Revenue Manager
il y a 3 jours
Cary
Job Description About the Role MD Psychiatry & Emotional Health is seeking an experienced Revenue Cycle Manager to oversee and improve the financial performance of our growing outpatient psychiatry and therapy practice. This is a hands-on role responsible for the full revenue cycle, including billing, coding, claims, denials, accounts receivable, patient and insurance collections, audits, reporting, and billing team oversight. The ideal candidate is someone who can look beyond simply getting claims submitted and understand why we are getting paid—or why we aren't. This person will identify revenue leakage, resolve recurring billing issues, improve processes, and ensure our revenue cycle operates efficiently and consistently across the practice. What You'll Do Revenue Cycle Management • Oversee the full revenue cycle from charge capture through final payment., • Monitor billing, claims, payment posting, A/R, denials, and collections., • Identify and resolve issues that delay or prevent payment., • Develop and implement processes to improve cash flow and collections. Denials & A/R • Monitor and manage insurance denials and appeals., • Identify trends and root causes of recurring denials., • Oversee insurance and patient A/R follow-up., • Monitor aging A/R and ensure timely resolution of outstanding balances., • Identify and recover underpayments and missed revenue opportunities. Billing & Coding • Oversee billing and coding accuracy and compliance., • Conduct routine billing and coding audits., • Partner with providers and administrative staff to resolve documentation and coding issues., • Stay current on payer requirements and behavioral health billing practices. Billing Team & Vendor Oversight • Provide direction and accountability to the billing team and/or external billing partner., • Monitor productivity, work queues, and performance., • Serve as the escalation point for complex billing and reimbursement issues., • Ensure billing responsibilities are completed accurately and timely. Reporting & Analysis • Develop and maintain revenue cycle reports and KPIs., • Monitor collection rates, A/R, denials, aging balances, claim issues, and other key metrics., • Identify trends and provide recommendations to leadership., • Help leadership understand where revenue is being lost and where opportunities exist for improvement. Process Improvement • Identify inefficiencies and develop solutions to improve revenue cycle performance., • Standardize billing and collection processes across practice locations., • Work with leadership and staff to implement new workflows and systems., • Monitor the effectiveness of changes and make adjustments as needed. What We're Looking For Required: • 3+ years of experience in medical billing, revenue cycle management, healthcare finance, or a related field., • Strong understanding of medical billing, insurance claims, denials, A/R, and collections., • Experience with coding and reimbursement practices., • Strong analytical and problem-solving skills., • Excellent attention to detail and organizational skills., • Ability to independently manage priorities and meet deadlines., • Strong communication and leadership skills. Preferred: • Experience in psychiatry, behavioral health, or outpatient healthcare., • Experience with Medicaid and commercial insurance payors., • Experience managing a billing team or external billing vendor., • Experience with billing audits and appeals., • CPC, CRCR, CCS, or other relevant certification. What Success Looks Like In this role, success means: • Getting claims paid accurately and timely., • Reducing preventable denials., • Decreasing aged A/R., • Improving patient and insurance collections., • Identifying missed revenue and underpayments., • Improving billing and coding accuracy., • Establishing clear accountability for the billing team., • Providing leadership with accurate, meaningful revenue-cycle reporting., • Creating efficient, consistent billing processes as the practice continues to grow. Why Join MD Psychiatry & Emotional Health? You'll have the opportunity to play a key role in the continued growth of a multi-location outpatient psychiatry and therapy practice. This position will have meaningful ownership and the ability to directly influence the financial health, efficiency, and sustainability of the organization. If you're a revenue-cycle professional who enjoys finding problems, solving them, and seeing measurable results, we'd love to hear from you. \nCompany Description MD Psychiatry & Emotional Health, PLLC, has offices in Durham, Cary, Wake Forest, Raleigh and Wilmington, North Carolina, where an experienced team of board-certified psychiatrists, physician assistant and psychiatric nurse practitioners deliver high-quality, comprehensive psychiatric, psychological and psychotherapy services to people of all age groups. Led by founder and chief medical officer Haresh Tharwani, MD, DFAPA, the team offers consultation, assessment, diagnosis, and evidence-based treatment for all psychiatric disorders. MD Psychiatry & Emotional Health, PLLC, specializes in depression, anxiety, bipolar disorder, cognitive Impairment and dementia, schizophrenia, neurodevelopmental disorders like attention-deficit/hyperactivity disorder (ADHD), substance abuse, and personality disorders. The team carefully tailors an individualized approach to each patient’s treatment, considering their body, mind, and soul – everything that makes them a unique and valued individual. MD Psychiatry & Emotional Health, PLLC, uses psychopharmacology (medications for psychiatric disorders) and a wide variety of psychotherapy interventions — talk therapies such as supportive psychotherapy, psychodynamic therapy (psychoanalysis), interpersonal psychotherapy, and cognitive-behavioral therapy (CBT). In addition, the MD Psychiatry & Emotional Health, PLLC, team offers “innovative alternatives like transcranial magnetic stimulation (TMS) therapy (at our Durham location) and Spravato® (esketamine nasal spray) (only at our South Cary location) for patients with treatment-resistant conditions. They also perform electroconvulsive therapy (ECT) evaluations and give referrals. MD Psychiatry & Emotional Health, PLLC, has offices in Durham, Cary, Wake Forest, Raleigh and Wilmington, North Carolina, where an experienced team of board-certified psychiatrists, physician assistant and psychiatric nurse practitioners deliver high-quality, comprehensive psychiatric, psychological and psychotherapy services to people of all age groups. \r\n\r\nLed by founder and chief medical officer Haresh Tharwani, MD, DFAPA, the team offers consultation, assessment, diagnosis, and evidence-based treatment for all psychiatric disorders. MD Psychiatry & Emotional Health, PLLC, specializes in depression, anxiety, bipolar disorder, cognitive Impairment and dementia, schizophrenia, neurodevelopmental disorders like attention-deficit/hyperactivity disorder (ADHD), substance abuse, and personality disorders. The team carefully tailors an individualized approach to each patient’s treatment, considering their body, mind, and soul – everything that makes them a unique and valued individual. \r\n\r\nMD Psychiatry & Emotional Health, PLLC, uses psychopharmacology (medications for psychiatric disorders) and a wide variety of psychotherapy interventions — talk therapies such as supportive psychotherapy, psychodynamic therapy (psychoanalysis), interpersonal psychotherapy, and cognitive-behavioral therapy (CBT). In addition, the MD Psychiatry & Emotional Health, PLLC, team offers “innovative alternatives like transcranial magnetic stimulation (TMS) therapy (at our Durham location) and Spravato® (esketamine nasal spray) (only at our South Cary location) for patients with treatment-resistant conditions. They also perform electroconvulsive therapy (ECT) evaluations and give referrals.
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