Director of Revenue Cycle Management

Revive BHS

. Oversee day-to-day revenue cycle operations for a portfolio of Maryland behavioral health clients .

Posted 9/29/2026full-timeRemote • 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 compliance with Medicaid and commercial payer requirements. Proven ability to lead teams, analyze data for operational improvements, and develop effective billing workflows and corrective action plans.

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 WorkflowsReimbursement MethodologiesBehavioral Health EHRsExcel/Google Sheets ProficiencyPayer-Specific Billing RequirementsBehavioral Health Authorization Processes

Soft Skills

Strong Communication SkillsHighly OrganizedProblem-Solving SkillsAbility to Manage Competing PrioritiesLeadership Skills

Tools & Technologies

EHR SystemsClearinghousesPayer PortalsElectronic Claims SystemsReporting Tools

Certifications & Qualifications

CPCCPBCRCR

Industry Keywords

Maryland MedicaidCarelon Behavioral HealthBehavioral Health ReimbursementSubstance Use Disorder TreatmentCommercial Payer Requirements

About the role

Key responsibilities & impact

Oversee day-to-day revenue cycle operations for a portfolio of Maryland behavioral health clients
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 accurate, timely claim submission
Oversee Maryland Medicaid/PBHS, Carelon Behavioral Health, commercial insurance, and other payer billing and reimbursement
Monitor accounts receivable and follow up on unpaid, underpaid, rejected, and denied claims
Review aging reports and identify 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 client-account KPIs, including clean claim rate, denial rate, days in A/R, aging, collection rate, authorization-related denials, outstanding A/R, and monthly collections
Provide regular revenue cycle reporting to Revive and client leadership
Participate in client meetings and communicate billing performance, problems, corrective actions, and recommendations
Develop 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 on enrollment, licensing, credentialing, and operational issues
Ensure compliance with Maryland Medicaid, Carelon, Medicare when applicable, commercial payer requirements, HIPAA, and applicable regulations
Stay current on Maryland behavioral health reimbursement, billing, authorization, payer, fee schedule, and coding changes
Recruit, train, supervise, and evaluate RCM staff
Identify automation, workflow, and technology opportunities to improve efficiency and collections
Serve as primary internal escalation point for complex billing, reimbursement, payer, and revenue cycle issues

Requirements

What you’ll need

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
Ability to analyze A/R and reimbursement data and translate findings into operational improvements
Experience supervising and developing billing teams
Knowledge of CPT, HCPCS, ICD-10, modifiers, payer-specific billing requirements, and behavioral health reimbursement methodologies
Experience with behavioral health EHRs, clearinghouses, payer portals, and electronic claims/remittance systems
Strong Excel/Google Sheets and reporting skills
Strong written and verbal communication skills
Highly organized with ability to manage competing priorities and deadlines
Strong problem-solving skills and ability to independently research and resolve complex payer and reimbursement issues
Preferred: experience with multiple Maryland behavioral health levels of care, Carelon, Medicaid EVS, Availity, commercial payer portals, Maryland-specific authorization processes, EHR/billing system implementations or transitions, and third-party or multi-site behavioral health RCM operations
CPC, CPB, CRCR or other relevant billing/revenue cycle certification preferred but not required
Bachelor's degree in healthcare administration, business, finance, or related field preferred; equivalent relevant experience considered
Must be capable of operating at both director and operational levels