Revenue Cycle Manager

Revenue Cycle Manager

The Revenue Cycle Manager provides strategic and operational leadership for the pre-access revenue cycle team, ensuring accuracy, efficiency, and compliance across all billing and collection processes. Serving as the subject matter expert (SME) in behavioral health billing and payer relations, the manager works closely with senior leadership to optimize revenue performance, strengthen regulatory compliance, and enhance the overall patient financial experience. This role includes direct oversight of insurance verification, prior authorization, and financial counseling functions, ensuring patients receive timely access to care, accurate eligibility determinations, and compassionate financial support.

Responsibilities

• Leadership & Team Development

Lead, mentor, and coach revenue cycle staff across insurance verification, prior authorization, and financial counseling.

Oversee daily operations of insurance verification, prior authorization, and financial counseling.

Develop and monitor KPIs (e.g., authorization turnaround time, eligibility accuracy, etc).

Maintain up-to-date knowledge of federal, state, and payer regulations (Medicare, Medicaid, TriCare, Managed Care, and commercial payers in OH / KY / VA / NC / MD).

Drive process improvement initiatives, leveraging automation and system enhancements in verification, authorization, counseling, and eligibility workflows.

Ensure insurance verification, prior authorization, and financial counseling processes support patient access and promote transparency, compassion, and fairness in billing.

Qualifications

Bachelor's degree in accounting, Healthcare Administration, Finance, Business, or related field preferred.

Minimum 35 years in healthcare revenue cycle operations, with at least 1 year in a leadership role.

Exceptional organizational, problem-solving, and communication abilities.

We offer competitive compensation, comprehensive benefits, and a supportive work environment dedicated to your professional growth and development.