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HomeCompanies4A580A4AD8EA62204895312A9C8549BERevenue Cycle Manager

Revenue Cycle Manager

4A580A4AD8EA62204895312A9C8549BE · Hiveley Corp - Inkster, MI 48141; 30000 Hiveley, Inkster, MI, 48141, USA · Active · Paycom ATS

Job facts

FieldValue
Company4A580A4AD8EA62204895312A9C8549BE
TitleRevenue Cycle Manager
Normalized title-
Department / teamNonprofit - Social Services
LocationInkster, MI, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerPaycom ATS
Posted / first seen2026-05-15 / 2026-05-31
Changed / last seen2026-05-31 / 2026-06-06

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Linked records

Company4A580A4AD8EA62204895312A9C8549BE
Source407860fb-990b-49f1-b79c-f3517704d07d
ATS providerPaycom ATS

Description

Description POSITION SUMMARY: The Revenue Cycle Manager is an essential member of a high performing management team who oversees client account activities, clinician/provider privileging and credentialing functions. The manager ensures the organization is compliant with local, state, and federal standards, policies, and guidelines. Work collaboratively to create and maintain a culture of excellence and dedication to providing compassionate and high-quality care to the people we serve and the community. EDUCATION AND EXPERIENCE: •    Bachelor’s degree or higher in business, healthcare administration or another related field. •    At least two (2) years’ previous experience in a supervisory or management capacity required. DUTIES & RESPONSIBILITIES: •    Oversee and optimize the end-to-end revenue cycle, including charge entry, coding, claims submission, payment posting, and collections. •    Develop, implement, and maintain revenue cycle policies and procedures •    Manage daily operations of the revenue cycle department to meet financial and operational goals •    Ensure accuracy and timeliness in account reconciliation, pre-collection, and post-collection processes •    Investigate and resolve billing and authorization issues across public and private payers. •    Maintain oversight of Service Activity Log processes to ensure regulatory compliance as well as state and federal guidelines. •    Lead denial management efforts, including identification, analysis, and resolution of claim denials and rejections •    Implement strategies to reduce A/R days, improve collections, and enhance profitability •    Analyze payer contracts and reimbursement trends to optimize revenue •    Recommend and implement process improvements to reduce errors and improve outcomes •    Basic denial trend analysis and reporting •    Ensure adherence to HIPAA, payer requirements, and federal/state regulations •    Maintain up-to-date knowledge of payment reform and industry changes •    Oversee internal and external audits, including quarterly coding audits, and implement corrective actions •    Ensure provider documentation is completed accurately and within required timelines •    Hands-on problem-solver in all aspects of collecting and billing including but not limited to working with funding partners. •    Performs personnel functions such as hiring, training, terminating, and conducting employee evaluations and disciplinary actions, as necessary. •    Ensure accuracy and integrity of patient billing information and internal records •    Responsible for updating and correcting authorization errors that prevent services from being billed. •    Monitors and maintains insurance contracts with all payers. •    Ensures all providers are associated with each health plan contract and system is set up to accurately bill those health plans. •    Stays abreast of payment reform changes and advises the administration team of these changes and provides recommendations for changes necessary. •    Lead end-to-end provider credentialing and enrollment processes •    Ensure timely credentialing/privileging, re-credentialing, and payer enrollment of behavioral health employees and clinic locations. •    Enroll, update and re-attest as necessary for all health plan enrollment activity, keeping a detailed listing of all providers and their status with each contracted health plan. •    Establish and maintain compliant credentialing policies and workflows •    Serve as the primary contact for credentialing with health plans, auditors, and regulatory agencies •    Cooperates in any investigation