Director of Revenue Cycle

Texas Health Action (THA) is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with expertise in serving LGBTQIA+ people and those impacted by HIV. Kind Clinic proudly serves Texas with four vibrant locations: two in Austin, one in San Antonio, and another in Dallas plus virtual care services available to all residents across Texas. Bolstered by Waterloo Counseling Center and a passionate team of over 250 dedicated employees and volunteers, THA is at the forefront of promoting healthcare equity and accessibility throughout the state. Read more about THA here: http://texashealthaction.org.

The Director of Revenue Cycle will lead the design and implementation of Texas Health Action’s first comprehensive revenue cycle management (RCM) function for Kind Clinic. This position is critical to the organization’s business model transformation, moving from a historically grant- and 340B-funded model to one that includes sustainable insurance billing. 

Working closely with executive and senior leadership and external partners, the Director will oversee the buildout and adoption of Athena Collector and other RCM tools, ensuring compliant, efficient, and scalable billing workflows. With high visibility across the organization, this leader will collaborate closely with Clinical Operations, Health Information Management, Finance, and external partners to build a scalable and compliant infrastructure that supports long-term sustainability and access to care. 

As the revenue cycle function matures, this role will transition from leading the initial design and implementation to managing, maintaining, and continuously improving internal RCM operations. Depending on future organizational needs, the Director may supervise staff responsible for billing, collections, and related revenue functions developed in-house. 

Strategic Leadership & Planning 

• Lead and coordinate the development of Texas Health Action’s revenue cycle management (RCM) function from the ground up, in close partnership with the selected RCM consultant/vendor. 
• Collaborate with the external partner to conduct enterprise-wide assessments of current systems, data, and workflows, identifying requirements for billing, claims submission, and payer reimbursement. 
• Lead the development of the strategic roadmap for RCM implementation and sustainability, ensuring deliverables, timelines, and milestones are clearly defined and achieved. 
• Partner with executive leadership to align RCM strategy with THA’s broader business model transformation and long-term financial sustainability goals. 

 Systems Implementation  

• Partner with the HIM department and key stakeholders to lead the implementation of Athena Collector, overseeing all planning, configuration, testing, and integration with existing EMR and clinical systems. 
• Serve as an internal lead and liaison with external RCM consultants/vendors, ensuring deliverables, timelines, and compliance objectives are met. 

Cross-Functional Collaboration 

• Collaborate with internal and external partners to lead provider credentialing, payer enrollment, and insurance partnerships. 
• Partner with Clinical Operations and HIM to align system configuration, patient intake, documentation, and care workflows with billing requirements. 
• Engage with IT and HIM teams to build reporting infrastructure for revenue cycle analytics, KPIs, and dashboard monitoring. 

Process Design & Operational Readiness 

• Design and operationalize end-to-end RCM workflows—including scheduling, registration, charge capture, billing, payment posting, collections, and denial management. 
• Collaborate with HIM and IT to ensure system functionality supports efficient billing and reporting. 
• Develop internal policies, procedures, and training materials to support staff adoption and operational readiness. 
• Ensure compliance with payer, CMS, and state regulations through alignment with Finance and Quality teams. 

Team Development & Oversight 

• As RCM functions are established, oversee the development and performance of both internal teams and external partners responsible for billing, collections, denial management, and related processes. 
• Determine the appropriate balance of in-house and outsourced functions, ensuring all workflows meet operational, financial, and compliance standards. 
• Foster a collaborative, high-performing culture focused on accuracy, accountability, and continuous improvement—regardless of staffing model. 
• Provide clear expectations, feedback, and professional development opportunities for any internal RCM staff to ensure alignment with organizational goals. 

Performance Management & Continuous Improvement 

• Establish and monitor KPIs to track clean claims rate, denial trends, days in A/R, and overall cycle efficiency. 
• Provide regular reporting and insights to senior leadership, recommending strategy adjustments based on performance data and payer feedback. 
• Foster a culture of accountability, innovation, and continuous improvement within the RCM function.

Compensation:

Based on job duties and requirements, this position is placed in pay grade 50 with a full-time, base salary rage of $125,000 - $135,000. The base actual salary will be based on the candidate's qualifications and experience.

Applicant Information

• Submitting official transcripts, diplomas, certifications and licenses may be required prior to final offer. Unofficial transcripts and copies of other relevant documents may be attached to the application for consideration in advance.
• Information regarding employment history as it relates to the qualifications of the position may be needed for employment verification.
• The applicant selected for employment is subject to a pre-employment background check. A history of conviction may not automatically disqualify an applicant. Applicants with a history of conviction may be considered on a case-by-case basis, after individualized assessment of factors including the nature of the conviction, the job duties and responsibilities, the length of time since the conviction, and evidence of mitigation or rehabilitation. If required for the position, a physical, motor vehicle record evaluation, and additional background checks may be conducted.

EEO Statement: Texas Health Action is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Education & Certification:

• Bachelor’s degree in healthcare administration, business, or a related field required; Master’s preferred. 

Experience:

• Minimum of 7 years of progressive experience in revenue cycle management, healthcare billing operations, or healthcare finance, including at least 3 years in a leadership role.
• Proven experience building or transforming RCM functions, ideally within a multi-site or outpatient healthcare organization.
• Direct experience with Athena Collector or similar EMR/RCM systems, including implementation, configuration, and optimization for billing workflows.
• Demonstrated success in designing and implementing policies, processes, and performance metrics that improved clean claim rates, reduced A/R days, and enhanced cash collections.
• Strong background in payer relations, credentialing, and enrollment processes.
• Experience collaborating across departments (Finance, HIM, Clinical Operations, and IT) to align RCM strategy with broader organizational goals.
• History of leading teams and managing vendors, with emphasis on accountability, efficiency, and compliance.
• Evidence of data-driven decision-making and ability to translate analysis into actionable business improvements.

Knowledge, Skills, and Abilities:

• Knowledge

• Deep understanding of end-to-end revenue cycle management (RCM) processes, including charge capture, billing, collections, denial management, and payer reimbursement.
• Strong knowledge of healthcare billing compliance, payer regulations, CMS requirements, and state-level billing rules.
• Familiarity with Athena Collector or similar EMR/RCM platforms, including configuration, integration, and optimization.
• Solid understanding of healthcare finance, accounting principles, and data reconciliation practices across systems.
• Working knowledge of credentialing and payer enrollment processes and their impact on reimbursement.
• Skills
• Demonstrated skill in strategic planning and execution, particularly in developing and implementing new operational functions.
• Proficient in data analytics, reporting, and dashboard development to monitor KPIs such as clean claim rates, A/R days, denial rates, and cash collections.
• Excellent project management and vendor management skills, with the ability to coordinate across multiple departments and external partners.
• Strong communication and change management skills; able to convey complex financial and operational information clearly to executive and clinical audiences.
• Skilled in policy development, process design, and training creation to support organizational readiness and compliance.
• Abilities
• Ability to build and lead a comprehensive RCM function from inception through maturity.
• Ability to analyze complex data to identify performance trends and recommend system or process improvements.
• Ability to foster collaboration across interdisciplinary teams, balancing clinical, financial, and operational priorities.
• Ability to lead through ambiguity, adapting quickly to organizational growth and changing payer or regulatory landscapes.
• Ability to develop and mentor staff, creating a high-performance, accountable team environment as internal capacity expands.

• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (403b)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off (Vacation, Sick & Holidays)
• Short Term & Long Term Disability
• Training & Development
• Parental Leave
• Longevity Pay