Revenue Cycle Manager

WCMHS seeks a collaborative, experienced leader to unite the revenue cycle functions into optimal efficiency and accuracy. This is an opportunity to support a mission-driven community mental health agency by ensuring outstanding end-to-end performance in billing, reimbursement, and collections. This role will work with multiple internal and external partners while leading our revenue cycle team.

Duties include:

Oversee the full revenue cycle including charge capture, claims submission, payment posting, denial management, and A/R follow-up; develop strategies to maximize reimbursement and minimize revenue leakage. Supervise, coach, and manage performance of revenue cycle staff including billing manager, specialists, and A/R personnel; establish accountability for revenue cycle outcomes. Lead denial management efforts by tracking, analyzing, and resolving claim denials and payer rejections; implement corrective actions to address root causes and prevent recurrence. Monitor KPIs including clean claim rate, days in A/R, denial rates, and collection percentages; establish benchmarks and drive process improvements to meet performance targets. Develop and maintain revenue cycle reports and dashboards; provide analysis and regular reporting to senior leadership to support budgeting, forecasting, and operational decision-making. Ensure billing practices comply with Medicaid, Medicare, commercial payer, and applicable federal and state regulatory requirements; support internal and external audits. Coordinate with credentialing staff to maintain current provider enrollment and payer credentialing, ensuring uninterrupted billing and reimbursement. Partner with clinical, compliance, finance, and administrative teams to align documentation, workflows, and billing requirements; oversee effective use of EHR and billing systems.

Education:

Bachelor's degree or higher in Healthcare Administration, Business Administration, Finance, or related field required.

Experience and Skills :

Five (5) years or more in healthcare revenue cycle management required. Demonstrated experience leading revenue or billing cycle teams is necessary. Strong knowledge of Medicaid, Medicare, and commercial insurance billing necessary. Demonstrated knowledge of regulatory and compliance requirements in healthcare billing. Strong analytical and problem-solving skills. Excellent oral and written communication skills. Demonstrated ability to analyze data and translate findings into action. Experience at community mental health centers a plus. Revenue Cycle Manager 3.2 3.2 out of 5 stars WCMHS seeks a collaborative, experienced leader to unite the revenue cycle functions into optimal efficiency and accuracy. This is an opportunity to support a mission-driven community mental health agency by ensuring outstanding end-to-end performance in billing, reimbursement, and collections. This role will work with multiple internal and external partners while leading our revenue cycle team.

Duties include:

Oversee the full revenue cycle including charge capture, claims submission, payment posting, denial management, and A/R follow-up; develop strategies to maximize reimbursement and minimize revenue leakage. Supervise, coach, and manage performance of revenue cycle staff including billing manager, specialists, and A/R personnel; establish accountability for revenue cycle outcomes. Lead denial management efforts by tracking, analyzing, and resolving claim denials and payer rejections; implement corrective actions to address root causes and prevent recurrence. Monitor KPIs including clean claim rate, days in A/R, denial rates, and collection percentages; establish benchmarks and drive process improvements to meet performance targets. Develop and maintain revenue cycle reports and dashboards; provide analysis and regular reporting to senior leadership to support budgeting, forecasting, and operational decision-making. Ensure billing practices comply with Medicaid, Medicare, commercial payer, and applicable federal and state regulatory requirements; support internal and external audits. Coordinate with credentialing staff to maintain current provider enrollment and payer credentialing, ensuring uninterrupted billing and reimbursement. Partner with clinical, compliance, finance, and administrative teams to align documentation, workflows, and billing requirements; oversee effective use of EHR and billing systems.

Education:

Bachelor's degree or higher in Healthcare Administration, Business Administration, Finance, or related field required.

Experience and Skills :

Five (5) years or more in healthcare revenue cycle management required. Demonstrated experience leading revenue or billing cycle teams is necessary. Strong knowledge of Medicaid, Medicare, and commercial insurance billing necessary. Demonstrated knowledge of regulatory and compliance requirements in healthcare billing. Strong analytical and problem-solving skills. Excellent oral and written communication skills. Demonstrated ability to analyze data and translate findings into action. Experience at community mental health centers a plus.