Operations Manager

Program: Revenue Acquisition Department (RAD) – Mental Health & Substance Abuse services

Schedule

40 hours per week, Monday through Friday, 8:00 AM to 5:00 PM (1-hour break).

Pay

$34,278 – $37,706 per year.

Responsibilities

• Serve as a liaison between management, staff, payers, the public, and outside representatives while supporting compliance with commercial insurance, Medicaid, Medicare, managed care, and other regulatory requirements.
• Attend billing meetings and required trainings.
• Provide staff training on CareLogic, financials, and completing assigned reports by established deadlines.
• Work all unpaid claims for assigned programs within forty-five (45) days of billing and resolve registration errors, billing holds, denials, failed claims, and payment discrepancies.
• Process ASOs, enter authorizations, and monitor eligibility.
• Run billing and tracking reports; rebill claims.
• Maintain CareLogic staff access and system mappings.
• Resolve tickets through the agency’s ticketing system.

Requirements

• Associate’s degree in a related discipline or certification and experience in the field.
• Minimum of three (3) to five (5) years of experience in healthcare billing, claims management, or revenue cycle operations.
• Proficiency in Microsoft Office, especially Excel.
• Strong verbal and written communication, organizational, problem-solving, and time-management skills.