Director of Revenue Cycle

Join Our Team at Valley-Wide Health Systems, Inc.

We are seeking an experienced and strategic Director of Revenue Cycle to lead revenue cycle operations across Valley-Wide Health Systems. This role provides leadership and oversight of revenue cycle performance while supporting financial sustainability, regulatory compliance, and efficient operations across our organization.

Key Responsibilities

Revenue Cycle Leadership

• Lead organization-wide revenue cycle strategy and operations
• Monitor key performance indicators, including A/R, denial rates, clean claims, collections, and encounter-to-cash performance
• Identify opportunities to improve reimbursement, reduce denials, and strengthen revenue cycle processes
• Support revenue cycle budgeting, forecasting, reporting, and financial goals

Billing, Coding & Compliance

• Oversee registration, insurance verification, sliding fee assessments, coding, billing, claims, payment posting, and collections
• Ensure compliance with FQHC PPS, HRSA, Sliding Fee Discount Program, Medicare, Medicaid, CMS, HIPAA, and payer requirements
• Oversee billing and coding processes across Family Practice, Behavioral Health, Dental, Optometry, Physical Therapy, and other service lines
• Partner with Compliance on coding, documentation, and internal audit activities

Team & Operational Leadership

• Lead, develop, and evaluate revenue cycle teams across departments and clinic locations
• Establish clear productivity, quality, and performance expectations
• Provide education and guidance to staff and providers on documentation, coding, and payer requirements
• Collaborate with Clinical, Operations, Finance, IT, and Compliance teams to improve workflows and charge capture

Systems, Payers & Analytics

• Support optimization of NextGen EHR and Practice Management systems
• Oversee provider credentialing and payer enrollment
• Maintain relationships with Medicaid MCOs, Medicare, commercial insurers, and other payers
• Develop and present revenue cycle dashboards, trends, and performance reports to leadership

Requirements

Education & Experience

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required; master's degree preferred
• 7-10 years of progressive healthcare revenue cycle experience, including at least 5 years in a director-level or senior leadership role
• Experience managing revenue cycle operations in a high-volume healthcare environment
• FQHC or ambulatory healthcare experience highly preferred
• Professional certification such as CRCP, CPB, CPC, CHFP, or FHFMA preferred

Knowledge & Skills

• Strong knowledge of FQHC PPS reimbursement, Sliding Fee Discount Program requirements, and HRSA guidelines
• Knowledge of CPT, ICD-10-CM, CDT, DSM-5, Medicare, Medicaid, and commercial payer requirements
• Experience with electronic billing systems, clearinghouses, practice management systems, and EHR platforms such as NextGen
• Strong analytical, financial, leadership, communication, and problem-solving skills
• Ability to effectively lead teams and collaborate across departments
• Commitment to Valley-Wide's mission and the communities we serve

Location & Type of Job: This is a full-time, onsite position based in Alamosa, Colorado.

Why Join Valley-Wide?

Valley-Wide Health Systems, Inc. is dedicated to providing high-quality, patient-centered healthcare to all individuals across our multi-county service area in southern Colorado. As a non-profit, Federally Qualified Health Center (FQHC), we offer premier primary and preventive care through our 34 service sites strategically located in rural communities.

We offer a comprehensive benefits package, including:

• Free Health Insurance (additional plan options available)
• Employer-paid Air Ambulance Coverage (MASA)
• Employer-paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Paid Leave:
• Vacation: 15 days accrued per year
• Sick Leave: 12 days accrued per year
• Holidays: 7 days per year + 3 Floating Holidays

For more information and to apply, visit our website: Valley-Wide Careers

Equal Opportunity Employer Statement: Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, or any other status protected by law. All qualified applicants will receive equal opportunity, with hiring decisions based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA) For more information on employee rights under FMLA, please visit: FMLA Employee Rights