related to personnel, licensing, accreditation, or other circumstances. •    Communicate in a professional manner with various Starfish Family Services team members, Detroit Wayne Integrated Health Network (DWIHN), health plans, and other    entities. •    Evaluate and initiate process improvement with clinical leadership to ensure efficient/effective day to day operations for responsible areas and stay current on any upcoming payer changes. •    Provides reports and details to management team to carry out the necessary steps for a claim to be billable. •    Training and educating management team on billing practices and revenue cycle processes. •    Serves as the primary contact and expert for insurance companies as well as building and executing reports that accurately depict important business metrics and departmental metrics. •    Actively seeks opportunities to improve financial outcomes, engaging revenue cycle team members in the process. •    Responsible for following up on DWIHN risk matrix data. Provide summary and reports to senior leadership team. •    Responsible for recommending changes to the senior director that would improve service delivery. •    Support the CFO with financial reporting, audits, and cost reporting •    Enhance workflow and revenue outcomes by analyzing (clinical) operational implementations, events, and potentially extended service lines of care that may result in         heightened reimbursement. •    Tracking and updating clinical reports and ensuring timely and routine updates are provided by clinical services team members. •    Completion of reports from DWIHN to include but not limited disenrollment report and MCO report. •    Participates in continued professional development including research and program presentation activities. •    Attends local, county, state, and agency meetings and training courses as required. •    Performs other duties as assigned by senior management. KNOWLEDGE, SKILLS, & ABILITIES: •    Knowledge of general accounting principles and medical terminology. •    Knowledge and understanding of state and federal rules and regulations regarding confidentiality, compliance, release of information, Fair Debt Collection practices, and insurance regulations. •    Knowledge of principles and techniques used in negotiation as applied to service contracts and equipment purchasing. •    Effective organizational, planning and project management abilities. •    Experience in financial and programmatic presentations. •    Demonstrated creativity and flexibility. •    Ability to operate in high-pressure situations. •    Demonstrated innovative approach to problem resolution. •    Experience with credentialing/impaneling of providers/facility eligibility with payers highly preferred. •    Knowledge of ICD-10 Codes, CPT Codes, HCPCS Codes, Revenue Codes, and Place of Service Codes. •    Experience working in Behavioral Health EHR system(s). •    Intermediate level experience working in Microsoft Suite applications. •    Knowledge of community mental health treatment programs and their continuum of care. •    Knowledge of supervisory principles and practices including personnel and systems management. •    Ability to communicate effectively both orally and in writing. •    Ability to manage multiple priorities, functions independently, and demonstrate good follow through. •    Ability to work positively and productively as a member of a team of colleagues, supervisors, agency staff and collateral contacts. •    Ability and willingness to give and receive constructive feedback. •    Ability and desire for personal and professional growth and skill development. •    Must be culturally sensitive and competent in working in a multi-cultural environment. •    Must demonstrate capacity for developing autonomy and leadership among employees. •    Must demonstrate skills in working tactfully with others. •    Flexible in assumption of responsibilities. •    Must maintain ethical and professional standards. •    Ability and willingness to work with all members of the community regardless of race, age, gender and cultural or ethnic background. •    Ability to represent the agency in a professional manner. LICENSING AND OTHER REQUIREMENTS: •    Must have a valid State of Michigan driver’s license and automobile insurance. Starfish Family Services is an Equal Opportunity Employer EOE/M/F/D/V

