Revenue Cycle Manager jobs in United States
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BrightSpring Health Services · 16 hours ago

Revenue Cycle Manager

BrightSpring Health Services is seeking an experienced and detail-oriented Revenue Cycle Billing Manager to oversee and manage their healthcare organization's billing and claims processing operations. The Billing Manager will provide supervisory oversight and management of all billing, ensuring accuracy and compliance while contributing to the efficiency of the department through process improvements.

Health CarePersonal HealthPharmaceutical

Responsibilities

Ensures billing for all current and new services lines are accurate, consistent, and maximize revenue opportunities
Evaluates, report on, and improve results after implementation of new services or payers
Monitors reports to ensure clean claims submissions
Provides technical expertise to ensure accurate billing for new services and staying informed of regulatory, compliance, and best practices
Performs regular audits of daily billing reports to identify errors and work with the appropriate teams for resolution
Manages a team of AR Analysts and provides leadership and support
Develops and maintains billing policies and procedures to ensure compliance
Develops new hire training, ongoing training and ensure all analysts are properly trained
Identifies opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals
Reviews and analyzes billing data from the various clearinghouses to identify trends and areas for improvement
Responds to billing inquires and resolve billing issues
Ensures all claims have been submitted and accepted at clearinghouses
Reviews with Director all Billing requirement issues are resolved monthly to ensure timely filing
Provides billing information for audits and reviews audit results with lead
Reviews billing teams’ productivity
Resolves Rejects in the billing systems
Participates in processing payor changes
Reviews, maintains, and updates tracking processes
Stays updated with Payor bulletins regarding any billing and updates/changes
Reconciles unbilled reports, missing bill requirements as it relates to billing claims
Performs to company standards of compliance with policies and procedures
Works with Director and help desk on projects as it relates to billing
Performs special projects and other duties as assigned

Qualification

Revenue Cycle ManagementHealthcare Billing ExperienceClaims ProcessingMicrosoft ExcelFinancial Software KnowledgeMedical TerminologyRelationship ManagementHIPAA ComplianceLeadership SkillsTeam Collaboration

Required

Bachelor's degree of Accounting, Finance or Business Management or any equivalent combination of education and experience
Three to five years in healthcare, private insurance, and/or federally funded Therapy billing claims
Experience in reading and understanding remits (explanation of benefits) for denial reasons
Understanding of medical terminology and ability to research various payor audit requirements and billing
Computer experience is essential, including, but not limited to excel, practice management software, word processing and spreadsheet applications
Ability to manage relationships with Staff and various insurance payers
Maintains use of confidential information and HIPAA policies
Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
Extensive knowledge of revenue cycle
Ability to function well as a member of a team and must demonstrate leadership and supervisory skills
Ability to travel 20% between RWW Business Centers (Phoenix, Anna and Nashville)

Preferred

Proficient in Microsoft Excel and have working knowledge of financial software programs. (AS400, HCS, Wellsky, WebPT, Oracle, Zirmed/Waystar, preferred)

Benefits

Results Driven Time Off (RDTO), time is not accrued
Tuition Reimbursement
Benefits, Company Provided Life Insurance
401k Participation
Career Growth and advancement opportunities

Company

BrightSpring Health Services

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BrightSpring Health Services provides clinical, nonclinical and pharmacy and other ancillary care services.

Funding

Current Stage
Public Company
Total Funding
$2.88B
Key Investors
Kohlberg Kravis Roberts
2025-06-10Post Ipo Secondary· $304.5M
2024-12-11Post Ipo Debt· $2.55B
2024-09-13Post Ipo Secondary· $30M

Leadership Team

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Susan Sender
Chief Clinical Officer
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Company data provided by crunchbase