Revenue Integrity Manager - 259025

Job Description

Revenue Integrity Manager | NYC

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$85,000–$105,000

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Empire State Building, NYC

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Hybrid – In Office 1 Day/Week (Wednesdays)

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Monday–Friday | Standard Business Hours

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About the Opportunity

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We’re looking for a Revenue Integrity Manager to help optimize the revenue cycle for a growing ABA therapy organization. This is a highly visible role partnering across Revenue Cycle, Billing, Finance, and Clinical Operations to prevent revenue leakage, improve reimbursement, reduce denials, and strengthen overall billing performance.

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You’ll have the opportunity to build and coach a team, improve processes, and take ownership of revenue integrity initiatives across multiple locations and payors.

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What You’ll Own

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• Lead revenue integrity functions including denials prevention, underpayments, overpayments, payment posting, cash reconciliation, and charge master maintenance
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• Analyze denial and rejection trends to identify root causes and implement denial prevention initiatives
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• Manage clearinghouse work queues, payor rules, enrollments, and claim rejections to improve first-pass claim rates
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• Maintain CentralReach charge capture, fee schedules, and billing rules to support accurate reimbursement
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• Review reimbursement reports to identify underpayments and payor discrepancies
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• Oversee medical record requests, payor audits, recoupments, refunds, and compliance-related processes
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• Partner with Billing, Authorizations, Clinical, and Finance teams to identify and eliminate revenue leakage
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• Track key RCM metrics including Days in A/R, denial rates, unbilled A/R, clean claim rate, and net realization
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• Build, coach, and mentor a team of Revenue Integrity professionals
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What We’re Looking For

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• 5+ years of healthcare billing/RCM experience , with strong revenue integrity experience
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• 2+ years of ABA or behavioral health billing experience
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• Hands-on experience with CentralReach or another ABA practice management system
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• Strong knowledge of commercial and Medicaid reimbursement, authorizations, CPT coding, and payor policies
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• Experience with denials, underpayments, claim rejections, charge capture, and revenue cycle analytics
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• Strong Excel skills, including pivot tables, VLOOKUP/XLOOKUP, and data analysis
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• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field preferred
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• Previous team leadership or supervisory experience preferred
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• CRCR, CHRI, CPC, CPMA, or similar certification is a plus
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⭐ Why Consider This Role?

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This is an opportunity to step into a hands-on Revenue Integrity leadership position where you can directly influence reimbursement, improve processes, develop a team, and partner with clinical and financial leadership.

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Interested? Apply today or reach out to learn more!