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Director of Revenue Cycle
Planned Parenthood Federation of AmericaDirector of Revenue Cycle overseeing all revenue cycle functions at Planned Parenthood of Maryland. Responsible for billing, collections, and financial performance optimization within the organization.
Posted 5/22/2026full-timeBaltimore • Maryland • 🇺🇸 United StatesLead💰 $130,000 - $140,000 per yearWebsite
About the role
Key responsibilities & impact- Provide strategic and operational leadership for all revenue cycle functions at Planned Parenthood of Maryland (PPM).
- Coordinate with PPM’s business partner(s) to ensure accurate and timely billing, collections, coding compliance, denial management, payment posting, payer contracting support, reporting, and revenue integrity functions.
- Serve as the central liaison among Finance, Health Center operations, outsourced vendors, and payer partners.
- Optimize financial performance, compliance, and continuous improvement of all revenue cycle activities.
- Direct, supervise, and evaluate billing and revenue cycle staff and vendor relationship with BetterHealth.
- Develop and maintain Epic-based reporting and dashboards to monitor key revenue cycle metrics.
- Prepare and present monthly revenue cycle performance reviews with vendor leadership.
Requirements
What you’ll need- Bachelor’s degree in Accounting, Finance, Healthcare Administration, Business, or a related field preferred
- Minimum of three (3) years in a leadership or director-level role
- Minimum of two (2) years of direct, hands-on experience with Epic Resolute Professional Billing required.
- Experience in reproductive health, family planning, community health center (FQHC), or women’s health settings strongly preferred
- Professional certification preferred: CPC (Certified Professional Coder), CRCR (Certified Revenue Cycle Representative), CHBME, or FHFMA
- Expert-level working knowledge of Epic Resolute Professional Billing, including claim submission, work queue management, ERA/EOB processing, RTE, and reporting tools
- Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, data modeling)
- Familiarity with clearinghouse platforms (e.g., Availity, Change Healthcare/Optum) and electronic claim submission processes
- Thorough knowledge of CPT, ICD-10-CM/PCS, and HCPCS Level II coding, with specific familiarity with reproductive health service coding including contraceptive management, family planning, and abortion services
- Strong understanding of federal and state Medicaid programs, Medicaid MCO billing requirements, and managed care contract structures
- Knowledge of Title X program billing requirements, sliding fee scale regulations, and federal family planning service documentation standards
- Familiarity with HIPAA privacy and security regulations and their application to billing, data sharing, and vendor management
- Understanding of value-based payment models and quality-based incentive structures as they affect revenue cycle operations
- Proven ability to lead, develop, and motivate a diverse team in a multi-site, mission-driven healthcare environment
- Excellent analytical, strategic, and problem-solving skills; ability to translate complex data into clear, actionable insights for executive and clinical audiences
- Strong oral and written communication skills; able to present ideas convincingly and concisely to both technical and non-technical stakeholders
- Strong commitment to reproductive health equity, patient-centered care, and Planned Parenthood’s mission and values
- Well organized with demonstrated ability to manage competing priorities, set timelines, and drive results
- Ability and willingness to travel to affiliate health center locations as needed
Benefits
Comp & perks- Medical, Dental, and Vision insurance.
- Flexible Spending Account.
- Life, AD&D Insurance.
- Short-Term and Long-Term Disability.
- Paid Time Off (PTO) and Paid Holidays.
- Employee Assistance Program.
- 401(k) Retirement Plan.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Epic Resolute Professional Billingbilling compliancedenial managementpayment postingCPT codingICD-10-CM codingHCPCS Level II codingdata modelingwork queue managementclaim submission
Soft Skills
leadershipstrategic thinkingproblem-solvinganalytical skillscommunication skillsteam developmentorganizational skillspresentation skillsmotivationtime management
Certifications
CPCCRCRCHBMEFHFMA