Schedule: Mon-Fri 9am-5pm (2 days in office/3 days remote)

Salary: $Commensurate with experience

Vinfen is a large and complex human services organization with annual revenues in of more than $250M. We are looking for a Director of Revenue with third party payer experience, as well as experience with MassHealth, Medicare, DDS and DMH funding. This is a challenging role, suited for someone that wants to work for a growing organization where things are continuously changing and evolving. The ideal candidate is a strong leader and collaborator with excellent communication skills, who is willing to roll up their sleeves to solve problems, while continuously responding and adapting to changing requirements from payers due to new regulations and additions of new programs.

The Director of Revenue leads Vinfen's Revenue Department in billing, collection, and reporting of all company revenue. Reporting to the VP of Finance and Revenue Operations, the Director of Revenue will ensure that the Revenue Department meet company goals of effective revenue cycle management, collections against billed amounts, and targeted days of open (uncollected) accounts receivable and the aging of receivables. The Director of Revenue will also develop and implement systems for all revenue types and sources to ensure compliance to state and federal regulations, design and monitor documents, systems and training, internal controls, and collaborate with managers of program operations to ensure operations staff produce timely and effective billing information that complies with pertinent requirements and regulations. Additional responsibilities include:

• Management oversight of all business-related functions of the Revenue Department, including contract and third-party billing, payment posting, accounts receivable follow-up, payor contracting, and information systems maintenance and the internal controls related to these functions.
• Regularly provides upper management with revenue/payment status including reports, metrics, and presentations.
• Develops, monitors, and assesses revenue metrics to refine processes and improve performance.
• Oversees maintenance and updates of the relevant modules, set-up, and data tables in the electronic health record systems and related billing engines.
• Directs resolution of billing and payment issues and ensures proper communication to executive and program leadership in accordance with established parameters.
• Ensures analysis and correction of root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims.
• Collaborates with other departments/programs, especially program operations, to design systems, train staff, implement monitor and implement changes needed to ensure effective and timely revenue workflow.
• Establishes relationship with key personnel at payer organizations and granting/contracting agencies.
• Resolves escalated reimbursement issues with payers.
• Performing other duties as assigned.

Requirements:

• Bachelor's degree in accounting, finance, business administration, or related field required. Master's Degree in accounting, finance, business administration or related field strongly preferred. In some instances, experience may be substituted for academic training. Certified Medical Coder designation preferred.
• 7 to 10 years' revenue cycle experience in a complex health care environment with an electronic health record and practice management system. Experience with MA and CT state billing (DMH, DDS, MRC, DMHAS, DDS CT, etc.) requirements as well as systems & conversion experience preferred.
• 5 to 7 years of management experience at manager level required, director level strongly preferred.
• 10 or more years' experience with medical billing and collections at a medium to large size human services organization, hospital, or large specialty/behavioral health provider.
• Proven healthcare claims billing, accounts receivable management, grant management, and accounting knowledge.
• Demonstrable knowledge of claims denial management and denial avoidance procedures.

Why Vinfen? We are committed to you! We offer great training, great benefits, career growth and job security! Our comprehensive and generous benefits package includes:

• A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan.
• Competitive Medical, Dental and Vision plan.
• Employer-paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance.
• Generous Vacation, Holiday, Personal and Sick Time Benefits.
• Flexible Spending Reimbursement Accounts (Health and Dependent care).
• Educational Assistance and Remission Program.
• $500 Employee Referral Bonus with no annual cap!

About Us:

Founded in 1977, for over 40 years Vinfen has been a leading nonprofit human services organization that "transforms lives" by building the capacity of individuals, families, organizations and communities to learn, thrive and achieve their goals. Vinfen supports thousands of adolescents and adults with psychiatric, developmental and behavioral disabilities at more than 200 sites with over 3,000 employees in eastern Massachusetts and Connecticut. www.vinfen.org/careers

My Vinfen. My Community. My Job.

Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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