Director of Revenue Cycle

Full Time First/Midlevel MGR Corporate, Birmingham, AL, US

2 days ago Requisition

Salary Range: $ To $ Annually

Bradford Health Services provides addiction treatment programs, resources, and community for every aspect of recovery. Through our premier drug and alcohol rehab facilities across the Southeast, we provide affordable, evidence-based addiction treatment with proven outcomes at every level of care. We’re guided by unity and dedicated to meeting and treating every patient right where they are. Bradford is more than a healthcare network;

we are recovery communities for every stage of the journey.

We are seeking a Director of Revenue Cycle to add to our dynamic team. The Director of Revenue Cycle Operations leads the daily operations and ongoing transformation of billing, accounts receivable, payment posting, cash reconciliation, credit balance, and related revenue cycle functions across a complex, multi-state behavioral healthcare organization. Reporting to the Vice President of Revenue Cycle, the Director is accountable for timely and accurate claim submission, effective payer follow-up, accurate payment and adjustment posting, disciplined account resolution, and measurable improvement in cash, aging, quality, and productivity.

This is a hands-on operational leadership role. The Director must understand the detailed mechanics of claims, work queues, clearinghouse transactions, payer edits, remittances, denials, adjustments, unapplied cash, refunds, and account documentation. The leader will personally analyze workflows and representative accounts when needed, establish standardized processes and desk-level procedures, design an effective organizational structure, identify system limitations and configuration opportunities, and evaluate responsible uses of automation and artificial intelligence.

The role partners with Centralized Admissions Department, Patient Financial Services, Utilization Review, Clinical Operations, Finance, Information Technology, Compliance, and external vendors while maintaining clear ownership of back-end revenue cycle execution.

• Provide direct operational leadership for billing, accounts receivable follow-up, payment posting, cash reconciliation, credit balances, refunds, and related back-end revenue cycle functions
• Maintain detailed knowledge of daily inventory, work queues, claim status, billing holds, clearinghouse rejections, payer responses, payment exceptions, aged accounts, and unresolved operational barriers
• Conduct detailed reviews of workflows and representative patient accounts to determine what occurred, what should have occurred, and what corrective action is required
• Design and standardize end-to-end workflows from charge release and claim creation through payment, follow-up, adjustment, refund, and final account resolution
• Establish clear ownership, handoffs, service-level expectations, escalation pathways, and quality controls for every major billing, accounts receivable, and payment-posting workflow
• Oversee claim generation, claim-edit resolution, clearinghouse submission, payer acceptance, rejection correction, and timely filing controls
• Develop payer-specific accounts receivable strategies using age, balance, payer, denial reason, filing limit, reimbursement risk, and probability of collection to prioritize work
• Establish standards for follow-up frequency, account documentation, next-action dates, escalation, appeal, write-off review, and final disposition
• Oversee accurate ERA and manual payment posting, contractual and non-contractual adjustments, denial posting, recoupments, takebacks, unapplied cash, deposits, refunds, and daily and monthly reconciliation
• Create controls that ensure posted cash and adjustments reconcile to bank deposits, remittance files, general ledger activity, and expected payer reimbursement
• Develop and maintain standard operating procedures, desk-level instructions, workflow maps, training materials, audit tools, and change-control processes
• Establish daily, weekly, and monthly productivity, quality, timeliness, and inventory standards by function and role
• Build dashboards and operating reviews that translate revenue cycle data into clear actions, owners, deadlines, and measurable outcomes
• Design the billing, accounts receivable, and payment operation’s organizational structure based on actual workload, transaction volumes, skill requirements, span of control, and future growth
• Assess staffing needs, role clarity,…