Foundry Treatment Center Steamboat

Director

• Provide leadership and oversight for all revenue cycle functions, including medical billing, utilization review, benefits verification, claims management, payment posting, collections, and denial management.
• Lead, develop, and manage the Revenue Cycle Management team, including hiring, coaching, performance management, and succession planning.
• Oversee the end-to-end revenue cycle, from insurance verification through final reimbursement.
• Develop, monitor, and report key revenue cycle metrics, including cash collections, accounts receivable aging, clean claim rate, denial rate, days in AR, authorization timeliness, and reimbursement trends.
• Drive continuous process improvement to increase operational efficiency, reduce administrative burden, and improve reimbursement.
• Serve as the primary point of contact for third-party billing vendors and oversee vendor performance, accountability, and transition initiatives.
• Collaborate with Clinical, Medical, Admissions, Finance, and Operations leadership to improve documentation, authorization management, and reimbursement outcomes.
• Lead appeals, payer escalations, and resolution of complex reimbursement issues.
• Develop and maintain departmental policies, procedures, and standard operating procedures.
• Ensure compliance with federal, state, and payer billing requirements, including HIPAA and applicable behavioral health regulations.
• Support audits, accreditation surveys, and regulatory reviews.
• Prepare executive reporting and provide routine cash flow forecasting, reimbursement analysis, and revenue cycle performance updates to senior leadership.
• Evaluate payer performance and recommend operational or contracting improvements to maximize reimbursement.

Director of Revenue Cycle Management

Billing Specialist

• Responsible for accurate claim submission, payment posting, and follow-up to ensure timely reimbursement for behavioral health services.
• Supports daily billing operations and works closely with internal teams and insurance payors to resolve billing issues.
• Submit clean claims to commercial and government payors.
• Review and correct claim rejections and denials.
• Post insurance payments and adjustments accurately.
• Follow up on unpaid or underpaid claims.
• Review explanations of benefits and resolve discrepancies.
• Maintain accurate billing documentation and records.
• Communicate with insurance companies regarding claim status.
• Collaborate with admissions, utilization review, and clinical teams as needed.
• Ensure compliance with billing regulations and organizational policies.
• Assist with audits and reporting as assigned.

Director of Revenue Cycle Management

Senior Billing Specialist