Revenue Cycle Manager

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November 18

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Pyramid Healthcare

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Wellness

Pyramid Healthcare is an integrated behavioral healthcare system that provides personalized treatment for substance use disorders, mental health conditions, and eating disorders across multiple levels of care (detox, inpatient, outpatient) and via telehealth. Founded in Altoona, PA, it operates a family of programs and affiliated brands focused on clinically integrated, person-first care, workforce education and training, and multi-state expansion to improve recovery outcomes and community well-being.

1001 - 5000 employees

🧘 Wellness

📋 Description

• Oversee Central Business Office (CBO) for all aspects of Revenue Cycle. • Manage and control the billing process, including timelines of billing, collections, and systems management. • Research and resolve inquiries involving billing discrepancies, client account status, adjustments, etc. • Implement company policies and procedures into a steady flow of parent company protocol. • Collaborate with the VP Revenue Cycle to report profitability of claims by insurance payers. • Communicate with Senior Management concerning insurance, therapists, clients and or vendor concerns and difficulties. • Reports on receivables status as required. • Implement internal controls, create and mandate policies and procedures to ensure consistency and standardization for automated billing process in all offices. • Review and document processes to maximize efficiencies of team tasks. • Responsible for interviewing, hiring, evaluations and discipline up to and including promoting or discharging. • Prepared daily, weekly, monthly and year end reports. • Communicate with Site and Program Directors concerning any program changes or new programs at facility level. • Direct contact with the insurance provider representative whenever there are claim disputes such as contract issues, non-par, large rejections, etc. • Oversight of vendor relationships. • Participate in payer’s meetings whenever required. • Other Duties as deemed necessary

🎯 Requirements

• Bachelor’s degree required • 6-10 years of experience and expertise in healthcare revenue cycle including staff management. • Must possess extensive knowledge of revenue cycle systems, functions, policies and procedures • Must knowledgeable about Medicare/Medicaid and other Governmental regulations. • Must have a proven record of identifying process improvement opportunities. • Experience with, insurance claims, denial and appeal processing, including ICD-10, CPT, HCPC codes, and UB and 1500 claim forms. • Proficiency with all Microsoft Office applications.

🏖️ Benefits

• Medical, Dental, and Vision Insurance • Flexible Spending Accounts • Life Insurance • Paid Time Off • 401(k) with Company Match • Tuition Reimbursement • Employee Recognition Programs • Referral Bonus opportunities • And More!