Manager, Revenue Cycle (Tucson)

Please note: This is not a remote position.Catholic Community Services of Southern Arizona, Inc. (CCS) is thriving! For over 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. We credit our continued success to our valuable employees! If you want to make a difference, help people, and serve your community, we want YOU to join our team! For more information visit our website at: www.ccs-soaz.org.OVERVIEWUnder the direction of the Chief Financial Officer, the Revenue Cycle Manager oversees billing, claim submission, payment posting, denials, corrections, and resubmissions for designated behavioral health programs. Ensures timely and accurate billing in compliance with Arizona Medicaid requirements, health plan contracts, applicable laws, and company policies. Collaborates with Finance, Compliance, program leadership, health plans, and Electronic Heath Record (EHR) vendors to resolve documentation and workflow issues affecting reimbursement without directing clinical decisions or altering clinical records. Requires a high level of accuracy, organization, and performance within established deadlines. May perform other duties as assigned.ESSENTIAL FUNCTIONSManage the employee lifecycle for assigned staff, ensuring effective recruitment, development, performance management, and employee relationsOversee and support Billing Specialist activities, including billing, insurance verification, charge capture, collections, and development and implementation of billing procedures to ensure timely and complete collection of revenueServe as company expert in EHR system and act as administrator, where appropriateOversee and participate in data validation process to ensure submission of accurate claims for processing and paymentOversee and participate in the resubmission of claims, as necessaryDirect and assist with processing and adjudicating claims, posting payments, monitoring claims, denials, and appeals for efficient processing, and resolving billing-related issues with both health insurance plans and EHR vendorMaintain medical billing spreadsheetsDevelop and implement short and long-range revenue cycle processes for the benefit of the organization and its membersCommunicate with management regarding front-end user errors and issues that are impacting the revenue cycleCoordinate with Compliance representative to ensure high level of ethics, accuracy, transparency, and accountability to agency programsResolve and answer help desk tickets related to billingComplete month-end revenue reporting tasks within established deadlinesLiaison with revenue cycle vendors, including EHR vendor, and health insurance plans, to coordinate billing activities and resolve issuesEnsure compliance with and support of Executive directives, contracts, and established policies and procedures, as well as federal and state regulationsMay drive personal or agency vehicle on company businessMINIMUM REQUIREMENTSSuitable work experience may be considered as transferable skills in order to meet minimum requirements of the position and will be considered by the Executive Director of Human Resources.Bachelor Degree in Business Administration, Finance or a related field2 years of experience supervising and overseeing medical billing, data validation, and claims submission and resubmission, preferably in behavioral health2 years of experience working in medical billing, data validation, and claims submission and resubmission, preferably in behavioral healthExperience in producing and understanding dashboard reporting and Key Performance Indicators (KPIs) related to performance trackingExperience utilizing Microsoft Office Suite Proven strong communication skills, both oral and written, that are clear; concise; organized; and are appropriate in style, grammar, and tonePHYSICAL AND MENTAL REQUIREMENTSWork is completed primarily indoors in an office environmentConstantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printerRequires constant experience with competing priorities in an occasionally high-stress environmentREGULATORYMust be at least 18 years of ageValid driver license, proof of insurance, and 39-month motor vehicle reportAbility to obtain and maintain Arizona Level One Fingerprint Clearance Card and FBI National Criminal Records History Report (employer paid)Pass pre-employment drug screen (incudes marijuana, regardless of recreational use laws) (employer paid)DESIRED QUALIFICATIONSMaster Degree in Business Administration, Finance, or a related fieldBilling and/or coding certification and/or credentialAdditional years of directly-related experienceExperience in collections and management of Accounts ReceivableBehavioral health work experienceExperience working with Arizona Medicaid providers in relation to billingBilingual in English and Spanish, verbal and writtenThe above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered a detailed description of all work requirements that may be inherent in the job.We are an Affirmative Action Equal Opportunity Employer for all individuals. All qualified applicants are encouraged to apply.