Manager, Revenue Cycle

Community Health Alliance-Ohio; United States; On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

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

Job summary

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.

Responsibilities

• 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.

Skills

Revenue cycle

Leadership

Analytical skills

Communication

Problem solving

Education

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

Tools

CareLogic EHR

Billing platforms

Microsoft Excel

Job description

Community Health Alliance is seeking an experienced, results-driven Revenue Cycle Manager to oversee and optimize revenue cycle operations for our growing behavioral health organization. This position plays a critical role in ensuring accurate billing, timely reimbursement, effective accounts receivable management, and compliance with Medicaid, Medicare, and commercial insurance requirements.

The ideal candidate will bring strong leadership skills, analytical abilities, and extensive knowledge of behavioral health billing and reimbursement practices. This individual will work collaboratively with clinical, administrative, and finance teams to improve revenue cycle performance, strengthen operational processes, and maximize reimbursement while supporting our mission of providing high-quality behavioral health services to the communities we serve.

Why Join Community Health Alliance?

At Community Health Alliance, our Revenue Cycle Manager is more than a financial leader—they are an essential part of our management team and play a critical role in supporting the organization's ability to provide accessible, high-quality behavioral health services. Through strong leadership, analytical expertise, and a commitment to operational excellence, you will lead revenue cycle operations, strengthen billing and reimbursement processes, identify opportunities for improvement, and ensure the financial resources necessary to support our mission of providing compassionate, quality care to the communities we serve.

We provide a comprehensive benefits package designed to support you and your family.

We offer:

• Affordable medical, dental and vision insurance
• Company paid Health Reimbursement Arrangement (HRA)
• Generous paid time off (PTO) & paid holidays
• Retirement plan with company match - up to 6%
• Company paid life insurance
• Employee training and continued education opportunities
• Mileage reimbursement
• Licensure reimbursement
• Opportunities for professional growth and career advancement
• A collaborative and mission driven culture

What You'll Do:

• Oversee daily revenue cycle operations, including billing, claims submission, payment posting, denial management, accounts receivable, and collections.
• Ensure accurate, timely, and compliant billing practices in accordance with Medicaid, Medicare, managed care, and commercial insurance requirements.
• Monitor key revenue cycle performance indicators, including denial rates, clean claim rates, accounts receivable aging, and collection performance.
• Identify reimbursement barriers, revenue leakage, and billing inefficiencies and implement strategies to improve financial performance.
• Manage claim denials, appeals, underpayments, and payer-related issues to maximize reimbursement and minimize payment delays.
• Collaborate with clinical leadership and utilization management teams to address authorization requirements, medical necessity documentation, and billing-related challenges.
• Oversee and support provider enrollment, credentialing, and payer requirements to ensure timely and uninterrupted reimbursement.
• Supervise, train, and evaluate billing staff, establishing clear productivity expectations, performance standards, and accountability.
• Develop, implement, and maintain standardized billing procedures, internal controls, and workflows to improve operational efficiency and compliance.
• Utilize CareLogic and other technology systems to optimize billing processes, ensure data accuracy, and improve revenue cycle performance.
• Analyze revenue cycle trends and prepare regular financial and operational reports, providing recommendations to leadership for improvement.
• Collaborate with finance, clinical operations, and administrative leadership to support organizational goals, resolve billing challenges, and implement continuous process improvements.

Qualifications

Required Qualifications

• Bachelor's degree in healthcare administration, business administration, accounting, finance, or a related field; equivalent relevant experience may be considered.
• Minimum of 5 years of progressive experience in healthcare revenue cycle management, medical billing, or reimbursement operations.
• 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.
• Demonstrated experience managing accounts receivable, claim denials, appeals, and revenue cycle performance metrics.
• Knowledge of healthcare billing regulations, HIPAA requirements, and applicable payer compliance standards.
• Strong analytical, problem-solving, organizational, and communication skills.
• Proven ability to lead teams, implement process improvements, and collaborate effectively across departments.
• Proficiency with electronic health records, billing platforms, and Microsoft Excel.

Preferred Qualifications

• Experience in community behavioral health, outpatient mental health, substance use disorder treatment, or integrated healthcare settings.
• Experience with CareLogic EHR and billing functionality strongly preferred.
• Extensive knowledge of Ohio Medicaid and Medicare Managed Care Organizations and their reimbursement requirements.
• Experience with behavioral health service authorization, utilization management, and medical necessity documentation requirements.
• Knowledge of provider enrollment, credentialing, and payer contracting processes.
• Experience implementing revenue cycle performance dashboards, billing automation, or workflow improvements.
• Professional certification such as Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC).

Community Health Alliance is a leading provider of behavioral health and human services, delivering high-quality mental health and substance use treatment across a comprehensive continuum of care. We are committed to providing compassionate, evidence-based services that empower individuals to achieve recovery, improve their well-being, and reach their highest potential.

Our integrated approach brings together prevention, treatment, recovery support, and community-based services to ensure individuals and families have access to the care they need, when they need it. Through innovation, collaboration, and a person-centered philosophy, we work to improve access to care, strengthen communities, and create lasting positive outcomes.

At Community Health Alliance, we believe that every person deserves the opportunity to build a healthier, more hopeful future. Our dedicated team is committed to making a meaningful difference by delivering exceptional care, fostering hope, and empowering the individuals, families, and communities we serve.

Community Health Alliance, is an Equal Opportunity/Affirmative Action Employer and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status, or any other characteristic protected by law.