Locations: Washington, DC; New York, NY; Austin, TX; Remote

This is a rare opportunity to step into a high-impact leadership role at the ground floor. We are bringing our revenue cycle operations fully in-house and are looking for an entrepreneurial, forward-thinking leader who is energized by building from 0 → 1, driving innovation, and owning results end to end. Release Recovery is seeking someone who thrives in a growth environment and wants their work to have a direct and lasting impact on the organization.

The Director/Vice President of Revenue Operations will lead the transition of Release Recovery's insurance billing operations fully in-house, building the systems, workflows, infrastructure, and team needed to support a scalable, high-performing revenue cycle operation. This individual will oversee the full lifecycle of billing and reimbursement operations across all programs and service lines, including utilization review, claims management, payer relations, reimbursement optimization, denial management, and compliance oversight.

Primary Responsibilities

Revenue Cycle Leadership

Build, own, and manage the full lifecycle of insurance billing operations from eligibility verification through final reimbursement
Develop, implement, and optimize revenue cycle workflows across residential, outpatient, PHP/IOP, and case management services
Establish internal controls to ensure accurate, compliant, and scalable billing practices
Monitor and improve key performance indicators including:
- Clean claim rate
- Days in A/R
- Authorization approval rates
- Denial trends
- Net collection percentages
- Reimbursement variance analysis
Identify process inefficiencies and implement automation and technology solutions to improve operational performance

Utilization Review & Authorizations

Oversee authorization strategy and utilization review processes across all levels of care
Ensure timely and accurate submission of clinical documentation supporting medical necessity and level of care
Partner closely with clinical leadership to align documentation practices with payer requirements
Monitor authorization utilization and proactively prevent lapses in coverage
Train and support UR staff and clinical teams on payer guidelines and documentation standards

Claims Management & Billing Operations

Own the full claims cycle including claim creation, coding accuracy, submission, and reconciliation
Ensure compliance with CPT, HCPCS, and ICD-10 coding standards specific to behavioral health services
Validate charge capture and supporting documentation prior to claim submission
Manage electronic billing systems, clearinghouses, and EMR integrations
Maintain payer billing rule libraries and submission requirements

Denials, Appeals & Accounts Receivable

Develop and execute denial prevention and appeal strategies
Lead reimbursement renegotiation efforts with payers when appropriate
Oversee all insurance appeals, including both clinical and administrative appeals
Analyze denial trends and implement corrective action plans
Supervise A/R follow-up processes to ensure timely claim resolution
Collaborate with legal, compliance, and clinical leadership on complex escalations and payer disputes

Payer Relations & Contracting Support

Analyze reimbursement rates, fee schedules, and payer contract performance
Support and participate in payer negotiations through reimbursement analysis, utilization data, and financial modeling
Identify opportunities for contract optimization and improved reimbursement structures
Monitor payer policy updates and communicate operational impacts internally

Reporting & Analytics

Build and oversee revenue cycle dashboards and operational reporting
Provide leadership with insights related to payer mix, reimbursement trends, collections performance, and operational KPIs
Forecast revenue based on census, payer mix, and authorization utilization
Conduct root-cause analysis related to revenue leakage and reimbursement delays

Compliance & Regulatory Oversight

Ensure compliance with payer contracts, state licensing requirements, and federal billing regulations
Maintain adherence to HIPAA, behavioral health billing regulations, and audit readiness standards
Lead internal billing audits and support external payer audits as needed
Maintain accurate documentation and audit trails for billing and authorization activities

Requirements

Proven experience in healthcare revenue cycle management, preferably within behavioral health, substance use treatment, or a related healthcare setting
Strong background in insurance billing, utilization review, claims management, and denial resolution
Experience building, scaling, or transitioning billing operations in-house
Entrepreneurial mindset with the ability to develop and execute solutions in a fast-paced, growth-oriented environment
Demonstrated leadership experience with the ability to build, train, and develop high-performing teams
Deep understanding of CPT, HCPCS, and ICD-10 coding, payer guidelines, and behavioral health billing requirements
Proficiency with EMR/EHR platforms, clearinghouses, and revenue cycle technologies. Experience with Kipu, CollabMD, and QuickBooks strongly preferred
Strong analytical and operational problem-solving skills with the ability to turn data into actionable strategy
Working knowledge of HIPAA, OASAS, and federal healthcare billing compliance requirements

Benefits

Joining our team means being part of a mission-driven organization redefining how the world views and treats substance use and mental health. At Release, recovery is about growth, connection, and long-term transformation.

When you join our team, you will:

Work alongside respected thought leaders in the recovery space
Make a direct, meaningful impact on individuals and families
Receive compensation commensurate with experience (salary range: $125,000 - 165,000)
Be eligible for health, dental, and vision benefits (full-time employees)

We believe recovery is a journey, not a destination, and we're committed to shaping that journey with intention, care, and innovation.

Release Recovery

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Director / Vice President of Revenue Operations