Revenue Cycle Manager

Easter Seals Southwest Florida, Inc; Sarasota (FL); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

403(b) matching

Dental insurance

Health insurance

Vision insurance

Job summary

Easter Seals Southwest Florida, Inc is seeking a Revenue Cycle Manager responsible for managing financial tracking, billing processes, and insurance operations. This position assures compliance with Medicaid and enhances financial health through detailed reporting and process optimization.

The ideal candidate will have a Bachelor’s degree and 3–5+ years of relevant experience in revenue cycle management, with expertise in Medicaid billing. The role contributes significantly to the organization's operational integrity and financial success.

Qualifications

• 3–5+ years experience in revenue cycle or healthcare billing.
• Experience with Medicaid and behavioral/therapy billing.

Responsibilities

• Coordinate with the billing team on corrections and resubmissions.
• Ensure timely and accurate claim submission.
• Create and manage program invoicing (contracts, private pay).
• Maintain group NPIs and payer credentialing.

Skills

Revenue cycle management

Billing processes

Medicaid compliance

Auditing

Financial reporting

Education

Bachelor's degree

Job description

Benefits

• 403(b) matching
• 403 (b)
• Dental insurance
• Health insurance
• Vision insurance

Summary

The Revenue Cycle Manager is responsible for overseeing financial tracking, billing processes, and insurance operations across all programs. This role ensures accurate revenue cycle management, compliance with Medicaid and commercial insurance requirements, and supports organizational financial health through reporting, auditing, and process improvement.

Qualifications

• Required: Education: Bachelor's degree required.
• Experience: 3–5+ years in revenue cycle or healthcare billing. Experience with Medicaid, behavioral/therapy billing.

Responsibilities

Billing

• Coordinate with the billing team on corrections and resubmissions.
• Ensure timely and accurate claim submission.
• Review billing data from EMR.
• Attend all applicable insurance workshops.
• Remain up to date with MMA and private insurance changes.
• Ensure compliance with payer requirements.

Revenue/Remittance

• Create and manage program invoicing (contracts, private pay).
• Seek out additional revenue sources through Medicaid and commercial insurance.
• Conduct internal audit reviews with all Program Directors to ensure streamlined processes.
• Assist Program Directors on additional revenue generation opportunities.
• Works with the Development team for revenue generation opportunities.

Credentialing

• Maintain group NPIs.
• Maintain payer credentialing (Medicaid, commercial).
• Maintain therapeutic Medicaid portals.
• Manage payer portals (Availity, Payspan, etc.).

Reporting

• Maintain/record all productivity for each therapy department.
• Create month and year-end projections with the program director's oversight.
• Manage and track all contractual adjustments (BT, CT, CBH).
• Other duties as assigned.