Operations Manager ensuring daily operational excellence in loan servicing with PNC. Collaborating with teams and resolving issues while maintaining quality control.
About the role
- 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
Benefits
- Health insurance
- Paid time off
- Professional development
- Flexible work arrangements
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