Manager of Revenue Cycle Management - 0014R (FIN051) - Mon-Fri 9AM-5PM

Essential Responsibilities

• Manage end-to-end revenue cycle operations, including verification, authorization, billing, collections, and denial resolution.
• Ensure accurate and timely claim submission to commercial insurers, Medicaid, Medicare, and other government payers.
• Maintain compliance with OPWDD, OMH, and OASAS billing regulations and industry standards.
• Collaborate with the EHR team to maintain AVATAR system configuration, rate tables, and billing accuracy.
• Evaluate accounts requiring write-offs and recommend appropriate action.
• Oversee credentialing and re-credentialing for all sites and programs with Medicaid, Medicare, MCOs, and commercial payers.
• Ensure proper clearinghouse setup and compliance for all payer submissions.
• Partner with management and clinic leadership to review receivables, maximize revenue, and establish departmental goals.
• Supervise Revenue Cycle staff, including payroll and attendance oversight.

Qualifications

• Bachelor’s degree in healthcare administration, business, or related field.
• 3-5 years in revenue cycle management with supervisory experience; experience in credentialing is a plus.
• Strong knowledge of billing, coding, insurance claims, payer policies, and healthcare regulations (HIPPA, ICD-10).
• Proficiency with MS Office, revenue cycle management software, and EHR platforms (e.g., AVATAR, Precision Care).
• Excellent leadership, communication, and problem-solving skills; ability to manage multiple tasks in fast-paced environment.