Revenue Cycle Manager

Necco•Cincinnati, OH

11d

About The Position

Necco has an opportunity for a career as Revenue Cycle Manager. This role will add value to the organization by developing and managing strategic relationships with payers and organizations that influence payer decision-making and implementing an efficient and effective billings and collections process, including the effective and efficient utilization of the EHR. You should be accurately described as: A happy warrior who thrives on leading from the front with strategic thinking. A solid communicator in search of decisions that deliver real results. A problem-solver, financial steward, and one who excels at collaboration. Ridiculously passionate about the company’s success, growth, and program quality.

Requirements

Bachelor’s degree from an accredited college
Five (5) years’ experience in a Medicaid/fee for service environment
Five (5) years’ experience in medical billings and collections
Strong leadership, management, and problem-solving skills
Strategic and fiscal planning skills and abilities
A highly effective and skilled communicator
Excellent written and verbal communication skills
Great attitude and the ability to work well with others
Valid driver’s license and state minimum auto insurance
Successful completion of all required criminal background checks

Responsibilities

Oversee the end-to-end revenue cycle to maximize billing efficiency, accuracy, and cash collection performance
Partner with leadership to develop and execute organizational billing and collections strategy
Collaborate with service line leadership to resolve claim denials, aging accounts receivable, and outstanding billing issues
Provide strategic oversight of the Electronic Health Record (EHR) to ensure optimal functionality supporting billing, collections, and cash application processes
Work collaboratively across departments to resolve billing challenges and improve revenue performance
Ensure delivery of high-quality customer service to both internal stakeholders and external partners
Maintain compliance with all Federal and State billing regulations and ensures appropriate diagnostic and procedural coding standards are followed
Identify operational improvement opportunities to reduce uncompensated services and revenue leakage
Provide direct oversight of payer contract negotiations and management of strategic payer relationships
Collaborate with leadership to develop and implement payer contracting strategy aligned with organizational financial goals
Monitor regulatory requirements, payer contracts, and vendor relationships to ensure compliance and performance
Maintain collaborative partnerships with Managed Care Organizations (MCOs) and State/County representatives
Maintain expert knowledge of insurance contracts, reimbursement methodologies, and appeals processes
Ensure organizational compliance with Medicaid regulations, MCO requirements, and performance-based contracts
Ensure staff are appropriately trained on revenue cycle policies, procedures, and best practices
Lead continuous process improvement initiatives across all revenue cycle functions
Refine billing workflows to improve efficiency, reduce cycle times, and accelerate reimbursement
Establish productivity standards and monitors key performance indicators (KPIs) for revenue cycle staff
Implement and maintains effective cash posting and cash management controls.
Develop operational goals, standards, and policies aligned with organizational strategic plans
Maintain procedures consistent with agency policies, regulatory requirements, and contractual obligations
Collaborate with Safety & Compliance leadership to strengthen documentation practices within agency data systems
Support accreditation readiness and ongoing compliance with COA standards and regulatory agencies through evaluation and refinement of operational processes
Practice Ruthless Pragmatism
Engage in peer-to-peer feedback
Know and Live the Necco Corporate Culture Principles
Embody the 3 essential virtues of Humble, Hungry and Smart
Drive your Individual Performance Scorecard
Adhere to and contribute to the Necco meeting structure