Director of Revenue Cycle Management

Revive BHS

. Oversee day-to-day revenue cycle operations for a portfolio of Maryland behavioral health clients, including SUD treatment programs, OMHCs, and other behavioral health providers .

Posted 10/8/2026full-timeMaryland • United StatesLead💰 $90,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in healthcare revenue cycle management, particularly within Maryland behavioral health, including billing, authorizations, and A/R management. Proven ability to lead teams, implement efficient workflows, and ensure compliance with regulatory standards.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementMaryland Behavioral Health BillingDenial Management and AppealsLeadership and Team DevelopmentCPT, HCPCS, ICD-10 Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SubmissionPayment PostingA/R ManagementData AnalysisBilling Workflow ImplementationBehavioral Health Reimbursement MethodologiesEligibility VerificationAuthorization ProcessesReporting SkillsProblem-Solving

Soft Skills

Excellent CommunicationHighly OrganizedAbility to Manage Competing PrioritiesIndependent Research Skills

Tools & Technologies

Behavioral Health EHRsClearinghousesPayer PortalsElectronic Claims SystemsExcelGoogle Sheets

Certifications & Qualifications

CPCCPBCRCR

Industry Keywords

Maryland MedicaidCarelon Behavioral HealthSubstance Use Disorder TreatmentOMHCBehavioral Health Services

Tech Stack

Tools & technologies

PHP

About the role

Key responsibilities & impact

Oversee day-to-day revenue cycle operations for a portfolio of Maryland behavioral health clients, including SUD treatment programs, OMHCs, and other behavioral health providers
Manage verification of benefits, eligibility, authorizations, claim creation and submission, payment posting, reconciliation, denial management, appeals, collections, patient responsibility, and patient statements
Lead and supervise billing managers, billing specialists, authorization/VOB staff, and other RCM team members
Monitor billing activity and ensure claims are submitted accurately and timely
Oversee Maryland Medicaid/PBHS billing through Carelon Behavioral Health, as well as commercial insurance and other applicable payers
Monitor accounts receivable and establish follow-up processes for unpaid, underpaid, rejected, and denied claims
Review aging reports and identify payer, provider, authorization, coding, documentation, or operational trends affecting collections
Develop corrective action plans for denials, aging A/R, authorization issues, and reimbursement problems
Monitor reimbursement against fee schedules and contracted rates and identify underpayments
Oversee denial management and payer appeals
Establish and monitor KPIs including clean claim rate, denial rate, days in A/R, aging, collection rate, authorization-related denials, outstanding A/R, and monthly collections
Provide revenue cycle reporting to Revive leadership and client leadership teams
Participate in client meetings and communicate billing performance, problems, corrective actions, and recommendations
Develop and implement standardized billing workflows, policies, procedures, internal controls, and account-specific processes
Assist with onboarding new RCM clients, including EHR and clearinghouse setup, payer configuration, billing matrices, fee schedules, workflows, reporting, and transitions
Collaborate with credentialing and consulting teams when enrollment, licensing, credentialing, or operational issues affect reimbursement
Ensure billing practices comply with Maryland Medicaid, Carelon, Medicare when applicable, commercial payer requirements, HIPAA, and applicable regulations
Stay current on Maryland behavioral health reimbursement, billing, authorization, payer policies, fee schedules, and coding guidance
Recruit, train, supervise, and evaluate RCM staff
Identify automation, workflow, and technology opportunities to increase efficiency and collections
Serve as the primary internal escalation point for complex billing, reimbursement, payer, and revenue cycle issues

Requirements

What you’ll need

MUST BE LOCAL TO ANNE ARUNDEL COUNTY MD TO COME IN PERSON 1-2 DAYS PER WEEK
Minimum of 5 years of healthcare revenue cycle management experience, including significant leadership or management responsibility
Direct experience with Maryland behavioral health billing is required
Strong working knowledge of Maryland Medicaid/PBHS and Carelon Behavioral Health
Experience billing for OMHC and/or substance use disorder treatment services
Thorough understanding of behavioral health authorizations, eligibility verification, claims submission, payment posting, denials, appeals, collections, and A/R management
Experience managing multiple client accounts, locations, programs, or billing entities simultaneously
Demonstrated ability to analyze A/R and reimbursement data and translate findings into specific operational improvements
Experience supervising and developing billing teams
Strong understanding of CPT, HCPCS, ICD-10, modifiers, payer-specific billing requirements, and behavioral health reimbursement methodologies
Experience working with behavioral health EHRs, clearinghouses, payer portals, and electronic claims/remittance systems
Strong Excel/Google Sheets and reporting skills
Excellent written and verbal communication skills
Highly organized with the ability to manage competing priorities and deadlines
Strong problem-solving skills and the ability to independently research and resolve complex payer and reimbursement issues
Preferred: experience with multiple Maryland behavioral health levels of care, including OMHC, IOP, PHP, outpatient SUD, residential SUD, PRP, and other community-based behavioral health services
Preferred: experience with Carelon, Medicaid EVS, Availity, commercial payer portals, and Maryland-specific behavioral health authorization processes
Preferred: experience implementing or transitioning EHR and billing systems
Preferred: experience managing RCM operations for a third-party billing company, consulting organization, or multi-site behavioral health organization
CPC, CPB, CRCR or other relevant billing/revenue cycle certification preferred but not required
Bachelor's degree in healthcare administration, business, finance, or a related field preferred; equivalent relevant experience will be considered

Benefits

Comp & perks

Hybrid work arrangement with flexible work-from-home options
Compensation of $90,000.00–$110,000.00 per year