Director of Revenue Operations

Locations: Washington, DC; New York, NY; Austin, TX; RemoteThis 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 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 ResponsibilitiesRevenue Cycle LeadershipBuild, own, and manage the full lifecycle of insurance billing operations from eligibility verification through final reimbursementDevelop, implement, and optimize revenue cycle workflows across residential, outpatient, PHP/IOP, and case management servicesEstablish internal controls to ensure accurate, compliant, and scalable billing practicesMonitor and improve key performance indicators including:Clean claim rateDays in A/RAuthorization approval ratesDenial trendsNet collection percentagesReimbursement variance analysisIdentify process inefficiencies and implement automation and technology solutions to improve operational performanceUtilization Review & AuthorizationsOversee authorization strategy and utilization review processes across all levels of careEnsure timely and accurate submission of clinical documentation supporting medical necessity and level of carePartner closely with clinical leadership to align documentation practices with payer requirementsMonitor authorization utilization and proactively prevent lapses in coverageTrain and support UR staff and clinical teams on payer guidelines and documentation standardsClaims Management & Billing OperationsOwn the full claims cycle including claim creation, coding accuracy, submission, and reconciliationEnsure compliance with CPT, HCPCS, and ICD-10 coding standards specific to behavioral health servicesValidate charge capture and supporting documentation prior to claim submissionManage electronic billing systems, clearinghouses, and EMR integrationsMaintain payer billing rule libraries and submission requirementsDenials, Appeals & Accounts ReceivableDevelop and execute denial prevention and appeal strategiesLead reimbursement renegotiation efforts with payers when appropriateOversee all insurance appeals, including both clinical and administrative appealsAnalyze denial trends and implement corrective action plansSupervise A/R follow-up processes to ensure timely claim resolutionCollaborate with legal, compliance, and clinical leadership on complex escalations and payer disputesPayer Relations & Contracting SupportAnalyze reimbursement rates, fee schedules, and payer contract performanceSupport and participate in payer negotiations through reimbursement analysis, utilization data, and financial modelingIdentify opportunities for contract optimization and improved reimbursement structuresMonitor payer policy updates and communicate operational impacts internallyReporting & AnalyticsBuild and oversee revenue cycle dashboards and operational reportingProvide leadership with insights related to payer mix, reimbursement trends, collections performance, and operational KPIsForecast revenue based on census, payer mix, and authorization utilizationConduct root-cause analysis related to revenue leakage and reimbursement delaysCompliance & Regulatory OversightEnsure compliance with payer contracts, state licensing requirements, and federal billing regulationsMaintain adherence to HIPAA, behavioral health billing regulations, and audit readiness standardsLead internal billing audits and support external payer audits as neededMaintain accurate documentation and audit trails for billing and authorization activitiesRequirementsProven experience in healthcare revenue cycle management, preferably within behavioral health, substance use treatment, or a related healthcare settingStrong background in insurance billing, utilization review, claims management, and denial resolutionExperience building, scaling, or transitioning billing operations in-houseEntrepreneurial mindset with the ability to develop and execute solutions in a fast-paced, growth-oriented environmentDemonstrated leadership experience with the ability to build, train, and develop high-performing teamsDeep understanding of CPT, HCPCS, and ICD-10 coding, payer guidelines, and behavioral health billing requirementsProficiency with EMR/EHR platforms, clearinghouses, and revenue cycle technologies. Experience with Kipu, CollabMD, and QuickBooks strongly preferredStrong analytical and operational problem-solving skills with the ability to turn data into actionable strategyWorking knowledge of HIPAA, OASAS, and federal healthcare billing compliance requirementsBenefitsJoining 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 spaceMake a direct, meaningful impact on individuals and familiesReceive 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.