Revenue Cycle Manager managing financial clearance and collections across operations in New Jersey, Florida, and California. Ensuring compliance with state billing mandates and optimizing revenue cycle performance.
Responsibilities
Direct the billing and collection workflows for all levels of addiction and mental health treatment across three states
Enforce strict adherence to state-specific billing mandates and commercial payer contracts
Collaborate closely with Utilization Review (UR) and Clinical teams to guarantee treatment authorizations and clinical documentation
Supervise timely and precise claim generation, submission, payment posting, and account reconciliation processes
Manage denial appeals and prevention efforts to minimize revenue leakage
Ensure billing systems accurately reflect current payer fee schedules and reimbursement policies
Track and analyze key performance indicators (KPIs) for process improvement
Lead, train, and mentor the revenue cycle team
Requirements
5+ years of progressively responsible experience managing a revenue cycle
Strong working knowledge of standard healthcare codes (ICD-10, CPT, HCPCS)
Bachelor's degree in a business or health-related field preferred
Deep familiarity with Electronic Medical Record (EMR) and professional billing software
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