Manager, Revenue Cycle Management

Healthy Alliance • City of Schenectady, NY

2d • $77,550 - $89,182 • Hybrid

About The Position

The Manager, Revenue Cycle Management is responsible for the day-to-day management of the Revenue Cycle Management billing function as well as the supervision and training of Finance Liaison and Billing Specialist staff to ensure successful implementation and execution of Healthy Alliance’s Social Care Network (SCN) health-related social need (HRSN) services billing requirements.

Requirements

• Bachelor's degree in a related field required or equivalent experience such as accounting or business-related fields.
• Minimum 5+ years of work experience in government/health care payor billing and revenue cycle management to include Medicaid and MCOs.
• Excellent written and verbal communication skills for all levels of management.
• Strong technical proficiency with Microsoft Office (Excel, Outlook, etc.).
• Outstanding communicator with strong oral and written skills.
• Proven ability to manage multiple projects simultaneously.
• Strong leadership skills to guide and manage a team.
• Perform all work in accordance with Healthy Alliance core competencies and values.

Responsibilities

• Supervise and aid Finance Liaisons and Billing Specialists in Healthy Alliance’s revenue billing cycle management. This includes—but is not limited to—billing Medicaid, Managed Care Organizations (MCOs), and all other related SCN billing activities.
• Oversee the SCN’s HRSN billable service submissions for timely submission and completeness, following up with the community-based organization’s (CBO) financial point of contact, MCOs, and Medicaid as needed.
• Monitor SCN partner HRSN billable claims and assure follow up of denied claims, including but not limited to correction, rebilling, and collection of claims.
• Manage and oversee remittance advice and the posting of such in the internal and external electronic billing systems.
• Work with the Director, Revenue Cycle Management to ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances. Review cash receipts and EOBs to ensure that all charges are properly billed and paid.
• Collaborate with Director, Revenue Cycle Management and internal cross-functional teams to meet partner needs and ensure positive partner experiences.
• Hold weekly check-in meetings with Finance Liaisons, Billing Specialists, and partners.
• Identify partner needs and connect to appropriate Healthy Alliance stakeholders.
• Use Healthy Alliance tools and resources to inform partner communications and meetings.
• Exercise discretion and professional judgement to maintain project-specific timelines and communicate project expectations and timeliness with internal and external stakeholders.
• Embody Healthy Alliance’s vision, mission, and goals.
• Perform other responsibilities and duties as assigned.

Benefits

• Competitive compensation package
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Hybrid work environment and people-first workplace
• A workplace that values safety, respect, employee engagement, recognition, and diversity

What This Job Offers

• Job Type: Full-time
• Career Level: Manager