Full job record

Job ID7d99b292966acf1cca38f7a96db9fcf24872ba2f
Org ID3aca2335-479a-4dd4-a997-a76b23a15cb3
Source ID407860fb-990b-49f1-b79c-f3517704d07d
Board ID407860fb-990b-49f1-b79c-f3517704d07d
Providerpaycom
Provider Job Key214083
TitleRevenue Cycle Manager
Normalized Title
Statusactive
Activeyes
Location TextHiveley Corp - Inkster, MI 48141; 30000 Hiveley, Inkster, MI, 48141, USA
DepartmentNonprofit - Social Services
Team
Employment Typefull_time
Workplace Type
Remote Policy
CountryUnited States
RegionMI
CityInkster
Salary RawDescription POSITION SUMMARY: The Revenue Cycle Manager is an essential member of a high performing management team who oversees client account activities, clinician/provider privileging and credentialing functions. The manager ensures the organization is compliant with local, state, and federal standards, policies, and guidelines. Work collaboratively to create and maintain a culture of excellence and dedication to providing compassionate and high-quality care to the people we serve and the community. EDUCATION AND EXPERIENCE: •    Bachelor’s degree or higher in business, healthcare administration or another related field. •    At least two (2) years’ previous experience in a supervisory or management capacity required. DUTIES & RESPONSIBILITIES: •    Oversee and optimize the end-to-end revenue cycle, including charge entry, coding, claims submission, payment posting, and collections. •    Develop, implement, and maintain revenue cycle policies and procedures •    Manage daily operations of the revenue cycle department to meet financial and operational goals •    Ensure accuracy and timeliness in account reconciliation, pre-collection, and post-collection processes •    Investigate and resolve billing and authorization issues across public and private payers. •    Maintain oversight of Service Activity Log processes to ensure regulatory compliance as well as state and federal guidelines. •    Lead denial management efforts, including identification, analysis, and resolution of claim denials and rejections •    Implement strategies to reduce A/R days, improve collections, and enhance profitability •    Analyze payer contracts and reimbursement trends to optimize revenue •    Recommend and implement process improvements to reduce errors and improve outcomes •    Basic denial trend analysis and reporting •    Ensure adherence to HIPAA, payer requirements, and federal/state regulations •    Maintain up-to-date knowledge of payment reform and industry changes •    Oversee internal and external audits, including quarterly coding audits, and implement corrective actions •    Ensure provider documentation is completed accurately and within required timelines •    Hands-on problem-solver in all aspects of collecting and billing including but not limited to working with funding partners. •    Performs personnel functions such as hiring, training, terminating, and conducting employee evaluations and disciplinary actions, as necessary. •    Ensure accuracy and integrity of patient billing information and internal records •    Responsible for updating and correcting authorization errors that prevent services from being billed. •    Monitors and maintains insurance contracts with all payers. •    Ensures all providers are associated with each health plan contract and system is set up to accurately bill those health plans. •    Stays abreast of payment reform changes and advises the administration team of these changes and provides recommendations for changes necessary. •    Lead end-to-end provider credentialing and enrollment processes •    Ensure timely credentialing/privileging, re-credentialing, and payer enrollment of behavioral health employees and clinic locations. •    Enroll, update and re-attest as necessary for all health plan enrollment activity, keeping a detailed listing of all providers and their status with each contracted health plan. •    Establish and maintain compliant credentialing policies and workflows •    Serve as the primary contact for credentialing with health plans, auditors, and regulatory agencies •    Cooperates in any investigation related to personnel, licensing, accreditation, or other circumstances. •    Communicate in a professional manner with various Starfish Family Services team members, Detroit Wayne Integrated Health Network (DWIHN), health plans, and other    entities. •    Evaluate and initiate process improvement with clinical leadership to ensure efficient/effective day to day operations for responsible areas and stay current on any upcoming payer changes. •    Provides reports and details to management team to carry out the necessary steps for a claim to be billable. •    Training and educating management team on billing practices and revenue cycle processes. •    Serves as the primary contact and expert for insurance companies as well as building and executing reports that accurately depict important business metrics and departmental