Revenue Cycle Manager

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

Benefits offered by this job

Health, dental, and life insurance

403(b) retirement planning

Generous paid time off and paid holyds

Job summary

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

Reporting to the Sr. Director of Revenue Cycle Management, you will partner with Clinical Operations, Finance, IT, Compliance, and Program Leadership to strengthen cash flow and

Qualifications

• Requires a Bachelor’s degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field; Master’s preferred.
• Minimum 5 years in healthcare revenue cycle with 3+ years in management.
• Deep familiarity with MassHealth, Medicare, commercial payer rules; experience in behavioral health/non-profit healthcare preferred.
• Proficiency in EHR/practice management systems, clearinghouses, claim-editing tools; advanced Excel and Power BI.

Responsibilities

• Oversee end-to-end revenue cycle workflows including eligibility verification, authorization, charge capture, coding, claim submission, payment posting, and collections.
• Manage claims submission to MassHealth, Medicare, Medicaid managed care, and commercial payers; set targets for clean claim rates and AR days.
• Maintain a formal denial prevention process; oversee appeals and corrective actions with operations and IT.
• Collaborate with credentialing staff to prevent revenue loss from enrollment delays; ensure CMS/Medicare/HIPAA compliance.
• Build and maintain executive revenue cycle dashboards; translate data into actionable recommendations.
• Supervise and develop billing, coding, AR, and authorization staff; drive a culture of accountability and improvement.

Skills

Revenue cycle management

MassHealth & Medicare knowledge

Excel & Power BI

Data analysis

Staff leadership

Education

Bachelor’s degree in healthcare administration / related field

Master’s degree (preferred)

Tools

EHR systems

Clearinghouses

Claim editing tools

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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