Key Responsibilities
- Manage day-to-day revenue cycle operations, including billing, claims submission, collections, denials, appeals, and payment posting.
- Monitor revenue cycle performance metrics, including AR days, denial rates, clean claim rates, collections, underpayments, and cash trends.
- Work closely with operations, admissions, utilization review, clinical, and finance teams to ensure accurate and timely billing.
- Review and improve processes related to authorizations, eligibility verification, charge capture, documentation, coding, and claim submission.
- Identify root causes of denials and underpayments and implement corrective action plans.
- Support payer contract review, reimbursement analysis, and escalation of payer issues.
- Coordinate with external billing vendors or internal billing teams to ensure accountability and timely follow-up.
- Prepare recurring revenue cycle reports for leadership.
- Help standardize revenue cycle processes across multiple programs, entities, and locations.
- Support system improvements, workflow enhancements, and integration of acquired or new programs.
Qualifications
- 5+ years of healthcare revenue cycle experience.
- Prior experience managing or supervising billing, collections, AR follow-up, or denials teams.
- Strong understanding of commercial insurance billing and payer processes.
- Experience with behavioral healthcare, mental health, substance use treatment, RTC, PHP, IOP, and/or outpatient services is preferred.
- Experience with Kipu is preferred.
- Familiarity with billing platforms, clearinghouses, EHRs, and payer portals.
- Strong analytical skills and comfort working with revenue cycle KPIs and reporting.
- Excellent communication skills and ability to work cross-functionally with clinical, operational, and finance teams.
- Highly organized, detail-oriented, and comfortable managing competing priorities.
Benefits:
- 401(k) with matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
- Hybrid, with the potential to transition to a fully remote position.
Job Type: Full-time
Pay: From $95,000 per year
Work Location: Scottsdale, AZ | Hybrid, with potential to transition to fully remote.
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