Revenue Cycle Manager / Substance Use Disorder Treatment

ALL APPLICANTS MUST SUBMIT COVER LETTER WITH RESUME.

The Center for Community Alternatives (CCA) is a leader in the field of community-based alternatives to incarceration. Our mission is to promote reintegrative justice and a reduced reliance on incarceration through advocacy, services and public policy development in pursuit of civil and human rights.

Job Summary: 

Directs & oversees the overall policies, objectives, and initiatives of the organization’s substance use disorder treatment revenue cycle activities to optimize the patient financial interaction along the care continuum.  Reviews, designs, and implements processes surrounding admissions, pricing, billing third party payer relationships, compliance, collections and other financial analysis to ensure that clinical revenue cycle is effective and properly utilized.  Manages relations with payers and providers to generate high reimbursement rates and a low level of denials.   

Duties and Responsibilities:

• Recruits, trains, and supports all Revenue Cycle Management positions.
• Responsible for tracking of all activities for the Treatment Services unit including grant-funded activities.
• Prepares and presents monthly, quarterly, and annual AR performance reports, for Program and Finance.
• Communicates with third-party payers, operations, and other internal and external departments regarding maximization of revenue and charge optimization.
• Develops and refines a customer-focused Customer Service area in partnership with the CFO and Unit Director.
• Monitors current and emerging reimbursement issues, regulations, and reporting requirements.
• Other duties as assigned.

Required Knowledge:

• Strong working knowledge of the various types of insurances.
• Expert in Microsoft Office and EHR/Medicaid billing systems. 
• Working knowledge of computer, internet applications, and data management as well as an understanding of reporting requirements.
• Understanding of insurance and insurance related coding to support claim processing. Ability to work with both technical and administrative personnel.
• Proficiency with numbers and strong administrative and data entry skills.
• Excellent internal and external customer service and interpersonal oral and written communication skills including the desire to ask questions and learn from co-workers. Attention to detail and solid organizational skills with a keen ability to prioritize and multitask.
• Ability to adhere to and meet deadlines.
• Experience in handling sensitive, confidential information and has the ability to maintain the highest level of confidentiality, discretion and integrity. Ability to raise issues proactively and in a timely manner.

Qualifications:

• Bachelor’s degree or equivalent experience
• 5+ years relevant experience including Managed Care, Medicaid, Medicare, commercial billing
• 2+ years supervisory experience
• Bi-lingual in any language a plus

CCA is an Equal Opportunity Employer. We seek talented, dedicated individuals who possess a strong commitment to CCA’s mission, including those with relevant personal experience in terms of recovery and/or justice involvement.