Revenue Cycle Manager

• Leadership & Team Development

• Lead, mentor, and coach revenue cycle staff across insurance verification, prior authorization, and financial counseling.
• Support professional growth, performance reviews, and succession planning.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Operational Management

• Oversee daily operations of insurance verification, prior authorization, and financial counseling.
• Ensure all pre-service verification and authorization activities are completed accurately and on time.
• Guide financial counseling processes including self-pay arrangements, and government program enrollment.
• Performance & Analytics

• Develop and monitor KPIs (e.g., authorization turnaround time, eligibility accuracy, etc).
• Use business intelligence platforms and large data sets to identify trends, root causes, and performance opportunities.
• Prepare monthly operational reports with clear action plans for improvement.
• Compliance & Payer Relations

• Maintain up-to-date knowledge of federal, state, and payer regulations (Medicare, Medicaid, TriCare, Managed Care, and commercial payers in OH/KY/VA/NC/MD).
• Partner with compliance, finance, and clinical teams to ensure adherence to policies and ethical standards.
• Collaborate with payers to resolve escalated verification, authorization, and patient billing issues.
• Process Improvement & Strategy

• Drive process improvement initiatives, leveraging automation and system enhancements in verification, authorization, counseling, and eligibility workflows.
• Work closely with Director to partner with IT and operations to implement new tools, EHR/billing system optimizations, and reporting capabilities.
• Collaborate with leadership to align revenue cycle operations with organizational financial and strategic goals.
• Patient Financial Experience

• Ensure insurance verification, prior authorization, and financial counseling processes support patient access and promote transparency, compassion, and fairness in billing.
• Support staff in delivering high-quality, patient-centered financial counseling services.

• Education:

• Bachelor’s degree in accounting, Healthcare Administration, Finance, Business, or related field preferred.
• Experience:

• Minimum 3–5 years in healthcare revenue cycle operations, with at least 1 year in a leadership role.
• Strong knowledge of behavioral health billing, insurance verification, prior authorization, and financial counseling in complex reimbursement environments.
• Demonstrated expertise in data analytics, KPI reporting, and performance improvement.
• Skills:

• Exceptional organizational, problem-solving, and communication abilities.
• Strong leadership and team development capabilities.
• Proficiency in Microsoft Office Suite and billing/revenue cycle systems; experience with BI platforms preferred.

• PTO (Paid Time Off)
• Immediately vested and eligible in 401k program with employer match.
• Company sponsored ongoing training and certification opportunities.
• Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
• Tuition Reimbursement after 1 year in related field

BrightView LLC