Revenue Cycle Manager — Behavioral Health

Montefiore Hudson Valley Collaborative; New York (NY); Hybrid; USD 120,000 - 160,000; Full time

Job summary

Montefiore Medical Center is seeking a Revenue Cycle Manager to oversee billing, coding, and collections across multiple behavioral health clinics. The role focuses on regulatory compliance, denials management, and cash optimization within a complex health system.

The position requires a strong background in behavioral health revenue cycle, CPT/HCPCS coding, and leadership experience to drive performance and staff development.

Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, or related field.
• 5+ years of revenue cycle experience with 2–3 years in supervision.
• Experience in Behavioral Health, Addiction, Psychiatry, or Article 32 clinics preferred.
• CPT/HCPCS coding knowledge; NY Medicaid and payer rules knowledge

Responsibilities

• Oversee end-to-end revenue cycle operations, including charge capture, coding, billing, claims submission, payment posting, and A/R follow-up.
• Ensure compliance with Article 32, OASAS, Medicaid, Medicare, Essential and commercial payer requirements.
• Develop and maintain billing and documentation policies aligned with regulatory guidance.
• Analyze denial trends and drive improvements to clean claim rate and reimbursement performance.
• Lead staff development and provide ongoing education on billing rules and workflows.

Skills

Analytical skills

Data-driven insights

Communication & stakeholder mgmt

Attention to detail & compliance

Education

Bachelor’s degree in Healthcare Administration, Finance, or related field

Tools

Epic EMR

IMA

SMARTCloud

Job description

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

Overview

The Revenue Cycle Manager is responsible for overseeing all facility revenue cycle operations for multiple Article 32 Behavioral Health Clinics at Montefiore. This role ensures accurate billing, collections, regulatory compliance, and optimal financial performance across addiction outpatient substance abuse, chemical dependency, psychiatry and psychology services. The manager partners closely with clinical leadership, finance, and operations to drive revenue integrity, reduce denials, and improve cash collections.

Responsibilities

Revenue Cycle Operations

• Oversee end-to-end revenue cycle functions, including charge capture, coding, billing, claims submission, payment posting, and A/R follow-up

• Ensure timely and accurate submission all facility claims

• Monitor key performance metrics (charges, collections, denial rates, lag days) and implement improvement initiatives

• Manage error logs, work queues and staff assignments to ensure efficient workflows and coverage

Billing Compliance & Regulatory Oversight

• Ensure compliance with Article 32, OASAS, Medicaid, Medicare, Essential and commercial payer requirements

• Oversee billing documentation and coding accuracy for addiction, psychiatric and psychological services (E/M, psychotherapy, modifiers and add-on codes)

• Maintain audit readiness and respond to internal and external audits

• Develop and maintain billing and documentation policies aligned with regulatory guidance

Denials Management & Revenue Optimization

• Analyze denial trends and implement corrective action plans

• Partner with billing vendor, coding, front-end, and clinical teams to address root causes (e.g., authorization, eligibility, documentation gaps)

• Drive improvements in clean claim rate and overall reimbursement performance

• Identify opportunities to optimize payer mix, coding utilization, and visit capture

• Attend various payor meetings to address systematic denial challenges

Team Leadership & Staff Development

• Manage revenue cycle staff, including hiring, training, and performance oversight

• Provide ongoing education to staff, administration and providers on billing rules and workflow updates

• Establish productivity benchmarks and monitor team performance

Provider & Operational Support

• Collaborate with clinic leadership and administration to improve timeliness of all providers in closing services

• Support onboarding of new providers, programs, and service lines (billing setup and workflows)

• Partner with front-end teams and clinical managers to ensure accurate registration, insurance verification, and authorization processes if required by the individual plan

Reporting & Financial Analysis

• Prepare and present revenue cycle dashboards and KPIs to leadership

• Conduct variance analyses (volume, rate, payer mix) to identify performance drivers

• Support budgeting and forecasting processes

Requirements

Education & Experience

• Bachelor’s degree required (Healthcare Administration, Finance, or related field preferred)

• 5+ years of revenue cycle experience, including 2–3 years in a supervisory or management role

• Experience in Behavioral Health, Addiction, Psychiatry, or Article 31/32 clinics strongly preferred

Technical Knowledge

• Behavioral health CPT and HCPCS coding (E/M, psychotherapy, testing)

• Medicaid/Medicare/Essential/Commercial billing rules, including NYS Medicaid

• Article 32 regulatory requirements

• Epic, IMA, SMARTCloud or similar EMR/billing systems

Skills

• Strong analytical and problem-solving capabilities

• Ability to translate data into actionable insights

• Effective communication and stakeholder management

• High attention to detail with a focus on compliance and accuracy

Preferred Qualifications

• CPC, CPB, or similar certification

• Experience managing hospital billing (HB)

• Experience in an academic medical center or large health system