Clear Behavioral Health is dedicated to supporting individuals facing mental health and substance use challenges through compassionate, holistic, and evidence-based care. We provide a full continuum of services, including detox, dual diagnosis treatment, residential and outpatient programs, and specialized mental health services, all delivered by a multidisciplinary team of experienced clinicians and support professionals. Our person-centered approach focuses on treating the whole individual, while empowering clients with the tools, structure, and support needed to achieve long-term recovery and lasting stability.
Summary of Position
The Revenue Cycle Manager is responsible for overseeing the submission of insurance claims for multiple healthcare organizations. This position works closely with the billing/collections team to ensure that all claims are accurate and submitted in a timely manner. The Revenue Cycle Manager will also manage and oversee the billing processes, including collections, appeals, and claim follow-ups, while ensuring that day-to-day billing and operational tasks run smoothly.
Essential Responsibilities:
- Oversee the submission of claims for multiple providers using Electronic Health Record (EHR) software.
- Review and post Explanation of Benefits (EOBs).
- Evaluate EOBs, identify discrepancies, and submit appeals as necessary.
- Approve timecards for team members, ensuring accuracy in hours worked and compliance with company policies.
- Generate and analyze weekly billing reports to ensure billing accuracy and timely submission.
- Oversee and coordinate the medical records department, ensuring that patient files are accurate, complete, and properly managed. plans.
- Track and monitor claim denials, identify trends, and work to resolve issues to minimize rejections.
- Use Kipu and Collab platforms to manage billing, claims submission, and medical records.
- Attend and actively participate in staff meetings and training sessions.
- Perform data entry for insurance records and medical billing.
- Maintain accurate and organized files for each insurance company.
- Track and update client files regarding insurance claims and payments.
- Ensure all medical billing operations are conducted with accuracy and efficiency
- Take on additional duties as assigned.
- Investigate and address any discrepancies related to insurance claims and payments.
- Oversee the negotiation and execution of single case agreements, ensuring payments are processed at the agreed-upon rate.
- Open and maintain accounts specifically for negotiation purposes.
- Manage the Square account, identifying and resolving any payment errors or discrepancies.
- Prepare and reconcile end-of-month reports, ensuring accuracy between insurance and patient accounts.
Education & Experience
- 5 years minimum. With 2+ years as a billing manager.
- High school diploma minimum. Billing Degree preferred.
- A minimum of three years of experience billing with commercial health insurance payers.
- Experience with Kipu and Collab platforms is highly preferred.
- Demonstrated time management skills and the ability to meet deadlines.
- Effective communication and teamwork skills, with a focus on building and maintaining positive working relationships with colleagues and clients.
Required Skills/Abilities:
- Ability to work independently and collaboratively in a fast-paced environment.
- Strong organizational skills with the ability to prioritize tasks and make independent decisions.
- Attention to detail and accuracy in preparing and entering claims in a high-volume environment.
- Ability to read and understand medical documentation and insurance policies.
Benefits:
- Medical, dental, and vision insurance
- Life and disability coverage
- Retirement plan
- Paid sick, time off, and holidays
- Employee Assistance Program
- Professional development opportunities
- Other company - sponsored wellness or support programs
Pay: $85,000 - $95,000 per year depending on experience
Schedule: Monday through Friday on-site in Torrance.