Intake and Revenue Cycle Manager

All Care Therapies • Los Angeles, CA

10d • Hybrid

About The Position

All Care Therapies is seeking an Intake and Revenue Cycle Manager to bring their Texas and Nevada patient access work in-house. This role will initially focus on optimizing the intake process, aiming to convert referrals into completed evaluations faster and more reliably. After the first 6-12 months, the role will expand to include managing the revenue cycle team in India, overseeing billing, payment posting, accounts receivable, and patient access for all states. The goal is to eventually manage the full revenue cycle. The position reports directly to the CFO and collaborates with Operations, Customer Service, and Finance teams.

Requirements

• 5 or more years in healthcare patient access or revenue cycle.
• At least 2 years of direct experience owning intake, eligibility verification, and prior authorization for a live book of business.
• Demonstrated success in measurably improving a referral funnel (e.g., increased conversion rates, reduced loss reasons).
• Direct, hands-on experience with outpatient physical, occupational, or speech therapy.
• Deep experience with authorization-heavy payors and a track record of securing prior authorizations before service.
• Working knowledge of Medicaid, Medicaid managed care, commercial HMO and PPO plans, and Medicare Part B therapy rules.
• Sufficient revenue cycle breadth to understand post-claim processes (billing, denials, appeals, posting, AR) and willingness to manage them after 6-12 months.
• Strong Excel skills, including pivot tables, lookups, and data reconciliation.
• Fluency with practice management systems, EHRs, clearinghouses, and payor portals.
• Comfort setting priorities for a remote team across time zones and ensuring work quality.
• Ability to work within HIPAA and payor-specific rules and safeguard protected health information.

Nice To Haves

• Experience taking patient access or billing in-house from an agency, or establishing these functions, including data and credential handover.
• Multi-state and multi-entity experience across more than one tax ID.
• Experience in pediatric therapy, teletherapy, or school-district contracts.
• Coding fluency sufficient to audit and correct coder work (CPT, ICD-10-CM, timed/untimed units, modifiers).
• Experience with denials, appeals, and legacy AR recovery.
• Experience with out-of-network claims and single-case agreements.
• Familiarity with an ERP like NetSuite and partnering with accounting during close.
• Relevant certifications (CPB, CPC, COC, CRCR, CBCS, or CMRS).
• A degree in healthcare administration, business, finance, or health information management.

Responsibilities

• Own the referral funnel from inquiry to completed evaluation.
• Receive and review referrals and patient inquiries for Texas and Nevada, serving as the primary contact for referring providers.
• Reduce the time between referral arrival and patient contact.
• Accurately capture patient demographics and insurance information.
• Verify benefits, confirm visit limits, co-pays, deductibles, and plan rules for various insurance types before the first visit.
• Secure prior authorizations before service, track expirations and visit counts, and reauthorize as needed.
• Coordinate with front office and clinical scheduling to ensure patients are seen.
• Identify and resolve patient drop-off points between referral and evaluation.
• Maintain complete, current, and auditable records in the EMR, ensuring necessary documentation for authorization and billing.
• Document Texas and Nevada payor processes, including knowledge transfer from the vendor.
• Manage the handover of referral logs, work-in-progress, credentials, authorization files, and patient account notes.
• Ensure a seamless transition of work from the agency with no interruption to operations or cash flow.
• Own authorization rules, visit limits, and filing limits for Texas and Nevada payors, maintaining an updated reference.
• Proactively update payor rule changes to prevent denials.
• Comply with HIPAA and payor-specific rules, safeguarding protected health information and supporting audits.
• Partner with the offshore revenue cycle team on billing, coding review, denials, appeals, payment posting, and accounts receivable.
• Direct the offshore team, setting priorities and quality standards, and acting as the point of contact with Finance.
• Analyze denial root causes and implement upstream process improvements, especially for authorization or eligibility gaps.
• Manage patient statements, balances, and patient billing inquiries as these functions consolidate.
• Serve as the primary escalation point for patient access in Texas and Nevada, and for the revenue cycle as the scope expands.
• Publish monthly reports on referral flow, authorization performance, and revenue cycle metrics.
• Proactively identify and report issues with supporting data before they impact results.

Benefits

• Competitive compensation that recognizes your expertise
• A clear pathway for career advancement through leadership development and internal promotion opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed