Revenue Cycle Manager

Revenue Cycle Manager

The Revenue Cycle Manager plays a critical role in ensuring the financial health of New View Alliance, which includes Gateway-Longview and New Directions, by overseeing the day-to-day operations of the revenue cycle. This includes billing, coding, credentialing, accounts receivable, and payer relations. The Revenue Cycle Manager will serve as a key liaison between internal teams, third-party billing organizations, and payers, ensuring timely and accurate processing of claims while driving continuous improvement in revenue cycle processes.

New View Alliance is the parent company of Gateway-Longview, Inc. and New Directions Youth & Family Services, Inc. providing both agencies with strategic planning, advocacy, and shared administrative support for Finance, Human Resources, Information Technology, Corporate Integrity, Performance Improvement, and Diversity, Equity, and Inclusion.

NVA is an equal-opportunity employer committed to championing the principles of anti-racism, justice, and equity. We welcome prospective employees from diverse cultures and backgrounds who will uphold our values and contribute to our mission. We aim to have a leadership and workforce that is reflective of the communities we serve.

Compensation : $60,000 - $75,000 per year Offers based on education and years of relevant experience

Hours / Schedule : Full-Time, 35 hour work week Monday - Friday

Responsibilities :

Oversee all components of the revenue cycle, including registration, billing, coding, collections, credentialing, and accounts receivable.

Manage day-to-day operations of revenue cycle staff, providing training, guidance, and performance management.

Serve as the primary liaison with third-party billing organizations to ensure proper claim processing, reconciliation, and follow-up.

Monitor, analyze, and report on key revenue cycle metrics, identifying trends, risks, and opportunities for improvement.

Conduct audits to ensure compliance with coding, billing, payer regulations, and internal policies.

Develop and implement policies and procedures to optimize efficiency, accuracy, and compliance across the revenue cycle.

Oversee credentialing and privileging processes for licensed staff to ensure accuracy and compliance with payer requirements.

Oversee payer contracts and regulatory rules related to OMH, OCFS and DOH.

Collaborate with finance, clinical, and administrative teams to resolve billing and revenue cycle issues.

Review and approve patient statements, payment arrangements, and sliding fee schedules.

Maintain strong working relationships with payers and regulatory agencies to resolve denials and minimize bad debt.

Ensure timely resubmission of claims and oversee denial management processes.

Use data analytics and dashboards to drive decision-making and continuous process improvement.

Qualifications :

Bachelor's degree in Business, Finance, Accounting, Health Care Administration, or related field preferred with 3 years of experience in a leadership role.

Strong knowledge of Medicaid, Medicare, Managed Care, and commercial insurance billing practices.

Proficiency in MS Office, particularly Excel, and familiarity with healthcare revenue cycle technologies and data analytics tools.

Demonstrated ability to lead teams, manage projects, and foster collaboration across departments.

We want to emphasize that the preferred qualifications are not required and that we are committed to helping our future colleagues develop these preferred skills. We strongly encourage those who are passionate about fostering a diverse, inclusive and equitable human service organization to apply.