REVENUE CYCLE MANAGER/FRONT END BILLER

Freedom Magnolia•Magnolia, MS

6d•Onsite

About The Position

Freedom Behavioral Hospital of Magnolia is currently accepting applications for a full-time Revenue Cycle Manager/Front-End Biller to join our growing behavioral health team. This position is responsible for managing front-end revenue cycle operations, ensuring accurate patient registration, insurance verification, charge capture, claim submission, and reimbursement processes while supporting the financial success of the hospital and outpatient services. The ideal candidate is highly organized, detail-oriented, and experienced in healthcare billing, insurance verification, and revenue cycle management. Position Summary The Revenue Cycle Manager/Front-End Biller oversees the front-end revenue cycle process to ensure accurate patient registration, insurance eligibility verification, authorizations, charge entry, claim submission, and reimbursement optimization. This position works closely with clinical staff, utilization review, admissions, business office personnel, and third-party payers to improve cash flow, reduce denials, and maximize reimbursement.

Requirements

High school diploma or equivalent (Associate's or Bachelor's degree in Business, Healthcare Administration, Accounting, or related field preferred).
Minimum of three years of healthcare billing or revenue cycle experience.
Knowledge of hospital billing and reimbursement processes.
Experience verifying insurance benefits and obtaining authorizations.
Strong understanding of medical terminology, CPT, HCPCS, and ICD-10 coding principles.
Excellent communication, organizational, and problem-solving skills.
Proficiency with Microsoft Office and electronic health record (EHR)/billing systems.

Nice To Haves

Experience in behavioral health or psychiatric hospital billing.
Experience with Medicare, Medicaid, Managed Care, and commercial insurance billing.
Knowledge of outpatient behavioral health and Intensive Outpatient Program (IOP) billing.
Experience with claims scrubbing, denial management, and reimbursement analysis.
Familiarity with electronic claim submission platforms and clearinghouses.

Responsibilities

Oversee front-end revenue cycle operations from patient registration through claim submission.
Ensure timely and accurate patient registration and demographic information.
Verify insurance eligibility and benefits prior to services.
Obtain required authorizations and referrals.
Review payer requirements to ensure compliance.
Monitor key revenue cycle performance indicators.
Identify opportunities to improve reimbursement and reduce denials.
Assist leadership with revenue cycle reporting and process improvement initiatives.
Enter and review patient charges for accuracy.
Validate CPT, HCPCS, and ICD-10 coding accuracy prior to claim submission.
Review charge capture for completeness.
Submit electronic claims in a timely manner.
Correct claim edits and resolve front-end billing errors.
Coordinate with clinical departments regarding documentation deficiencies affecting billing.
Ensure accurate patient account setup.
Verify commercial, Medicare, Medicaid, Managed Medicaid, and Workers' Compensation benefits.
Obtain prior authorizations and document approvals.
Monitor authorization expiration dates.
Communicate authorization updates with Utilization Review and Admissions.
Resolve insurance eligibility issues before claims are submitted.
Review claims for accuracy before submission.
Monitor payer edits and billing requirements.
Identify trends contributing to claim denials.
Work collaboratively with clinical and business office staff to improve documentation supporting reimbursement.
Assist with appeals when necessary.
Monitor daily billing activity.
Review accounts receivable trends.
Track reimbursement and denial metrics.
Prepare revenue cycle reports for leadership.
Assist with month-end revenue reconciliation.
Participate in revenue cycle improvement meetings.
Maintain compliance with: CMS billing regulations, Medicare and Medicaid billing guidelines, HIPAA Privacy and Security Rules, Hospital policies and procedures, Behavioral health reimbursement requirements.