Company Description:
Curect Neuropsychology is pioneering the integration of scientific data and cognitive diagnosis with mental health treatment, ensuring optimal outcomes while actively removing the accessibility barriers that limit specialized care. Through data-driven neuropsychological testing, our diagnostic insights guide behavioral health treatment—making care targeted, informed, and deeply rooted in a comprehensive understanding of each person’s cognitive, social, and emotional needs. We invite you to join us as we shape a more responsive and impactful future for mental health—one where early detection and accurate, diagnostically driven treatment are empowering stronger, healthier communities.
Job Description:
We have an exciting opportunity to join our healthcare administration team as Director of Revenue Cycle Management. In this senior leadership role, you will oversee end-to-end revenue cycle management, billing operations, eligibility verification, payer relations, and compliance across our multi-state mental health and neuropsychology practices. The Director of Revenue Cycle Management is expected to independently lead the revenue cycle department, proactively optimize systems and processes, resolve complex issues, drive reimbursement improvements, and ensure full regulatory compliance. This position includes related leadership in team development, process standardization, and cross-functional collaboration with clinical, HR, and executive teams. Success in this role requires demonstrated mastery of Excel as a power user for complex data analysis, reporting, and process optimization, along with deep expertise in healthcare billing platforms, payer portals, and a technology-forward mindset for scaling operations in a growing behavioral health organization. Knowledge of AI applications in healthcare billing or revenue cycle management is highly preferred.
Responsibilities:
Revenue Cycle Leadership & Billing Operations
- Oversee all insurance billing, eligibility, and revenue cycle functions across multi-state locations.
- Direct daily billing workflows to ensure timely and accurate claim submission, follow-up, and payment posting.
- Monitor and optimize key performance indicators (e.g., days in A/R, denial rates, clean claim rates, and collection ratios) through advanced Excel analytics and modeling.
- Conduct regular audits to maintain billing accuracy, CPT/ICD coding compliance, and documentation standards.
- Develop, implement, and maintain standard operating procedures for billing, eligibility, denial management, and appeals.
Eligibility & Benefits Oversight
- Supervise the eligibility team in performing daily insurance verifications for new and returning clients.
- Oversee coordination with clinical teams to obtain necessary authorizations, referrals, and supporting documentation.
- Monitor team performance and proactively manage eligibility changes, resolve complex issues such as lapses, denials, and coverage gaps, and ensure timely communication of updates.
Dispute Resolution & Payer Relations
- Serve as the primary escalation point for billing-related disputes involving clients, staff, and insurance carriers.
- Cultivate and maintain strong relationships with payer representatives; lead contract negotiations, fee schedule reviews, and payer network expansions.
- Manage appeals and resolutions to maximize reimbursement and reduce revenue leakage.
- Attend payer meetings and remain current on policy changes affecting behavioral health billing.
Team Leadership, Clinic Support & Compliance
- Lead, train, mentor, and performance-manage the revenue cycle team in support of multi-site operations.
- Ensure clinical and administrative staff compliance with insurance, billing, and documentation requirements.
- Provide strategic guidance to senior leadership on process improvements, technology enhancements, and revenue optimization initiatives.
- Maintain full compliance with HIPAA, payer-specific regulations, and all applicable federal and state requirements.
- Keep executive leadership informed of regulatory and payer policy developments.
Portal & Data Management
- Oversee CAQH profiles, payer portals, roster management, and provider data integrity.
- Leverage advanced AI and Excel capabilities to develop and maintain sophisticated tracking systems, dashboards, and analytical reports.
Pay: $105,000.00 - $145,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Experience:
- Medical Revenue Cycle: 7 years (Required)
Ability to Commute:
- Rockville Centre, NY 11570 (Required)
Work Location: In person