Manager of Revenue Cycle Management - Mon-Fri 9AM-5PM

Make an Impact.

At WellLife Network, every role plays a vital part in empowering people to live their best lives. As part of one of New York's largest nonprofit health and human services organizations, you'll join a team dedicated to compassion, inclusion, and excellence - helping individuals and families thrive every day.

Position Summary
The Revenue Cycle Manager oversees all aspects of the revenue cycle, including insurance verification, authorizations, billing, collections, denial management, and claims processing. This role ensures compliance with regulatory requirements, optimizes revenue performance, supports credentialing activities, and collaborates with departments to maintain accurate billing processes and EHR system integrity.

Essential Responsibilities

• Manage end-to-end revenue cycle operations, including verification, authorization, billing, collections, and denial resolution.
• Ensure accurate and timely claim submission to commercial insurers, Medicaid, Medicare, and other government payers.
• Monitor accounts receivable and oversee timely follow-up on outstanding claims.
• Investigate and resolve billing discrepancies and denials to ensure proper reimbursement.
• Analyze and report revenue cycle performance metrics to senior leadership; prepare weekly and monthly billing and denial reports.
• Identify process gaps and implement improvements to enhance efficiency and revenue capture.
• Maintain compliance with OPWDD, OMH, and OASAS billing regulations and industry standards.
• Collaborate with the EHR team to maintain AVATAR system configuration, rate tables, and billing accuracy.
• Evaluate accounts requiring write-offs and recommend appropriate action.
• Oversee credentialing and re-credentialing for all sites and programs with Medicaid, Medicare, MCOs, and commercial payers.
• Ensure proper clearinghouse setup and compliance for all payer submissions.
• Partner with management and clinic leadership to review receivables, maximize revenue, and establish departmental goals.
• Supervise Revenue Cycle staff, including payroll and attendance oversight.
• Perform additional duties as assigned to support departmental and organizational success

What You'll Gain

• Compensation: Competitive hourly rate based on experience.
• Robust Benefits: Medical, dental, vision, and 401k retirement plan (with matching).
• Work-Life Balance: Paid time off, holidays, and personal days.
• Wellness Program: Free and low-cost gym and wellness access and support.
• Training & Growth: Ongoing professional development and career advancement opportunities.
• Meaningful Work: Direct impact on the lives of youth and their families.
• Supportive Environment: A collaborative team that values your contributions

• Bachelor's degree in healthcare administration, business, or related field.
• 3-5 years in revenue cycle management with supervisory experience; experience in credentialing is a plus.
• Strong knowledge of billing, coding, insurance claims, payer policies, and healthcare regulations (HIPPA, ICD-10).
• Proficiency with MS Office, revenue cycle management software, and EHR platforms (e.g., AVATAR, Precision Care).
• Excellent leadership, communication, and problem-solving skills; ability to manage multiple tasks in fast-paces environment.