Revenue Cycle Manager

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FT Management Main Street, Columbus, OH, US

2 days ago Requisition

SUMMARY

The Revenue Cycle Manager is responsible for leading all revenue cycle operations, including behavioral health billing, contract billing, accounts receivable management, payer follow-up, denial management, education funding programs, credentialing support, and revenue cycle analytics. This position ensures timely, accurate reimbursement while maintaining compliance with Ohio Medicaid, Managed Care Organizations (MCOs), and all regulatory requirements. The Revenue Cycle Manager supervises Billing Specialists and partners closely with Clinical Operations, Finance, and Utilization Management to maximize reimbursement and reduce revenue leakage.

ESSENTIAL DUTIES & RESPONSIBILITIES

General:

• Contributes to creating a welcoming and inclusive environment for our clients, colleagues and community partners from diverse backgrounds and experiences.
• Integrates principles of Trauma Informed Care in all aspects of work.
• Is sensitive to the children’s culture and socioeconomic characteristics that delivers the best possible care to the youth and families served.
• Contributes to creating a welcoming and inclusive environment for our clients, colleagues and community partners from diverse backgrounds and experiences.
• Is sensitive to the children’s culture and socioeconomic characteristics that delivers the best possible care to the youth and families served.
• Promotes collaboration between Finance and Clinical Operations.
• Supports continuous process improvement initiatives.
• Maintains confidentiality in accordance with HIPAA.
• Participates in performance improvement activities.

Revenue Cycle Operations:

• Oversees all behavioral health billing operations.
• Oversees contract billing. (non-medical billings).
• Oversees school-based and educational funding billing. Not sure if needed but ok to leave in.
• Ensures claims are submitted accurately and within payer timelines.
• Reviews claim edits before submission.
• Coordinates timely claim corrections.
• Oversees aging accounts receivable.
• Reduces aged receivables.
• Escalates payer issues.
• Resolves reimbursement barriers.
• Creates various billing reports for month-end close and financial reporting
• Identifies root causes of denials.
• Implements corrective actions.
• Tracks denial trends by payer.