Behavioral Health Revenue Cycle Leader

Community Health Alliance-Ohio; United States; Sur place; USD 85 000 - 110 000; Plein temps

Avantages offerts par ce poste

Health insurance

HRA (Company funded)

PTO & holidays

Retirement plan with company match

Life insurance

Training & education opportunities

Mileage reimbursement

Licensure reimbursement

Career growth

Collaborative culture

Résumé du poste

Community Health Alliance is seeking an experienced Revenue Cycle Manager to oversee billing, accounts receivable, and denial management for our behavioral health organization. You will ensure compliant, timely reimbursement across Medicaid, Medicare, managed care, and commercial payers.

The ideal candidate brings 5+ years in healthcare revenue cycle with supervisory experience, strong analytical and communication skills, and proficiency with CareLogic EHR and Excel.

Qualifications

• Minimum of 5 years of progressive experience in healthcare revenue cycle management.
• At least 2 years of supervisory or management experience in a healthcare billing or revenue cycle environment.
• Strong working knowledge of Medicaid, Medicare, managed care reimbursement, and commercial insurance billing practices.

Responsabilités

• Oversee daily revenue cycle operations: billing, claims submission, payment posting, denial management, AR, and collections.
• Ensure accurate, timely, and compliant billing in line with Medicaid, Medicare, managed care, and commercial insurance.
• Monitor revenue cycle KPIs: denial rates, clean claim rates, AR aging, and collections.
• Identify barriers and leakage; implement strategies to improve financial performance.
• Manage denials, appeals, underpayments, and payer issues to maximize reimbursement.
• Collaborate with clinical leadership to address authorization requirements and medical necessity documentation.
• Oversee provider enrollment, credentialing, and payer requirements for timely reimbursement.
• Supervise billing staff, set productivity expectations and performance standards.
• Develop and maintain standardized billing procedures and internal controls.
• Use CareLogic and other systems to optimize processes and data accuracy.
• Analyze revenue cycle trends and prepare regular financial and operational reports.
• Collaborate with finance and admin leadership to drive improvement projects.

Connaissances

Revenue cycle

Leadership

Analytical skills

Communication

Problem solving

Formation

Bachelor's degree in healthcare administration, business administration, accounting, finance, or related field

Outils

CareLogic EHR

Billing platforms

Microsoft Excel

Description du poste

Community Health Alliance is seeking an experienced Revenue Cycle Manager to oversee billing, accounts receivable, and denial management for our behavioral health organization. You will ensure compliant, timely reimbursement across Medicaid, Medicare, managed care, and commercial payers.

The ideal candidate brings 5+ years in healthcare revenue cycle with supervisory experience, strong analytical and communication skills, and proficiency with CareLogic EHR and Excel.