Strategic Healthcare Revenue Cycle Manager

Center for Human Development; Springfield (MA); Presencial; USD 90.000 - 100.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Life insurance

403(b) retirement

Paid time off

Paid holidays

Descripción de la vacante

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

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Revenue cycle management

Leadership

Billing & coding

Data analytics

MassHealth knowledge

HIPAA compliance

Educación

Bachelor's degree in a related field

Master's degree preferred

Herramientas

EHR/PM systems

Power BI

Excel

Clearinghouses

Descripción del empleo

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