Business Office Manager, 40 Hours

MiraVista Behavioral Health Center; Holyoke (MA); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus $10,000

Job summary

MiraVista Behavioral Health Center in Holyoke, MA is seeking a Business Office Manager to lead the outpatient billing and revenue cycle operations. This full-time role oversees billing, claims submission, payment posting, collections, and AR follow-up, ensuring accurate and timely reimbursement for behavioral health and SUD services.

The successful candidate will supervise billing staff, collaborate with clinical and administrative leadership, maintain compliance with payer requirements, and

Qualifications

• Associate's degree required; Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Or Related Field Preferred.

Responsibilities

• Oversee outpatient revenue cycle operations including billing, claims submission, payment posting, collections, denials and AR follow-up.
• Supervise, train, mentor, and evaluate billing office personnel, including billers, collectors, and cash posting staff.
• Ensure timely claim submission to MassHealth, Medicare, Medicaid/MassHealth, commercial insurance, and other third-party payers.
• Investigate and resolve denied or rejected claims while identifying root causes and implementing corrective actions.
• Monitor accounts receivable aging, identify collection trends, and improve cash collections.

Skills

Analytical skills

Communication skills

Leadership / supervision

Financial acumen

MassHealth & payer knowledge

Education

Associate's degree

Bachelor's degree in Healthcare Administration or related field

Tools

Netsmart EHR

WellSky

Avatar

Credible

Massachusetts Virtual Gateway

Job description

Business Office Manager, 40hrs - Sign on Bonus \$10,000 Sign on bonus
available! Full time 40 hours, Monday - Friday onsite in Holyoke, MA The
Outpatient Billing Office Manager is responsible for the daily
management and oversight of all outpatient billing, collections,
accounts receivable, and revenue cycle activities for behavioral health
and substance use disorder (SUD) services. This is a hands-on leadership
role responsible for performing billing functions while supervising
billing, collections, and cash posting staff to ensure timely and
accurate reimbursement. The Manager is accountable for achieving cash
collection, accounts receivable, and productivity goals established by
the Director of Revenue Cycle. This position works collaboratively with
clinical leadership, admissions, utilization review, finance, and
compliance to ensure accurate billing, regulatory compliance, and
optimal reimbursement. As the Business Office Manager you will: Manage
all outpatient revenue cycle operations including billing, claims
submission, payment posting, collections, denials, and accounts
receivable follow-up. Perform and oversee billing for behavioral health
and SUD outpatient services including: Partial Hospitalization Program
(PHP) Intensive Outpatient Program (IOP) Individual, Group, and Family
Counseling Medication Management Daily dosing and medication-assisted
treatment (MAT) services Maintain comprehensive knowledge of CPT, HCPCS,
ICD-10, revenue codes, modifiers, National Correct Coding Initiative
(NCCI) edits, bundled services, and payer-specific billing requirements.
Demonstrate proficiency using Massachusetts Virtual Gateway, including
eligibility verification, Unit Rate and Cost Reimbursement billing,
Medicaid eligibility, and MassHealth reimbursement processes. Ensure
timely and accurate claim submission to commercial insurance, Medicare,
Medicaid/MassHealth, Managed Medicaid, and other third-party payers.
Investigate and resolve denied or rejected claims while identifying root
causes and implementing corrective actions. Monitor accounts receivable
aging, identify collection trends, and implement strategies to improve
cash collections and reduce outstanding receivables. Meet departmental
goals for cash collections, clean claim rates, denial management, and AR
days. Supervise, train, mentor, and evaluate billing office personnel,
including billers, collectors, and cash posting staff. Assist patients
and families with Medicaid Pending applications and coordinate with
state agencies to secure appropriate coverage. To be successful in the
Business Office Manager role, candidates should meet the following
education, licensure, and experience requirements: Associate's degree
required; Bachelor's degree in Healthcare Administration, Business
Administration, Finance, Accounting, Or Related Field Preferred. Minimum five (5) years of progressively responsible healthcare billing and
revenue cycle experience. Minimum two (2) years of supervisory or
management experience. Experience billing behavioral health,
psychiatric, and/or substance use disorder outpatient services required.
Strong knowledge of MassHealth, Medicare, Medicaid, commercial
insurance, and managed care billing. Experience with Massachusetts
Virtual Gateway strongly preferred. Knowledge of Unit Rate and Cost
Reimbursement Billing Preferred. Experience With Electronic Health
records and billing systems (Netsmart, WellSky, Avatar, Credible, or
Similar) Preferred. Advanced Microsoft Excel And Reporting Skills.
Excellent analytical, organizational, problem-solving, and communication
skills. Certified Professional Biller (CPB), Certified Revenue Cycle
Representative (CRCR), Or Other Revenue Cycle Certification. Experience with behavioral health payer contracting and reimbursement. Knowledge of
denial management, revenue integrity, and performance improvement
methodologies. SEETHE MIRA VISTA WEBSITE FOR MORE INFORMAT ON