What are the responsibilities and job description for the Revenue Cycle Insurance Manager position at Human Services Management Corporation?
Human Services Management Corporation (HSMC) provides shared business and consulting services to both non-profit and proprietary human services agencies. These services include accounting, payroll, third party billing and collections, human resources, online and live Continuing Education, marketing, facility development and quality assurance programs.
Job Description
The Revenue Cycle Insurance Manager reports directly to the Director of Revenue Cycle. This is a hybrid position with a minimum of three days in the office (eligible after 90 days of regular employment).
Leadership & Supervision
- Supervise, train, mentor, and evaluate insurance coordinators and intake staff
- Monitor daily workflows to ensure accuracy, compliance, and timeliness
- Track staff performance, assign work, and address service interruptions
Insurance & Intake Operations
- Oversee insurance verification, benefit coordination, patient eligibility, and member responsibility (co‑pays, deductibles, lifetime caps)
- Ensure appropriate authorizations, referrals, pre‑certifications, and re‑verifications are obtained and maintained
- Perform and support intake of patient referrals including demographic, medical, therapy, and insurance information
Billing & Revenue Cycle Support
- Oversee all functions necessary for accurate and timely billing as they relate to authorizations
- Ensure delivery of complete and accurate intake and insurance information to billing systems
- Assist with insurance and payer billing processes, denials, eligibility issues, and benefits-related inquiries
Documentation & Compliance
- Ensure all required documentation is present, accurate, and maintained within patient files
- Document all correspondence with insurance carriers, patients, and client companies
- Maintain insurance contacts, authorization tracking, and policy effective/termination dates
Reporting, Appeals & Special Projects
- Create, monitor, and maintain operational and performance reports
- Monitor benchmarks and identify operational risks or trends
- Function as technical specialist for appeals, including payer rules and contractual guidelines
Collaboration & Customer Service
- Act as a resource to staff, internal departments, and client companies regarding insurance and intake processes
- Resolve patient and payer issues in a timely and professional manner
Qualifications
- Bachelor’s Degree preferred; High School Diploma or GED accepted with significant intake, insurance, and supervisory experience
- Minimum of five (5) years of experience related to client intake, insurance verification, authorization processing, medical billing, and collections
- Minimum of three (3) years of supervisory or team lead experience
- Ability to express or exchange ideas clearly and accurately through spoken and written communication
Additional Information
Please visit our website at www.hsmc.org to learn more about our organization!
Selection for employment is made regardless of race, color, religion, creed, sex, sexual orientation, gender identity/expression, pregnancy or pregnancy-related condition, marital status, national origin, ancestry, age, disability, handicap, genetic information, someone who is a member of, applies to perform, or has an obligation to perform, service in a uniformed military service of the United States, including the National Guard, on the basis of that membership, application or obligation; veteran status, or any other bases protected by law. HSMC participates in E-Verify.
#IND1