Revenue Cycle Manager

City/State: Bronx, New York

Grant Funded: Yes

Department: DOSA - Finance

Work Shift: Day

Work Days: MON-FRI

Scheduled Hours: 9 AM-5 PM

Scheduled Daily Hours: 7.5 HOURS

Pay Range: $112,000.00-$140,000.00

Position Summary

The Revenue Cycle Manager is responsible for overseeing all facility revenue cycle operations for multiple Article 32 Behavioral Health Clinics at Montefiore. This role ensures accurate billing, collections, regulatory compliance, and optimal financial performance across addiction outpatient substance abuse, chemical dependency, psychiatry and psychology services. The manager partners closely with clinical leadership, finance, and operations to drive revenue integrity, reduce denials, and improve cash collections.

Key Responsibilities

Revenue Cycle Operations

• Oversee end-to-end revenue cycle functions, including charge capture, coding, billing, claims submission, payment posting, and A/R follow-up
• Ensure timely and accurate submission all facility claims
• Monitor key performance metrics (charges, collections, denial rates, lag days) and implement improvement initiatives
• Manage error logs, work queues and staff assignments to ensure efficient workflows and coverage

Billing Compliance & Regulatory Oversight

• Ensure compliance with Article 32, OASAS, Medicaid, Medicare, Essential and commercial payer requirements
• Oversee billing documentation and coding accuracy for addiction, psychiatric and psychological services (E/M, psychotherapy, modifiers and add-on codes)
• Maintain audit readiness and respond to internal and external audits
• Develop and maintain billing and documentation policies aligned with regulatory guidance

Denials Management & Revenue Optimization

• Analyze denial trends and implement corrective action plans
• Partner with billing vendor, coding, front-end, and clinical teams to address root causes (e.g., authorization, eligibility, documentation gaps)
• Drive improvements in clean claim rate and overall reimbursement performance
• Identify opportunities to optimize payer mix, coding utilization, and visit capture
• Attend various payor meetings to address systematic denial challenges

Team Leadership & Staff Development

• Manage revenue cycle staff, including hiring, training, and performance oversight
• Provide ongoing education to staff, administration and providers on billing rules and workflow updates
• Establish productivity benchmarks and monitor team performance

Provider & Operational Support

• Collaborate with clinic leadership and administration to improve timeliness of all providers in closing services
• Support onboarding of new providers, programs, and service lines (billing setup and workflows)
• Partner with front-end teams and clinical managers to ensure accurate registration, insurance verification, and authorization processes if required by the individual plan

Reporting & Financial Analysis

• Prepare and present revenue cycle dashboards and KPIs to leadership
• Conduct variance analyses (volume, rate, payer mix) to identify performance drivers
• Support budgeting and forecasting processes

Qualifications

Education & Experience

• Bachelor’s degree required (Healthcare Administration, Finance, or related field preferred)
• 5+ years of revenue cycle experience, including 2–3 years in a supervisory or management role
• Experience in Behavioral Health, Addiction, Psychiatry, or Article 31/32 clinics strongly preferred

Technical Knowledge

• Behavioral health CPT and HCPCS coding (E/M, psychotherapy, testing)
• Medicaid/Medicare/Essential/Commercial billing rules, including NYS Medicaid Article 32 regulatory requirements
• Epic, IMA, SMARTCloud or similar EMR/billing systems

Skills

• Strong analytical and problem-solving capabilities
• Ability to translate data into actionable insights
• Effective communication and stakeholder management
• High attention to detail with a focus on compliance and accuracy

Preferred Qualifications

• CPC, CPB, or similar certification
• Experience managing hospital billing (HB)
• Experience in an academic medical center or large health system

VK-LI Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Since its inception in 1884, Montefiore’s mission has been to heal, to teach, to discover and advance the health of the communities we serve.

Montefiore's state-of-the-art facilities include the internationally-recognized Children’s Hospital at Montefiore and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation.

Combined with a growing number of locations for primary and specialty care throughout the Bronx and Westchester County, Montefiore is the ideal organization to apply and hone your expertise.

An assortment of insurance products and discount programs through Voluntary Benefits.

Check out our comprehensive benefits available to you when you join our outstanding team! To heal, to teach, to discover and to advance the health of the communities we serve.

To be a premier academic medical center that transforms health and enriches lives.

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