Position Summary:
Necco has an opportunity for a career as Revenue Cycle Manager. This role will add value to the organization by developing and managing strategic relationships with payers and organizations that influence payer decision-making and implementing an efficient and effective billings and collections process, including the effective and efficient utilization of the EHR.
You should be accurately described as:
A happy warrior who thrives on leading from the front with strategic thinking. A solid communicator in search of decisions that deliver real results. A problem-solver, financial steward, and one who excels at collaboration. Ridiculously passionate about the company’s success, growth, and program quality.
Revenue Cycle Operations
- Oversee the end-to-end revenue cycle to maximize billing efficiency, accuracy, and cash collection performance
- Partner with leadership to develop and execute organizational billing and collections strategy
- Collaborate with service line leadership to resolve claim denials, aging accounts receivable, and outstanding billing issues
- Provide strategic oversight of the Electronic Health Record (EHR) to ensure optimal functionality supporting billing, collections, and cash application processes
- Work collaboratively across departments to resolve billing challenges and improve revenue performance
- Ensure delivery of high-quality customer service to both internal stakeholders and external partners
- Maintain compliance with all Federal and State billing regulations and ensures appropriate diagnostic and procedural coding standards are followed
- Identify operational improvement opportunities to reduce uncompensated services and revenue leakage
Payer Relationships and Contract Compliance
- Provide direct oversight of payer contract negotiations and management of strategic payer relationships
- Collaborate with leadership to develop and implement payer contracting strategy aligned with organizational financial goals
- Monitor regulatory requirements, payer contracts, and vendor relationships to ensure compliance and performance
- Maintain collaborative partnerships with Managed Care Organizations (MCOs) and State/County representatives
- Maintain expert knowledge of insurance contracts, reimbursement methodologies, and appeals processes
- Ensure organizational compliance with Medicaid regulations, MCO requirements, and performance-based contracts
Systems and Processes
- Ensure staff are appropriately trained on revenue cycle policies, procedures, and best practices
- Lead continuous process improvement initiatives across all revenue cycle functions
- Refine billing workflows to improve efficiency, reduce cycle times, and accelerate reimbursement
- Establish productivity standards and monitors key performance indicators (KPIs) for revenue cycle staff
- Implement and maintains effective cash posting and cash management controls.
- Develop operational goals, standards, and policies aligned with organizational strategic plans
- Maintain procedures consistent with agency policies, regulatory requirements, and contractual obligations
- Collaborate with Safety & Compliance leadership to strengthen documentation practices within agency data systems
- Support accreditation readiness and ongoing compliance with COA standards and regulatory agencies through evaluation and refinement of operational processes
Corporate Citizen
- Practice Ruthless Pragmatism
- Engage in peer-to-peer feedback
- Know and Live the Necco Corporate Culture Principles
- Embody the 3 essential virtues of Humble, Hungry and Smart
- Drive your Individual Performance Scorecard
- Adhere to and contribute to the Necco meeting structure
Position Qualifications
- Bachelor’s degree from an accredited college
- Five (5) years’ experience in a Medicaid/fee for service environment
- Five (5) years’ experience in medical billings and collections
- Strong leadership, management, and problem-solving skills
- Strategic and fiscal planning skills and abilities
- A highly effective and skilled communicator
- Excellent written and verbal communication skills
- Great attitude and the ability to work well with others
- Valid driver’s license and state minimum auto insurance
- Successful completion of all required criminal background checks
At Necco, we value diversity and are committed to creating an inclusive and equitable work environment. We embrace individuals of diverse backgrounds, experiences, and perspectives. We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization. We are dedicated to providing equal opportunities for employment and advancement to all qualified individuals, and we encourage applicants of all backgrounds to apply.