Revenue Cycle Manager

Description:

Zinnia Health is a fast-growing integrated healthcare company. We value our employees and care for our clients. Do you have unique talents that you would like to share with others? We would love to have you join our team!

• Competitive Pay
• Career Development
• Competitive Benefits & 401k
• Values: Integrity, Teamplay, 1% Better Each Day

We are seeking an experienced and detail-oriented Revenue Cycle Manager to join our team. This position plays a critical role in managing the entire revenue cycle, from patient intake to final payment. The ideal candidate will have a strong background in healthcare billing, insurance verification, and compliance, with a focus on substance abuse treatment services. Are you someone who understands the full RCM lifecycle end to end and is strong at troubleshooting issues with payors and clearinghouses? Then this may be the right role for you.

Schedule/Hours: Monday through Friday, 8:30 a.m. to 4:30 p.m., Full-Time/ 40 Hours Salaried position

Location: This a hybrid position, with the requirement that the candidate be local to Rhode Island

Key Responsibilities:

• Manage all aspects of the revenue cycle including intake authorization, insurance verification, billing, coding, claims submission, payment posting, and collections.
• Ensure timely and accurate submission of insurance claims for detox, residential, PHP, IOP, and outpatient levels of care.
• Supervise revenue cycle staff and provide training, development, and performance evaluations.
• Monitor and reduce days in accounts receivable; track key revenue cycle KPIs and generate regular reports.
• Collaborate with clinical and admissions teams to ensure documentation supports billing and payer requirements.
• Respond to payer audits and oversee appeal processes for denied claims.
• Maintain compliance with HIPAA, state and federal regulations, and industry billing standards.
• Evaluate and optimize revenue cycle workflows, recommending systems and process improvements as needed.

Qualifications:

• High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, business, or related field preferred.
• Minimum of 2-3 years of experience in healthcare revenue cycle management, preferably in substance abuse treatment, behavioral health, or related settings.
• Familiarity with substance abuse treatment codes (e.g., ICD-10, CPT) and payer-specific guidelines.
• Strong knowledge of insurance verifications, claims submission, and collections processes.
• Proficiency with revenue cycle management software and electronic health records (EHR) systems.
• Ability to analyze data, identify trends, and generate reports.
• Strong communication and customer service skills, with the ability to interact effectively with insurance companies, patients, and internal teams.
• Detail-oriented with excellent organizational and problem-solving skills.
• Knowledge of HIPAA and healthcare privacy regulations.
• Certification in healthcare billing (e.g., CBCS, CCS, CHFP) is a plus.

If you're ready to contribute to a mission-driven organization and be a catalyst for positive change, we'd love to hear from you! Join us in making a difference in the lives of those seeking recovery. Apply today!

Requirements: