Trilogy Behavioral Health

  • Revenue Cycle Manager

    Req No.
    2019-2431
    Type
    Regular Full-Time
    Department
    Billing
  • Overview

    Trilogy Behavioral Healthcare Inc. strongly believes that treatment services are more effective when provided in the client’s natural setting, hence, the majority of services provided are located in the community.  Trilogy Behavioral Healthcare Inc. also employs a holistic approach to each client’s treatment and integrates all facets of our clients’ lives including mental/emotional health, physical health/wellness, employment and education, social and family relationships, substance use/abuse issues, and housing needs.

     

    Typical services provided include case management, counseling/therapy, individual skills training, medication training, crisis intervention, linkage to community resources, advocacy, assessment, and treatment planning. 

    Responsibilities

    The Revenue Cycle Manager will plan, organize, and direct the work of the Billing Specialists. They will monitor billing activities, performance management, production standards, and quality of results.  The Revenue Cycle Manager will analyze data for claims presentation based on technical and compliance requirements and review claims for quality and compliance.  They will prepare, or supervise the preparation of, and analysis of pre-billing and pre-closing processes and bill presentation to ensure quality, accuracy, and compliance with governmental regulations.

     

    Essential Responsibilities

    • Manage the day-to-day operations and functions of the Billing Department
    • Manage and provide effective supervision, coaching, and leadership to the billing team.  Train employees to provide quality services; and ensure continued education and training to strengthen services provided.
    • Monitor and collect on accounts receivables; and report on delinquent accounts to Supervisor
    • Manage various levels of complexity in resolving accounts receivable insurance payer issues
    • Develop and utilize reports and outputs from a variety of software systems.  Assist in preparing billing and statistical reports.
    • Conduct team meetings regarding billing planning and implementation of department initiatives
    • Assist in balancing accounts receivable reconciling statements
    • Assist in standardizing the methods in which work will be accomplished in the department
    • Assist with changes to the billing system; and participate in the preparation and implementation of a new billing system as needed
    • Perform other related duties and/or projects as assigned

    Qualifications

    Qualifications

    • Six to eight years of experience managing healthcare accounts receivable teams
    • Minimum of five years working in a behavioral healthcare setting
    • Minimum of five years of in-depth knowledge and experience working with Medicaid and Illinois Managed Care Organization (MCO) payers
    • Experience in managing recovery and current accounts receivable projects with insurance payers
    • Experience in leading, training, and developing teams
    • Successful track record in managing rejected/denied accounts receivable claims

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