Recoupment Manager, Client Financial Services

Brightli • Springfield, MO

12d • Onsite

About The Position

This role offers the opportunity to lead an essential revenue cycle function, collaborate with organizational leaders, drive process improvements, and make a meaningful impact through ethical and accurate financial stewardship. We're looking for a strong leader with exceptional analytical skills, customer service excellence, and a passion for continuous improvement. In this role, you will oversee the review and processing of insurance overpayment requests, insurance credit balances, compliance audit repayments, and client credit balances. You will provide leadership to the Client Financial Services team, monitor quality and productivity standards, support staff development, ensure regulatory compliance, and work collaboratively across departments to improve processes and achieve organizational goals. Springfield offers an exceptional quality of life with a strong sense of community, affordable living, excellent dining and entertainment options, beautiful parks and trails, and easy access to outdoor recreation throughout the Ozarks. It's a great place to build your career while enjoying a balanced and rewarding lifestyle.

Requirements

• High school diploma or GED
• Minimum two (2) years of experience in a healthcare environment, preferably in healthcare billing, collections, payment processing, denial management, or related revenue cycle functions.
• Demonstrated ability to supervise, develop, and evaluate team members.
• Strong analytical skills with the ability to interpret financial data and prepare clear, concise reports.
• Working knowledge of healthcare reimbursement processes and revenue cycle operations.
• Proficiency in Microsoft Excel, including the use of formulas and data analysis tools.
• Current driver's license, acceptable driving record, and current auto insurance.
• Ability to identify operational issues, develop solutions, and implement process improvements.
• Excellent leadership, conflict resolution, and customer service skills.
• Strong verbal and written communication skills.
• Effective time management and multitasking abilities in a deadline-driven environment.
• Strong computer proficiency and comfort learning and utilizing various software systems.
• Ability to maintain confidentiality and handle sensitive information appropriately.
• Successful completion of background checks, including criminal history, driving record, abuse/neglect, and fingerprint screenings.

Nice To Haves

• Bachelor's degree preferred.
• Certification in Billing and/or Coding preferred.
• Missouri CCBHO and MCO billing experience preferred.

Responsibilities

• Lead and support the Client Financial Services team by providing direction, coaching, training, and ongoing professional development opportunities.
• Oversee the review and resolution of insurance overpayment requests, insurance credit balances, compliance audit repayments, and client credit balances.
• Collaborate with revenue cycle and organizational leadership to establish goals, improve processes, and enhance departmental performance.
• Review payer recoupment requests, validate supporting documentation, and coordinate appeals when appropriate.
• Partner with Compliance and Accounting teams to ensure accurate repayment tracking, reporting, and documentation.
• Conduct quality audits and evaluate productivity metrics to ensure established standards are achieved.
• Prepare refund requests and supporting documentation for repayment processing or recoupment activity.
• Manage employee performance through regular feedback, performance evaluations, and corrective action when necessary.
• Monitor departmental compliance with organizational policies, accreditation standards, and state and federal regulations.
• Analyze reports and financial data to identify trends, opportunities, and operational improvements.
• Ensure timely and accurate timekeeping and workflow management within the department.
• Cross-train with the Cash Posting Manager and perform critical responsibilities during extended absences.
• Deliver exceptional customer service while interacting with staff, payers, vendors, and clients.
• Perform other duties as assigned.

Benefits

• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• Mileage Reimbursement – Company paid for work functions requiring travel
• Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition
• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED