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Lighthouse Behavioral Health Solutions
Whitehall, OH | Full Time
7 Months Ago
Revenue Cycle Manager
Full Time 7 Months Ago
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Lighthouse Behavioral Health Solutions is Hiring a Revenue Cycle Manager Near Whitehall, OH

Job Description

Lighthouse Behavioral Health Solutions (Lighthouse) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substance abuse treatment needs.

We are a treatment facility that prides itself in a welcoming and compassionate approach to substance use and mental health treatment. We believe our clients can achieve recovery and be valued community members through positive engagement and meaningful participation in treatment. 

Treatment plans are individualized, and there is great attention to client needs and preferences to achieve the maximum self-actualization that can be derived from treatment.

We apply evidence-based, best practice models reflective of the behavioral healthcare redesign to promote efficient and effective treatment operation and service outcomes.

We believe in achieving quality service through workforce development. Lighthouse invests in training and education to promote professional growth. 

Our programs and services are dedicated to adults struggling to cope with alcohol and/or drug addiction and mental health challenges brought about by difficult life experiences on an outpatient basis.

Job Summary

The Revenue Cycle Manger will assist with credentialing providers (provider enrollment for Medicaid, Commercial and Medicare, maintaining CAQH profiles, etc.), ensuring prior authorizations for services are obtained in a timely manner, verifying client eligibility for services, and general revenue cycle processes such as working denials, correcting claim issues for re-billing, uploading EOBs, and reaching out to payors when needed. As the department needs grow, the Revenue Cycle Manager will be the lead for other RC staff.

Duties include, but are not limited to:

  • Knowledge of third-party insurance and accountable/managed care concepts, billing operations and regulatory requirements.
  • Considerable experience working with computers, Microsoft Office, Electronic Health Records (EHR/EMR) and insurance applications.
  • Complete initial credentialing applications to add providers to commercial payers, Medicare, and Medicaid
  • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
  • Maintain internal credentialing database to ensure all information is accurate and logins are available
  • Work to identify and resolve any denials or authorization issues related to provider credentialing
  • Gains pre-authorizations and verifies benefits for treatment as well as processes appeals when needed.
  • Track changes in the authorization process, insurance policies, or denial codes

Revenue Cycle Coordinator Requirements and Qualifications

  • Possesses superb written and spoken communication skills
  • Excellent interpersonal skills with clients, colleagues, and community resources
  • Excellent time management skills; organized and able to prioritize
  • Comfortable in a fast-paced environment
  • Calm and cool-headed with a positive attitude
  • Self-directed and self-motivated
  • Comfortable with building personal relationships and dedicated to helping others

Qualifications and Skills:

Required:

  • Prior experience with healthcare finance and/or revenue cycle.
  • Strong data analysis skills and demonstrated ability to work with large data sets.
  • Bachelor’s Degree in health care management or related field with years of relevant work experience

Preferred:

  • Experience with Substance Abuse Treatment is a plus
  • Familiarity working with underserved population and/or experience working in a community mental health setting

Benefits

  • Medical/Dental/Vision Insurance
  • Group Life Insurance
  • Paid Time Off (PTO)
  • 401(k)
  • 9 paid holidays

Lighthouse is certified by the Ohio Department of Mental Health and Addiction Services (for Mental Health & Substance Abuse).

Lighthouse is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state or local law.

Lighthouse is committed to modeling diversity and inclusion within and outside our organization and to maintaining an inclusive environment with equitable treatment for all.

Job Summary

JOB TYPE

Full Time

POST DATE

08/12/2022

EXPIRATION DATE

09/26/2022

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The following is the career advancement route for Revenue Cycle Manager positions, which can be used as a reference in future career path planning. As a Revenue Cycle Manager, it can be promoted into senior positions as a Revenue Cycle Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue Cycle Manager. You can explore the career advancement for a Revenue Cycle Manager below and select your interested title to get hiring information.

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If you are interested in becoming a Revenue Cycle Manager, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Revenue Cycle Manager for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Revenue Cycle Manager job description and responsibilities

Revenue Cycle Manager helps to ensure transparency, alleviate patients’ financial stress, collect earlier, and accelerate reimbursement in a healthcare facility.

03/17/2022: New Britain, CT

Perform a revenue cycle claims tracing analysis.

04/03/2022: Grand Rapids, MI

Ensure Timely and Accurate revenue documentation.

02/12/2022: New Brunswick, NJ

Align their roles to the organization’s business or strategic plan.

04/18/2022: Long Beach, CA

Evaluate the effects of price, length of stay, demand, and availability controls on revenue.

01/31/2022: Benton Harbor, MI

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Revenue Cycle Manager jobs

An organization can purchase data analytics software and use dashboards to set and monitor revenue goals.

01/23/2022: Bergenfield, NJ

The revenue cycle begins when the patient makes the appointment and ends with successful payment collection.

03/31/2022: Helena, MT

Poor quality data and future revenue cycle complications can occur without the ability to streamline the digital workflow.

02/26/2022: Augusta, GA

Establish performance standards.

03/27/2022: Lawrence, MA

Generate the actionable data that allows health system leaders to understand financials at a nuanced level, promoting effective processes that lead to financial sustainability and optimum revenue cycle management.

03/21/2022: Corpus Christi, TX

Step 3: View the best colleges and universities for Revenue Cycle Manager.

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