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Description
Location: Los Angeles, CA
Salary: $120K-$130K
Position Overview The Revenue Cycle Manager owns the full financial life-cycle of our Behavioral Health and School Based Services. This role will lead both the internal billing team and contracted third-party billing platform (TPBP). You will refine Revenue Cycle workflows, hold external vendors to strict SLAs, and build internal controls in partnership with the Authorizations and Intake team to maximize collections, minimize denials, and deliver clear insight to leadership while maximizing our ability to provide services to our clients.
Key Responsibilities
The Senior Manager, Revenue Cycle will lead the Intercare billing, collections, and payment posting process to meet Intercare's collection rate and days sales outstanding (DSO) goals while delivering world-class support to our staff and clients. To do this, you will:
Execute: - Direct and manage all phases of the revenue cycle to ensure accurate and timely billing, collections, and reimbursement.
- Monitor and report on key performance indicators (KPIs) such as DSO and A/R aging, denial and collection rates, reimbursement trends, credit balances and underpayments.
- Ensure compliance with federal, state, and payer-specific billing regulations, including HIPAA and coding standards.
- Stay current on regulatory changes and payer updates.
- Conduct project-based reviews as needed to promote accuracy of accounts receivable data.
Lead: - Mentor and retain a high-performing revenue cycle team.
- Develop and own monthly, quarterly, and annual team KPIs and individual contributor performance metrics.
- Lead reviews with TPBP to ensure optimal collections outcomes.
- Promote a culture of continuous improvement and professional growth.
- Conduct regular performance evaluations and set departmental goals.
Collaborate: - Collaborate with clinical teams to streamline workflows and improve patient collections.
- Educate staff and providers on coding updates and documentation requirements.
- Partner with insurance payors, school districts, and other third parties on any revenue cycle related initiatives.
- Work with Payor Contracting department to escalate payor specific denial issues to payor leadership.
- Prepare and present financial and operational reports for finance leadership.
Develop, Implement, and Maintain: - Build out best in class patient responsibility policies, procedures, and workflows including financial counseling and payment plan support.
- Maintain and optimize billing systems and workflows including CentralReach, TPBP, and any/all integrated clearinghouse or payment tools; manage vendor relationships to ensure performance standards and data integrity.
Champion Continuous Improvement: - Serve as a strategic partner in elevating the organization's revenue cycle capabilities.
- Identify and implement strategies to reduce denials, improve cash flow, and increase percent collectable.
Qualifications and Skills: - 5+ years healthcare revenue-cycle experience, including 2+ years in ABA, behavioral health, or related field.
- Advanced proficiency in CentralReach Billing, and Insights modules or related revenue cycle software.
- Hands-on experience auditing or managing a third-party billing vendors.
- Proven success reducing denials and DSO.
- In-depth knowledge of ABA CPT codes, state Medicaid policies, and EVV mandates.
- Strong Microsoft Excel Proficiency.
- Excellent analytical, organizational, and communication skills.
- Prior people-management responsibility (hiring, coaching, reviews).
