Responsibilities

Departmental & Personnel Leadership

• Directly supervise, mentor, and evaluate the billing team, fostering a collaborative, accountable, and high-performing revenue cycle team.
• Serve as part of the management team, contributing to strategic planning, budgeting, and high-level decision-making.
• Provide clear, actionable financial analysis to support agency priorities, service expansion, and resource allocation.
• Attend and present at Board and Finance Committee meetings, translating financial performance into accessible, mission-linked narratives.

 Revenue Cycle & Healthcare Billing Oversight

• Provide strategic oversight for the organization’s full revenue cycle, from service entry through cash receipt, in close partnership with the billing, support, and clinical teams.
• Monitor key revenue-cycle metrics, claim denial trends, accounts receivable aging, and reimbursement efficiencies.
• Ensure accurate recording of earned revenue, receivables, and contractual adjustments in alignment with GAAP and funder requirements.
• Reconcile billing data to the general ledger monthly, actively identifying and resolving discrepancies between clinical billing software/EHR platforms and financial systems.
• Ensure strict compliance with payer contracts, billing documentation standards, and behavioral healthcare/OMH/Medicaid regulations.
• Develop, document, and maintain agency-wide policies for billing, receipting, reconciliation, and write-off approvals.

Financial Management, Accounting & Compliance

• Oversee all accounting functions including accounts payable, accounts receivable, bank reconciliation, and journal entries.
• Maintain and enforce internal controls that safeguard assets and ensure compliance with GAAP, nonprofit, and behavioral healthcare regulations.
• Ensure timely and accurate month-end and year-end closings, including coordination with external auditors.
• Develop and monitor annual budgets and rolling forecasts in collaboration with department heads.
• Oversee maintenance of restricted net asset schedules, grant tracking, and comprehensive financial/contractual reporting obligations.
• Manage banking relationships, investment accounts, cash flow, and liquidity for operating needs.
• Serve as system owner for financial and integrated software platforms (e.g., QuickBooks Online, Bill.com, and related integrations), ensuring proper configuration, security, and user access workflows.
• Partner closely with HR on payroll integration, benefits reconciliation, and compliance.
• Assist with other assignments and tasks at the discretion of the Executive Director.

Minimum Qualifications:

• Minimum of 5 years of progressive nonprofit or related finance experience, including audit coordination and reporting, with extensive background and proven experience in healthcare billing environments and revenue cycle management.
• Strong understanding of GAAP, fund accounting, healthcare billing regulations (such as Medicaid/OMH guidelines), and nonprofit compliance.
• Proficiency with QuickBooks Online, Bill.com, medical billing/EHR software, and advanced Excel (experience with Paylocity a plus).
• Proven experience in staff supervision, team development, and leading both strategic planning and hands-on financial operations.
• Excellent communication, organizational, and analytical skills.

 Preferred Qualifications:

• A Bachelor’s or Master’s degree specifically in Accounting, Finance, or Business Administration.
• Significant experience managing unique non-profit fiscal operations, including grant tracking and reporting.
• Experience with centralized data management frameworks and pulling data from disparate software platforms (e.g., QuickBooks, Payroll systems, and EHRs).
• Background in oversight of medical coding/billing, as well as insurance regulation compliance in a healthcare setting.
• Demonstrated ability to balance short and long-term financial strategy in an ever changing healthcare climate with small financial margins.