Revenue Cycle Manager

UHS•Attleboro, MA

18d•Onsite

About The Position

Fuller Hospital, a 109-bed licensed private psychiatric facility in South Attleboro, Massachusetts, provides inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. Its services include inpatient care for adults with general psychiatric or intellectual disabilities and adolescents with general psychiatric issues, treatment for patients with co-occurring psychiatric and substance abuse disorders, and a Partial Hospitalization Program. The Revenue Cycle Manager is a hands-on working manager who performs Medicare billing and standard daily billing processes alongside the team. The manager serves as a subject matter expert and resource for Business Office staff while supervising and overseeing department operations. This is an on-site-only position; remote work is not available. The manager oversees billing, accounts receivable, denials, insurance verification, cash posting, payer audits and reporting, and month-end reporting. The role also includes managing and developing staff, monitoring productivity and daily work, implementing process improvements, and maintaining familiarity with payer contracts, rates, billing codes, and guidelines. The manager collaborates with other hospital departments and communicates issues and trends to the CFO.

Requirements

Bachelor's degree in finance, accounting, or a related field.
Five years of healthcare billing, accounts receivable, and collections experience required.
At least one year of revenue cycle management experience required.
Deep knowledge of all stages of the revenue cycle; healthcare-field experience is preferred.
Analytical and financial management skills.
Proficiency with common office software.
High attention to detail and a disciplined, methodical approach to processes.
Strong problem-solving skills and ability to adapt to change.
Ability to work as a highly hands-on manager.

Nice To Haves

Healthcare experience.

Responsibilities

Bill Medicare claims and perform standard daily billing tasks.
Monitor claim denials, ensure timely entry in denial logs, and ensure staff regularly follow up on denied claims.
Analyze accounts receivable aging and obtain weekly staff updates on past-due accounts.
Review and direct staff work on self-pay accounts, credit balances, unbilled charges, and other account groups.
Assist staff in resolving complex claim rejections.
Analyze contractual adjustments for accuracy and approve them before posting.
Lead monthly insurance calls regarding outstanding problem claims and maintain claim logs.
Oversee accurate and timely daily insurance verification and cash posting.
Obtain single case agreements and assist staff with denial appeals.
Prepare for and oversee third-party payer audits and complete third-party reports.
Maintain reports and logs requested by the CFO for month-end close.
Prepare weekly accounts receivable reports and attend weekly accounts receivable meetings.
Collaborate with Intake, UR, and Medical Records as needed to accommodate financial policies.
Promptly communicate new issues or trends to the CFO and respond to inquiries from management and staff.
Update contracted rates in the Contract Matrix system in a timely manner based on communications from the corporate contracting department.
Maintain close familiarity with payer contracts, rates, billing codes, and guidelines.
Review and approve write-offs as appropriate and ensure required documentation is provided.
Monitor and implement Business Office policies and procedures as requested by the CFO.
Monitor productivity, coordinate and audit daily Business Office staff activities, and manage and develop staff.
Use staff feedback and findings to implement process improvements.
Administer annual performance reviews, performance improvement plans, and disciplinary actions as needed.
Complete one-time projects assigned by the CFO.