Job Description
Job Description Job Description SUMMARY The Revenue Cycle Manager is responsible for leading all revenue cycle operations, including behavioral health billing, contract billing, accounts receivable management, payer follow-up, denial management, education funding programs, credentialing support, and revenue cycle analytics. This position ensures timely, accurate reimbursement while maintaining compliance with Ohio Medicaid, Managed Care Organizations (MCOs), and all regulatory requirements. The…
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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