Revenue Cycle Manager

BRIDGES TO CHANGE INC•Portland, OR

2d•Onsite

About The Position

The Revenue Cycle Manager (RCM) is responsible for overseeing the daily operations as they pertain to the revenue cycle process. The RCM is responsible for all aspects of Bridges to Change revenue cycle from participant registration to final payment collection. The Revenue Cycle Manager oversees billing, coding and collections to ensure that claims are processed accurately and efficiently, while maintaining compliance with federal and state regulations. This position supervises the Billing Specialist and leads efforts to increase reimbursement, decrease claim denial, and ensure mitigation of fraud, waste, and abuse. Additionally, this role is matrixed to the Finance Department to ensure alignment of revenue cycle operations with financial strategy, including accurate reporting, reconciliation, cash flow visibility, and contract performance oversight.

Requirements

Bachelor’s degree in healthcare administration, business, finance, or related field, required
State ORCHARDS BCU Background check clearance, required
Background in treatment based revenue cycle, strongly preferred
Minimum of 5 years of experience in revenue cycle management with at least 2 years in a supervisory role
Strong knowledge of outpatient medical billing, coding (CPT, ICD-10, HCPCS), insurance verification, and payer requirements
In-depth understanding of HIPAA regulations, healthcare reimbursement models, and payer processes
Excellent analytical, organization, and problem-solving skills
Exceptional communication skills, both written and verbal, with the ability to interact professionally with participants, staff, and external stakeholders
Working knowledge of a range of service delivery practices and workflows within behavioral health settings
Proven report writing, data preparation, and data storytelling skills, with the ability to translate data into meaningful insights for diverse audiences
Ability to manage and safeguard sensitive client information, including medical records and billing data, in compliance with privacy, confidentiality, and security requirements ·
Exceptional written and verbal communication skills, with the ability to convey complex information clearly, professionally, and appropriately for diverse audiences

Nice To Haves

Certification in healthcare revenue cycle management (e.g. CHC, CPC, or AAPC), preferred
Background in treatment based revenue cycle, strongly preferred

Responsibilities

Exercise independent judgment in overseeing organization-wide revenue cycle strategy and operations, advising leaders on complex billing, reimbursement, and compliance issues, as well as high-risk or high-impact revenue concerns. Establish and maintain standards, workflows, and priorities that support regulatory compliance, operational consistency, and strong revenue integrity. Serve as the primary subject matter expert for escalated revenue cycle matters, partnering with finance and executive leadership as needed to resolve issues with broader financial or organizational impact.
Provide overall leadership for the full revenue cycle, including billing, coding, charge capture, collections, payment posting, and payer relations.
Oversee workflows related to treatment-based services.
Lead initiatives to reduce denials, improve reimbursements, streamline processes, and ensure regulatory compliance.
Monitor KPIs, identify trends, and implement solutions that support financial health and participant access.
Understand collections, payment posting, medical billing, and third–party payers with thorough knowledge and working experience of CPT and ICD9 codes, HCFA 1500, HIPAA, medical terminology, appeal processes, billing, insurance regulations and insurance benefits
Guide improvements to systems, reporting, and operational efficiency.
Develop and implement policies and procedures to enhance revenue cycle performance.
Stay current with healthcare industry trends, payer policies, and changes to billing and coding standards
Collaborate with senior leadership to align financial performance with clinical and operational objectives.
Provide regular reporting to senior leadership on revenue cycle performance, trends, and opportunities for improvement.
Ensure compliance with healthcare regulations, payer guidelines, and industry standards.
Manage all external BTC reporting requirements, including program and funder-specific reports due on monthly, quarterly, biannual, annual, and project-based schedules.
Develop and maintain reporting dashboards for executive and senior leadership to support internal oversight, external reporting, and data-driven decision making.
Lead collaboration with Finance to ensure accurate revenue recognition, reconciliation between billing systems and financial records, strong accounts receivable performance and cash flow visibility
Provide strategic leadership by aligning departmental priorities, initiatives, and workflows with organizational goals, mission, and long-term objectives.
Provide leadership and oversight for the Quality Assurance department; manage recruiting, onboarding, training, development, retention, and performance management of assigned department staff, fostering a positive and productive work environment.
Identify, assess, and proactively mitigate organizational, compliance, operational, and personnel-related risks to support safe, effective, and sustainable operations.
Represent the organization with professionalism in interactions with stakeholders, community partners, funders, and external agencies, strengthening strategic relationships and advancing organizational interests.
Champion organizational change by providing clear, transparent communication, leading teams through transitions, and ensuring cross-department collaboration and alignment in the implementation of new processes and strategic initiatives.
Adhere to organizational policies and procedures, confidentiality regulations, and all applicable federal and state behavioral health standards.

Benefits

11 Paid Holidays
5 Additional Paid Days: 3 Self-Care, 1 Birthday, 1 Personal Holiday
Generous PTO policy and Sabbatical
Employer Paid Medical, Life Insurance, Short Term Disability and Employee Assistance Program
Voluntary Dental, Vision, FSA, Long Term Disability, Critical Illness, Accident Coverage, Hospital Indemnity and Pet Insurance
5% Retirement Match with no waiting period
Annual bonus program
Annual professional development allotment
Mileage reimbursement at federal rate for work related travel
Inclusive workplace culture
Bilingual wage differential