Revenue Cycle Manager

Easter Seals Southwest Florida, Inc•Sarasota, FL

145d

About The Position

The Revenue Cycle Manager oversees financial tracking, billing processes, and insurance operations across all programs. The role ensures accurate revenue cycle management and compliance with Medicaid and commercial insurance requirements, and supports the organization’s financial health through reporting, auditing, and process improvement.

Requirements

Three to five or more years of experience in revenue cycle management or healthcare billing.
Experience with Medicaid and behavioral or therapy billing.

Nice To Haves

Bachelor’s degree preferred.

Responsibilities

Coordinate with the billing team on claim corrections and resubmissions.
Ensure timely and accurate claim submission.
Review billing data from the EMR.
Attend applicable insurance workshops.
Stay up to date with MMA and private insurance changes.
Ensure compliance with payer requirements.
Create and manage program invoicing for contracts and private pay.
Seek additional revenue sources through Medicaid and commercial insurance.
Conduct internal audit reviews with Program Directors to streamline processes.
Assist Program Directors with additional revenue-generation opportunities.
Work with the Development team on revenue-generation opportunities.
Maintain group NPIs.
Maintain Medicaid and commercial payer credentialing.
Maintain therapeutic Medicaid portals.
Manage payer portals, including Availity and Payspan.
Maintain and record productivity for each therapy department.
Create month-end and year-end projections with oversight from the Program Director.
Manage and track contractual adjustments (BT, CT, CBH).
Perform other duties as assigned.