Revenue Cycle Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee daily revenue cycle functions within designated business sectors.

• Collaborate with the third-party billing team for account assessments, reconciliations, and corrections.

• Engage with patients concerning unpaid balances and insurance claim denials.

• Assist with escalated collection initiatives and ensure accuracy in patient accounts.

• Prepare overdue accounts for collection and serve as a liaison throughout the collection process.

• Follow up on payment issues, underpayments, and discrepancies related to payers, locations, and business lines.

• Prioritize concerns and work alongside departmental leaders to implement corrective measures.

• Generate clinical revenue reports for payroll, which include co-pays and supervisory billing.

• Develop and enforce credit and collection policies for clinical practices, including write-offs.

• Aid in the review of medical record requests and collaborate with providers and clinical leadership to ensure accurate documentation.

• Work together with clinical operations, Finance, credentialing, intake, scheduling, compliance, providers, and leadership to address billing and reimbursement challenges.

• Train and assist billing and collections personnel.

• Create and uphold departmental policies and procedures that comply with clinical practice guidelines, regulatory standards, and Joint Commission requirements.

• Suggest process enhancements to diminish avoidable denials, speed up collections, reinforce controls, and enhance reimbursement results.

• Assist with the implementation and optimization of practice management, EHR, reporting, and financial systems, such as AdvancedMD, Netsmart, Salesforce, and Intacct.

• Undertake additional projects as required.

⛳️ Requirements

• Bachelor’s degree in business administration or a related field.

• Minimum of five years of experience in behavioral health and revenue cycle management.

• Proficient in insurance reimbursement, denial management, account collections, coding, and medical terminology.

• Experience with PHP, IOP, and Outpatient Therapy.

• Knowledgeable in Electronic Health Record Applications and Reporting.

• Familiar with Netsmart and/or AdvancedMD.

• Acquainted with payer portals.

• Exceptional verbal and written communication skills.

• Strong analytical and organizational abilities.

• Competence in mathematics.

• Excellent leadership and interpersonal skills.

• Accurate typing and data entry skills.

• Commitment to confidentiality and the promotion of positive public relations.

• Capability to inspire staff and maintain high morale.

🏝️ Benefits

• Supportive work environment.

• Encouragement for professional growth.