Revenue Cycle Manager
Easter Seals Southwest Florida, Inc
Benefits 403(b) matching 403 (b) Dental insurance Health insurance Vision insurance Summary The Revenue Cycle Manager is responsible for overseeing financial tracking, billing processes, and insurance operations across all programs. This role ensures accurate revenue cycle management, compliance with Medicaid and commercial insurance requirements, and supports organizational financial health through reporting, auditing, and process improvement. Qualifications Required: Education: Bachelor's degree required. Experience: 3–5+ years in revenue cycle or healthcare billing. Experience with Medicaid, behavioral/therapy billing. Responsibilities Billing Coordinate with the billing team on corrections and resubmissions. Ensure timely and accurate claim submission. Review billing data from EMR. Attend all applicable insurance workshops. Remain up to date with MMA and private insurance changes. Ensure compliance with payer requirements. Revenue/Remittance Create and manage program invoicing (contracts, private pay). Seek out additional revenue sources through Medicaid and commercial insurance. Conduct internal audit reviews with all Program Directors to ensure streamlined processes. Assist Program Directors on additional revenue generation opportunities. Works with the Development team for revenue generation opportunities. Credentialing Maintain group NPIs. Maintain payer credentialing (Medicaid, commercial). Maintain therapeutic Medicaid portals. Manage payer portals (Availity, Payspan, etc.). Reporting Maintain/record all productivity for each therapy department. Create month and year-end projections with the program director's oversight. Manage and track all contractual adjustments (BT, CT, CBH). Other duties as assigned. #J-18808-Ljbffr Easter Seals Southwest Florida, Inc
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