Revenue Cycle Insurance Manager

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 (copays deductibles lifetime caps)
• Ensure appropriate authorizations referrals precertifications and reverifications 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 :

• Bachelors 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 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.

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Remote Work :

No

Employment Type :

Full-time