadership responsibility across multiple revenue cycle functions and service lines.  

Preferred:  

• Experience with NextGen electronic health record and practice management software.  
• Professional certification such as CRCR, CHFP, FHFMA, or another relevant revenue cycle, coding, compliance, or health information credential.  
• Experience in a nonprofit community clinic, federally supported safety-net setting, multi-site ambulatory organization, or integrated primary care and behavioral health environment.  
• Experience with integrated electronic health records, patient accounting, claims, clearinghouse, eligibility, patient engagement, and revenue cycle analytics platforms.  
• Knowledge of value-based care, managed care contracting, alternative payment models, risk arrangements, and quality-linked reimbursement.  
• Familiarity with sliding-fee programs, financial assistance, grant-funded services, enrollment support, and reimbursement considerations affecting underserved populations.  

Salary:Starting pay is $110,156.80 - $125,455.62 annualized which considers preferred experience and preferred education described above.  

Full-Time Benefits: 

Duties and Responsibilities: 

• Develop and execute a multi-year revenue cycle strategy aligned with the organization’s mission, strategic plan, service model, access goals, payer environment, and financial sustainability objectives. 
• Lead end-to-end revenue cycle operations across integrated service lines and establish clear accountability for quality, productivity, service, compliance, and financial outcomes. 
• Improve net revenue, cash flow, clean claim rates, accounts receivable aging, denial rates, collection yield, and cost to collect while balancing financial stewardship with equitable access to care. 
• Build effective, patient-centered processes for registration, insurance verification, benefit coordination, enrollment support, prior authorization, coding, charge capture, claim submission, follow-up, payment posting, credit balances, and collections. 
• Ensure consistent revenue cycle workflows across primary care, behavioral health, dental, and pharmacy. 
• Direct denial prevention and recovery using root-cause analysis, payer escalation, clinical partnerships, staff education, and sustainable corrective action. 
• Establish dashboards, forecasts, and operating reviews that translate data into timely decisions and measurable action plans for leadership and the board, as appropriate. 
• Partner with finance to support month-end close, revenue estimates, reserves, reconciliations, audit readiness, grant- or program-related reporting, and accurate financial reporting. 
• Collaborate with clinical and operational leaders to improve documentation, coding, charge integrity, referral and authorization workflows, and accountability at the point of service. 
• Maintain compliance with applicable billing, coding, privacy, payer, contractual, governmental, sliding-fee, and financial assistance requirements; promptly assess and address identified risks. 
• Optimize revenue cycle technology, automation, analytics, and work queues across the integrated care environment; lead system implementations and process redesign when needed. 
• Manage third-party vendors and payer relationships, including performance standards, issue resolution, contract compliance, and return on investment. 
• Develop leaders and teams through clear expectations, coaching, succession planning, workforce planning, and a culture of service, accountability, inclusion, and continuous improvement. 
• Champion a respectful and transparent patient financial experience through clear estimates, understandable communications, culturally responsive service, financial assistance, sliding-fee workflows, and consistent service recovery. 

Knowledge, Skills and Abilities: 

• Demonstrated success improving financial and operational performance in a complex ambulatory, community health, nonprofit, or integrated healthcare environment. (Required) 
• Advanced knowledge of healthcare reimbursement, Medicaid, Medicare, commercial payer requirements, billing and coding operations, denials, accounts receivable, patient collections, and regulatory compliance. (Required) 
• Strong analytical capability, including experience with performance dashboards, forecasting, root-cause analysis, and data-informed decision-making. (Required) 
• Proven ability to lead large-scale change, influence cross-functional stakeholders, and communicate effectively with executives, clinicians, operational leaders, staff, and governance groups. (Required) 
• Experience managing teams, budgets, vendors, technology initiatives, and competing priorities in a resource-conscious, mission-driven organization. (Required) 
• Experience with NextGen electronic health record and practice management software. (Preferred) 
• Experience in a nonprofit community clinic, federally supported safety-net setting, multi-site ambulatory organization, or integrated primary care and behavioral health environment. (Preferred) 
• Experience with integrated electronic health record, patient accounting, claims, clearinghouse, eligibility, patient engagement, and revenue cycle analytics platforms. (Preferred) 
• Knowledge of value-based care, managed care contracting, alternative payment models, risk arrangements, and quality-linked reimbursement. (Preferred) 
• Familiarity with sliding-fee programs, financial assistance, grant-funded services, enrollment support, and reimbursement considerations affecting underserved populations. (Preferred) 
• Mission stewardship and enterprise thinking 
• Financial and operational acumen 
• Integrity, accountability, and sound judgment 
• Collaborative influence and executive communication 
• Process discipline and continuous improvement 
• Talent development and inclusive team leadership 
• Patient-centered, culturally responsive service 
• Adaptability in a changing regulatory, payer, and community health environment 

Working Conditions/Physical Demands: 

• Employees must occasionally lift and/or move 15 to 50 pounds.  Employees are frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop.  Must have ability to sit for long periods of time at computer. 
• Employees must be able to travel between Axis locations. Depending on the position, employee may also be expected to engage in occasional statewide and domestic travel.  
• Working in a healthcare organization lends itself to the possibility of exposure to communicable disease. 
• Noise level in the working environment is usually moderate. 
• Annual Flu immunization by November 1, annual TB Screening, complete de-escalation training, and BLS certification, as required for position. 
• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of their position. 

About Durango/Pagosa Springs: 

If you’re interested in Rocky Mountain wildlife, white water rafting, hiking in to discover nature’s most beautiful waterfalls, or a breathtaking car ride on the San Juan Skyway, then Durango and Pagosa Springs are the place for you!  As with so many areas on the Western Slope, you have now entered an outdoor enthusiast’s paradise. Just minutes from zip lining through the treetops, to soaking in the Piedra River Hot Springs, located in the national forest, after a day of hiking any one of the many trails, and when the season is right, you can be snowboarding or camping in the mountains that surround this beautiful area.  Take a ride on the historic Durango & Silverton Narrow Gauge Railroad Train and enjoy the stunning views of the San Juan National Forest.  You’re also a mere 35-minute car ride to Mesa Verde National Park. Just outside the doors of our clinics, you’ll find beautiful parks with walking paths and opens spaces to enjoy. Durango has an airport located minutes from our clinics which has service to Denver, Phoenix and Dallas-Fort Worth daily. Learn more about our area here: Visit Durango, CO | Official Tourism Site of Durango, Colorado