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Revenue Cycle Manager
Revenue Cycle ManagerLocation: Braintree, MA (Hybrid)Reports To: Financial Controller/ CFODepartment: Finance & Revenue CyclePosition OverviewRockland Recovery Group is seeking a highly skilled and detail-oriented Revenue Cycle Manager to oversee all aspects of the insurance billing and collections process across outpatient behavioral health and substance use disorder programs. This is a newly created role designed to bring our billing operations fully in-house, improve payer compliance, accelerate cash flow, and reduce revenue leakage.The ideal candidate will have extensive experience in healthcare revenue cycle management-preferably within behavioral health, substance use disorder (SUD), or other outpatient medical settings-and a proven track record of managing the full billing life cycle from Utilization Review through collections.Key ResponsibilitiesBilling & Claims ManagementOversee the end-to-end billing cycle for all entities, including UR, charge entry, claim submission, negotiations, payment posting, denials, and appeals.Ensure all billing is compliant with payer contracts, utilization review guidelines, and state/federal regulations.Transition existing outsourced billing workflows into a fully internal process, including setup of clearinghouse, payer portals, and reporting infrastructure.Review and reconcile daily claim batches for accuracy and completeness prior to submission.Collections & Accounts ReceivableManage aging reports and ensure timely follow-up on unpaid or denied claims.Develop, monitor, and report KPIs such as DSO, collections rate, denial rate, and clean claim rate.Collaborate with clinical, admissions, and UR teams to resolve coding, authorization, and eligibility issues impacting reimbursement.Compliance & Process OptimizationMaintain a deep understanding of payer requirements.Develop SOPs for billing, posting, adjustments, refunds, and audit readiness.Identify process improvements and implement best practices to improve billing accuracy and efficiency.QualificationsBachelor's degree in Healthcare Administration, Finance, Accounting, or related field required.5+ years of progressive experience in healthcare revenue cycle management (behavioral health or SUD experience strongly preferred).Strong working knowledge of insurance billing, reimbursement negotiations, and denial management.Familiarity with EMR/billing systems such as Kipu, CollabMD, BBHealth Tech.Excellent analytical, organizational, and communication skills.Ability to manage competing priorities and work cross-functionally with finance and clinical leadership.Compensation & BenefitsCompetitive salary commensurate with experienceHealth, dental, and vision insurancePaid time off and holidays401(k) with employer matchGrowth opportunity within a rapidly expanding organizationSalary between $80,000 - $115,000
