What are the responsibilities and job description for the Revenue Cycle Manager position at Necco?
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
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
- 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
- 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
- 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
- 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