Manager, Revenue Cycle Management

<div class="content-intro"><p class="x_MsoNormal"><strong data-olk-copy-source="MessageBody">WHO WE ARE</strong></p> <p class="x_MsoNormal">NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.</p> <p class="x_MsoNormal">NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.</p></div><p>The Manager of Revenue Cycle Management oversees revenue cycle operations across Centrum's medical centers, including Ponsol and Neighborhood Health, ensuring accurate reimbursement, regulatory compliance, and financial integrity across Medicare Advantage, ACA/Exchange, and Medicaid lines of business. This role is responsible for the back-end revenue cycle, including claims adjudication, denial management, appeals, payment posting, accounts receivable, and reimbursement reconciliation.</p> <p>The Manager develops and oversees revenue cycle processes to ensure timely claim resolution, accurate payment posting, effective accounts receivable management, and compliance with CMS, state Medicaid, HIPAA, and payer-specific requirements. The role also manages the fee-for-service (FFS) billing vendor, monitors performance against established standards, and implements controls to ensure claims and payments are accurately processed and reconciled.</p> <p>Working in partnership with Finance, Operations, Medical Coding, and Medical Auditing, the Manager drives revenue integrity initiatives, supports clean-claim performance, improves reimbursement outcomes, oversees revenue cycle education for clinic leadership, and ensures effective collection of copays and point-of-service balances. This position also resolves complex payer and patient billing issues and performs other duties as assigned in support of departmental and organizational financial performance</p> <div> <p><strong>SCOPE OF WORK</strong></p> </div> <p><em>This position carries revenue cycle responsibility across all Centrum centers (including Ponsol and Neighborhood Health), with primary ownership of the post-submission cycle, and is expected to operate cross-functionally and flexibly as organizational ne