Manager, Revenue Cycle
Community Health Alliance is seeking an experienced, results-driven Revenue Cycle Manager to oversee and optimize revenue cycle operations for our growing behavioral health organization. This position plays a critical role in ensuring accurate billing, timely reimbursement, effective accounts receivable management, and compliance with Medicaid, Medicare, and commercial insurance requirements.
The ideal candidate will bring strong leadership skills, analytical abilities, and extensive knowledge of behavioral health billing and reimbursement practices. This individual will work collaboratively with clinical, administrative, and finance teams to improve revenue cycle performance, strengthen operational processes, and maximize reimbursement while supporting our mission of providing high-quality behavioral health services to the communities we serve.
Why Join Community Health Alliance?
At Community Health Alliance, our Revenue Cycle Manager is more than a financial leader—they are an essential part of our management team and play a critical role in supporting the organization's ability to provide accessible, high-quality behavioral health services. Through strong leadership, analytical expertise, and a commitment to operational excellence, you will lead revenue cycle operations, strengthen billing and reimbursement processes, identify opportunities for improvement, and ensure the financial resources necessary to support our mission of providing compassionate, quality care to the communities we serve.
We provide a comprehensive benefits package designed to support you and your family.
We offer:
- Affordable medical, dental and vision insurance
- Company paid Health Reimbursement Arrangement (HRA)
- Generous paid time off (PTO) & paid holidays
- Retirement plan with company match – up to 6%
- Company paid life insurance
- Employee training and continued education opportunities
- Mileage reimbursement
- Licensure reimbursement
- Opportunities for professional growth and career advancement
- A collaborative and mission driven culture
What You'll Do:
- Oversee daily revenue cycle operations, including billing, claims submission, payment posting, denial management, accounts receivable, and collections.
- Ensure accurate, timely, and compliant billing practices in accordance with Medicaid, Medicare, managed care, and commercial insurance requirements.
- Monitor key revenue cycle performance indicators, including denial rates, clean claim rates, accounts receivable aging, and collection performance.
- Identify reimbursement barriers, revenue leakage, and billing inefficiencies and implement strategies to improve financial performance.
- Manage claim denials, appeals, underpayments, and payer-related issues to maximize reimbursement and minimize payment delays.
- Collaborate with clinical leadership and utilization management teams to address authorization requirements, medical necessity documentation, and billing-related challenges.
- Oversee and support provider enrollment, credentialing, and payer requirements to ensure timely and uninterrupted reimbursement.
- Supervise, train, and evaluate billing staff, establishing clear productivity expectations, performance standards, and accountability.
- Develop, implement, and maintain standardized billing procedures, internal controls, and workflows to improve operational efficiency and compliance.
- Utilize CareLogic and other technology systems to optimize billing processes, ensure data accuracy, and improve revenue cycle performance.
- Analyze revenue cycle trends and prepare regular financial and operational reports, providing recommendations to leadership for improvement.
- Collaborate with finance, clinical operations, and administrative leadership to support organizational goals, resolve billing challenges, and implement continuous process improvements.