About this role
Are you passionate about healthcare, finance, and helping behavioral health services run smoothly? LearnWell is looking for a dedicated Revenue Cycle Manager to partner with our Director of Billing to support our behavioral health billing and collections team. If you're a seasoned professional that is committed to patient care, we want to hear from you!
Duties/Responsibilities:
- Review daily revenue cycle operations across assigned business lines and coordinate with 3 rd party billing team on account review, reconciliation and clean up as necessary
- Communicate with patients to review outstanding charges and insurance coverage denials
- Support escalated collection efforts by providing direction as appropriate and ensuring patient account accuracy
- Prepare delinquent accounts for collection and act as a liaison in the collection process
- Follow up on payment discrepancies including underpayments and variances by payer, location, and business line; prioritize issues and collaborate with other departmental leaders on corrective actions
- Prepare clinical revenue reports for payroll, including co-pays and supervisory billing
- Formulate and administer the clinical practice credit and collection policy, including "write-offs" as per company guidelines
- Support with the review of medical record requests and partner with providers and clinical leadership to ensure services are documented properly
- Collaborate with clinical operations, Finance, credentialing, intake, scheduling, compliance, providers, and leadership to resolve operational barriers affecting billing, collections, and reimbursement
- Train and support billing and collections staff as needed
- Establish and maintain departmental policies and procedures in compliance with the clinical practice policies, regulatory standards, and the Joint Commission on Accreditation of Behavioral Healthcare and Human Services
- Identify and make recommendations for process improvements that reduce preventable denials, accelerate collections, strengthen controls, and improve reimbursement outcomes.
- Support implementation and optimization of practice management, EHR, reporting, and financial systems, including AdvancedMD, Netsmart, Salesforce, and Intacct
- Other ad-hoc projects as needed
Why Join LearnWell?
At LearnWell, we are committed to making a positive impact on behavioral health through efficient revenue cycle management. We value innovation, teamwork, and a patient-centered approach. Our employees enjoy a supportive work environment where their contributions are recognized and their professional growth is encouraged.
Apply Today
If you are ready to take your career to the next level and make a meaningful difference in healthcare, apply now! Join the LearnWell family and help us provide exceptional care to our patients.
We look forward to welcoming you to our team!
Qualifications
- Bachelor’s degree in business administration or a related field.
- At least five years of experience in behavioral health and revenue cycle management including insurance reimbursement, denial management, account collections, coding, and medical terminology
- PHP, IOP, and Outpatient Therapy experience
Required Skills/Abilities
- Knowledge of Electronic Health Record Applications and Reporting
- Familiarity with Netsmart and/or Advanced MD
- Familiarity with payer portals
- Excellent verbal and written communication
- Analytical and organizational skills
- Proficiency in math
- Strong leadership and interpersonal skills
- Accurate typing and data entry capability
- Respect for confidentiality and promotion of positive public relations
- Ability to motivate staff and maintain high morale