metrics. •    Actively seeks opportunities to improve financial outcomes, engaging revenue cycle team members in the process. •    Responsible for following up on DWIHN risk matrix data. Provide summary and reports to senior leadership team. •    Responsible for recommending changes to the senior director that would improve service delivery. •    Support the CFO with financial reporting, audits, and cost reporting •    Enhance workflow and revenue outcomes by analyzing (clinical) operational implementations, events, and potentially extended service lines of care that may result in         heightened reimbursement. •    Tracking and updating clinical reports and ensuring timely and routine updates are provided by clinical services team members. •    Completion of reports from DWIHN to include but not limited disenrollment report and MCO report. •    Participates in continued professional development including research and program presentation activities. •    Attends local, county, state, and agency meetings and training courses as required. •    Performs other duties as assigned by senior management. KNOWLEDGE, SKILLS, & ABILITIES: •    Knowledge of general accounting principles and medical terminology. •    Knowledge and understanding of state and federal rules and regulations regarding confidentiality, compliance, release of information, Fair Debt Collection practices, and insurance regulations. •    Knowledge of principles and techniques used in negotiation as applied to service contracts and equipment purchasing. •    Effective organizational, planning and project management abilities. •    Experience in financial and programmatic presentations. •    Demonstrated creativity and flexibility. •    Ability to operate in high-pressure situations. •    Demonstrated innovative approach to problem resolution. •    Experience with credentialing/impaneling of providers/facility eligibility with payers highly preferred. •    Knowledge of ICD-10 Codes, CPT Codes, HCPCS Codes, Revenue Codes, and Place of Service Codes. •    Experience working in Behavioral Health EHR system(s). •    Intermediate level experience working in Microsoft Suite applications. •    Knowledge of community mental health treatment programs and their continuum of care. •    Knowledge of supervisory principles and practices including personnel and systems management. •    Ability to communicate effectively both orally and in writing. •    Ability to manage multiple priorities, functions independently, and demonstrate good follow through. •    Ability to work positively and productively as a member of a team of colleagues, supervisors, agency staff and collateral contacts. •    Ability and willingness to give and receive constructive feedback. •    Ability and desire for personal and professional growth and skill development. •    Must be culturally sensitive and competent in working in a multi-cultural environment. •    Must demonstrate capacity for developing autonomy and leadership among employees. •    Must demonstrate skills in working tactfully with others. •    Flexible in assumption of responsibilities. •    Must maintain ethical and professional standards. •    Ability and willingness to work with all members of the community regardless of race, age, gender and cultural or ethnic background. •    Ability to represent the agency in a professional manner. LICENSING AND OTHER REQUIREMENTS: •    Must have a valid State of Michigan driver’s license and automobile insurance. Starfish Family Services is an Equal Opportunity Employer EOE/M/F/D/V
Salary Min
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Source URLhttps://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=214083&clientkey=4A580A4AD8EA62204895312A9C8549BE
Apply URLhttps://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=214083&clientkey=4A580A4AD8EA62204895312A9C8549BE
First Seen At2026-05-31 19:05:43Z
Last Seen At2026-06-06 20:01:12Z
Last Checked At2026-06-06 20:01:12Z
Last Changed At2026-05-31 19:05:43Z
Inactive At
Source Posted At2026-05-15 00:00:00Z
Source Updated At
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    "description": "<p><span style=\"font-size:12px;\"><strong>POSITION SUMMARY:</strong><br />\nThe Revenue Cycle Manager is an essential member of a high performing management team who oversees client account activities, clinician/provider privileging and credentialing functions. The manager ensures the organization is compliant with local, state, and federal standards, policies, and guidelines. Work collaboratively to create and maintain a culture of excellence and dedication to providing compassionate and high-quality care to the people we serve and the community.</span></p>\n\n<p><span style=\"font-size:12px;\"><strong>EDUCATION AND EXPERIENCE:</strong><br />\n&#8226;&#160;&#160; &#160;Bachelor&#8217;s degree or higher in business, healthcare administration or another related field.