Revenue Cycle Manager

Center for Human Development; Springfield (MA); On-site; USD 90,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Life insurance

403(b) retirement

Paid time off

Paid holidays

Job summary

Center for Human Development (CHD) is seeking a Revenue Cycle Manager to oversee end-to-end revenue cycle operations across behavioral health, primary care, and related service lines in Springfield, MA. You will lead billing, coding, AR, denial management, and authorization staff to ensure accurate billing and timely reimbursement.

The role partners with Clinical Operations, Finance, IT, Compliance, and Program Leadership to strengthen cash flow and reduce preventable write-offs, while driving

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field required (Master's degree preferred).
• Minimum of 5 years of progressive healthcare revenue cycle experience, with at least 3 years in a managerial/supervisory capacity.
• Deep familiarity with MassHealth, Medicare, commercial insurance, managed care, authorizations, and denial workflows.
• Proficiency in EHR/practice management systems, clearinghouses, and claim-editing tools; advanced Excel skills and Power BI experience.
• Certifications (Preferred): CRCR, CPB, CPC, CHAA, HFMA revenue cycle credentials.

Responsibilities

• Oversee end-to-end revenue cycle workflows including eligibility verification, authorization, charge capture, coding, claim submission, payment posting, and collections; establish team performance standards.
• Manage claims submission to MassHealth, Medicare, Medicaid managed care, and commercial payers; set targets for clean claim rates, AR days, and net collection rates.
• Oversee denial prevention, appeals, and coordinated actions with IT and operations to improve revenue integrity.
• Ensure billing practices comply with CMS, MassHealth, payer rules, and HIPAA regulations; maintain credentialing accuracy.
• Build and maintain executive revenue cycle dashboards; translate data into actionable reimbursement improvements.
• Lead and develop billing, coding, AR, and authorization staff to foster accountability and collaboration.

Skills

Revenue cycle management

Leadership

Billing & coding

Data analytics

MassHealth knowledge

HIPAA compliance

Education

Bachelor's degree in a related field

Master's degree preferred

Tools

EHR/PM systems

Power BI

Excel

Clearinghouses

Job description

Corporate Office
Springfield, MA 011071104, USA

Description

At the Center for Human Development (CHD) , Care Finds a Way. CHD is growing its outpatient and primary care services, creating exciting new opportunities within our Revenue Cycle Management Department! We are a diverse, inclusive, and dynamic team dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need.

We are seeking an experienced, analytical Revenue Cycle Manager to oversee and optimize CHD's end-to-end revenue cycle. Reporting directly to the Sr. Director of Revenue Cycle Management, you will lead billing, coding, AR, denial management, and authorization staff to ensure accurate billing, timely reimbursement, and full revenue capture across our behavioral health, primary care, CBHC, CBHI, SUD, residential, and community-based service lines.

The Opportunity: Lead, Optimize, and Drive Impact:

As the Revenue Cycle Manager, you will partner closely with Clinical Operations, Finance, IT, Compliance, and Program Leadership to strengthen cash flow, reduce preventable denials and write-offs, and support CHD’s long-term financial sustainability.

Key Responsibilities:

• Revenue Cycle Operations: Oversee end-to-end workflows—including eligibility verification, authorization, charge capture, coding, claim submission, payment posting, and collections; establish team performance and turnaround standards.
• Claims & AR Management: Ensure accurate, timely claim submission to MassHealth, Medicare, Medicaid managed care plans, and commercial payers; set and track targets for clean claim rates, days in AR, and net collection rates.
• Denial Prevention & Appeals: Maintain a formal denial prevention process; analyze root causes across programs and providers, oversee appeals and reconsiderations, and coordinate corrective actions with operational and IT teams.
• Credentialing & Compliance Integrity: Collaborate with credentialing staff to prevent revenue loss from enrollment delays; ensure all billing practices align with CMS, MassHealth, commercial payer rules, and HIPAA regulations.
• Data Analytics & Reporting: Build and maintain executive revenue cycle dashboards; translate complex data into actionable recommendations to optimize reimbursement across all service lines.
• Team Leadership: Supervise, train, and evaluate assigned billing, coding, AR, and authorization staff; promote a culture of accountability, continuous improvement, and cross-departmental collaboration.

Requirements & Qualifications:

• Education: Bachelor’s degree in Healthcare Administration, Business Administration, Accounting, Finance, or a related field required (Master’s degree preferred).
• Experience: Minimum of 5 years of progressive healthcare revenue cycle experience, with at least 3 years in a managerial/supervisory capacity.
• Industry Knowledge: Deep familiarity with MassHealth, Medicare, commercial insurance, managed care, authorizations, and denial workflows. Experience in behavioral health, community health, or non-profit healthcare strongly preferred.
• Technical & Analytical Skills: Proficiency in EHR/practice management systems, clearinghouses, and claim-editing tools; advanced Excel skills and experience with reporting tools like Power BI.
• Certifications (Preferred): CRCR, CPB, CPC, CHAA, or comparable HFMA revenue cycle credentials.

Success Factors:

• Strategic & Analytical Mindset: Translates high-volume revenue data into concrete operational improvements and leakage prevention.
• Collaborative Partner: Bridges communication seamlessly between clinical operations, credentialing, IT, and finance teams.
• Accountable Leader: Sets clear performance metrics, coaches staff effectively and drives high-performing revenue cycle operations.

Care Finds a Way:

At CHD, celebrating differences is a daily practice. We offer a competitive salary range of $90,000 – $100,000, along with a comprehensive benefits package including health, dental, and life insurance, 403(b) retirement planning, generous paid time off, and paid holidays.

Qualifications

Education

Required

High School or better.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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