Revenue Cycle Manager - Denial Management

PsychPlus; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

PsychPlus is seeking a Revenue Cycle Manager specializing in Denial Management to enhance financial performance through effective revenue collection strategies. The role involves optimizing billing processes, leading a team, and ensuring compliance with healthcare regulations. Join a mission-driven company focused on improving mental health care accessibility.

Benefits

Medical insurance

Vision insurance

401(k)

Disability insurance

Generous PTO policy

Qualifications

• 5+ years of experience in healthcare revenue cycle management.
• In-depth knowledge of medical billing and coding.

Responsibilities

• Oversee denial management processes and improve collections.
• Collaborate with teams to resolve billing issues and prevent denials.

Skills

Analytical

Problem Solving

Leadership

Education

Bachelor’s degree in healthcare administration

Certification (e.g., CRCR, CHFP, CPC)

Tools

EHR

Practice management software

Job description

This range is provided by PsychPlus. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$70,000.00/yr - $90,000.00/yr

Why PsychPlus?

The current delivery model for mental health care is broken in this country. PsychPlus set out on a mission to reimagine how mental health care is delivered to every American. Our goal is to provide a digital-first, modern approach to psychiatry and therapy. We provide care both in-person at our offices across Texas and virtually so our patients can be seen at their convenience.

Through a combination of exceptional medical and psychological care and best-in-class technology, we provide an unparalleled approach that serves our patients needs in an integrated way. Join us in our mission to ensure that every person has access to affordable and accessible mental health care.

About The Role

As a Revenue Cycle Manager, specializing in Denial Management at PsychPlus, you will play a critical role in optimizing our financial performance by ensuring timely, accurate, and efficient revenue collection. You will lead efforts to minimize denials and improve overall cash flow, directly impacting the company's ability to deliver high-quality mental health care. This role requires a deep understanding of healthcare billing processes, payer guidelines, and denial management strategies to maximize reimbursements and streamline operations.

Responsibilities

• Oversee end-to-end denial management processes, including identifying root causes, implementing corrective actions, and monitoring key performance indicators (KPIs) to reduce denial rates and improve collections.
• Collaborate with billing, clinical, and administrative teams to ensure accurate claim submissions, resolve complex billing issues, and prevent recurring denials.
• Develop and enforce denial prevention strategies, including staff training, process improvement, and documentation enhancement.
• Analyze denial trends to identify areas for process improvement and optimize revenue cycle workflows.
• Prepare and present regular denial management reports to senior leadership, providing actionable insights to improve financial performance.
• Ensure compliance with federal, state, and payer-specific regulations, including HIPAA and CMS guidelines.
• Use data-driven approaches to optimize billing processes, reduce write-offs, and maximize cash flow.
• Participate in payer negotiations and contract reviews to secure favorable reimbursement rates.
• Lead and mentor a team of billing and revenue cycle specialists, fostering a culture of continuous improvement.

Requirements

• Bachelor’s degree in healthcare administration, finance, business, or a related field; advanced degree or certification (e.g., CRCR, CHFP, or CPC) is a plus.
• 5+ years of experience in healthcare revenue cycle management, with a focus on denial management.
• In-depth knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and reimbursement methodologies.
• Proficiency with EHR and practice management software, including reporting and analytics tools.
• Strong analytical, problem-solving, and organizational skills.
• Exceptional communication and leadership abilities, with a proven track record of managing teams.
• Understanding of federal and state healthcare regulations, including HIPAA and CMS guidelines.

Our goals are to find the best, attract the best, and offer a competitive salary—which is why we prioritize the quality of the hire over the number of hires. We offer zero-stress medical, dental, and vision coverage, competitive salaries, and a generous PTO policy. We are excited to tell you about a few "perks” we offer that are unique to Psychplus. We’ve spent time thinking through what it means to be a modern mental health company and how we can better align these additional perks with our mission and values.

Additional Information

The expected base pay for this role will be between $70,000 to $90,000 annually at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Psychplus Health-sponsored benefits.

So—what do you think?

If you’ve made it this far, well, we’re excited to meet you too. Just one more thing that we want you to remember: we pride ourselves on our meritocratic, performance-driven culture. We are a startup and move at the speed of light. You might be required to wear multiple hats at any given time. There’s no room for complacency. Your scope of responsibility and opportunity to make a difference will be uncapped at Psychplus, but we need your commitment that you will work tirelessly for our patients, parents, and partners. At the end of day, our team is committed to helping you succeed at Psychplus because when you succeed, our patients succeed, and we get one step closer to solving the mental health crisis. We’re hopeful that this role will give you the experience to go and do whatever you want in life but the fulfillment to make you never want to leave our team. We look forward to solving the mental health crisis, together.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Psychplus, please go directly to our Careers Page: https://psychplus.com/careers

Psychplus will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Psychplus will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Psychplus will only be sent from @psychplus.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

At Psychplus, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide accessible and affordable mental healthcare to every one of our patients.

Psychplus applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Mental Health Care and Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Disability insurance

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