&#160;<br />\n&#8226;&#160;&#160; &#160;At least two (2) years&#8217; previous experience in a supervisory or management capacity required.</span></p>\n\n<p><span style=\"font-size:12px;\"><strong>DUTIES &amp; RESPONSIBILITIES:</strong><br />\n&#8226;&#160;&#160; &#160;Oversee and optimize the end-to-end revenue cycle, including charge entry, coding, claims submission,&#160;payment posting, and collections.<br />\n&#8226;&#160;&#160; &#160;Develop, implement, and maintain revenue cycle policies and procedures<br />\n&#8226;&#160;&#160; &#160;Manage daily operations of the revenue cycle department to meet financial and operational goals<br />\n&#8226;&#160;&#160; 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&#160;Ensure adherence to HIPAA, payer requirements, and federal/state regulations<br />\n&#8226;&#160;&#160; &#160;Maintain up-to-date knowledge of payment reform and industry changes<br />\n&#8226;&#160;&#160; &#160;Oversee internal and external audits, including quarterly coding audits, and implement corrective actions<br />\n&#8226;&#160;&#160; &#160;Ensure provider documentation is completed accurately and within required timelines<br />\n&#8226;&#160;&#160; &#160;Hands-on problem-solver in all aspects of collecting and billing including but not limited to working with funding partners.<br />\n&#8226;&#160;&#160; &#160;Performs personnel functions such as hiring, training, terminating, and conducting employee evaluations and disciplinary actions, as necessary.&#160;<br />\n&#8226;&#160;&#160; &#160;Ensure accuracy and integrity of patient billing information and internal records<br />\n&#8226;&#160;&#160; &#160;Responsible for updating and correcting authorization errors that prevent services from being billed. &#160;<br />\n&#8226;&#160;&#160; &#160;Monitors and maintains insurance contracts with all payers.&#160;<br />\n&#8226;&#160;&#160; &#160;Ensures all providers are associated with each health plan contract and system is set up to accurately bill those health plans.&#160;<br />\n&#8226;&#160;&#160; &#160;Stays abreast of payment reform changes and advises the administration team of these changes and provides recommendations for changes necessary.&#160;<br />\n&#8226;&#160;&#160; &#160;Lead end-to-end provider credentialing and enrollment processes<br />\n&#8226;&#160;&#160; &#160;Ensure timely credentialing/privileging, re-credentialing, and payer enrollment of behavioral health employees and clinic locations.&#160;<br />\n&#8226;&#160;&#160; &#160;Enroll, update and re-attest as necessary for all health plan enrollment activity, keeping a detailed listing of all providers and their status with each contracted health plan.&#160;<br />\n&#8226;&#160;&#160; &#160;Establish and maintain compliant credentialing policies and workflows<br />\n&#8226;&#160;&#160; 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Provide summary and reports to senior leadership team.<br />\n&#8226;&#160;&#160; &#160;Responsible for recommending changes to the senior director that would improve service delivery.&#160;<br />\n&#8226;&#160;&#160; &#160;Support the CFO with financial reporting, audits, and cost reporting<br />\n&#8226;&#160;&#160; &#160;Enhance workflow and revenue outcomes by analyzing (clinical) operational implementations, events, and potentially extended service lines of care that may result in&#160; &#160; &#160; &#160; &#160;heightened reimbursement.&#160;<br />\n&#8226;&#160;&#160; &#160;Tracking and updating clinical reports and ensuring timely and routine updates are provided by clinical services team members. &#160; &#160; &#160;<br />\n&#8226;&#160;&#160; &#160;Completion of reports from DWIHN to include but not limited disenrollment report and MCO report.<br />\n&#8226;&#160;&#160; &#160;Participates in continued professional development including research and program presentation activities.<br />\n&#8226;&#160;&#160; 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&#160;Ability and willingness to work with all members of the community regardless of race, age, gender and cultural or ethnic background.<br />\n&#8226;&#160;&#160; &#160;Ability to represent the agency in a professional manner.</span></p>\n\n<p><br />\n<span style=\"font-size:12px;\"><strong>LICENSING AND OTHER REQUIREMENTS:</strong><br />\n&#8226;&#160;&#160; &#160;Must have a valid State of Michigan driver&#8217;s license and automobile insurance.</span></p>\n\n<p align=\"center\" class=\"ignore-global-css\" style=\"text-align:center;\"><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span><strong><span><span style=\"color:#444444;\">Starfish Family Services is an Equal Opportunity Employer&#160;</span></span></strong></span></span></span></p>\n\n<p align=\"center\" class=\"ignore-global-css\" style=\"text-align:center;\"><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span><strong><span><span style=\"color:#444444;\">EOE/M/F/D/V</span></span></strong></span></span></span></p>",
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