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Revenue Cycle Manager

Revenue Cycle Manager

BrightView HealthCincinnati, OH, US
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Revenue Cycle Manager

The Revenue Cycle Manager provides strategic and operational leadership for the pre-access revenue cycle team, ensuring accuracy, efficiency, and compliance across all billing and collection processes. Serving as the subject matter expert (SME) in behavioral health billing and payer relations, the manager works closely with senior leadership to optimize revenue performance, strengthen regulatory compliance, and enhance the overall patient financial experience. This role includes direct oversight of insurance verification, prior authorization, and financial counseling functions, ensuring patients receive timely access to care, accurate eligibility determinations, and compassionate financial support.

Responsibilities

  • 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.

    • Qualifications

  • Education

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

  • Experience

    • Minimum 35 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.

    • We offer competitive compensation, comprehensive benefits, and a supportive work environment dedicated to your professional growth and development.

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    Revenue Cycle Manager • Cincinnati, OH, US