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.