Revenue Cycle Manager

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

Job summary

Center for Human Development (CHD) is seeking a Revenue Cycle Manager to lead end-to-end revenue cycle operations across behavioral health, primary care, and service lines. You will supervise billing, coding, AR, and authorization teams, optimize cash flow, and reduce denials while ensuring compliance with payer rules and HIPAA.

The role reports to the Sr. Director of Revenue Cycle Management and partners with Clinical Operations, Finance, IT, Compliance, and Program Leadership to sustain

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field.
• 5+ years of progressive healthcare revenue cycle experience, with at least 3 years in a managerial role.
• Experience with MassHealth, Medicare, commercial payers; behavioral health/non-profit preferred.
• Proficiency in EHR/practice management systems; strong Excel and Power BI skills.
• Certifications: CRCR, CPB, CPC, CHAA preferred.

Responsibilities

• Oversee end-to-end revenue cycle workflows from eligibility verification to collections.
• Manage claims submission to MassHealth/Medicare/Medicaid and other payers; set targets.
• Oversee denial prevention, appeals, and corrective actions with IT and ops teams.
• Ensure billing practices align with CMS, MassHealth, HIPAA regulations.
• Build executive dashboards and translate data into reimbursement improvements.
• Supervise billing, coding, AR, and authorization staff; drive accountability.

Skills

Strategic & Analytical Mindset

Collaborative Partner

Accountable Leader

Analytical mindset

Education

Bachelor’s degree in Healthcare Administration / related field

Master’s degree preferred

Tools

EHR/practice management systems

Clearinghouses

Claim-editing tools

Excel

Power BI

Job 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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.