What are the responsibilities and job description for the RCM Behavioral Health Back-End Manager position at Medusind?
Medusind is a leading provider of revenue cycle management solutions to dental, behavioral health, anesthesia, pathology, emergency, surgery, radiology, and other specialties. In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country.
Position Overview :
The Behavioral Health Back-End Manager is responsible for overseeing the day-to-day revenue cycle management (RCM) operations of the AR and Posting departments, within the Behavioral Health division. This role ensures efficiency, compliance, and accuracy in claims processing (AR), denials management, and payment posting operations. The Back-End Manager collaborates with Front-End Manager to streamline workflows, improve financial performance, achieve accuracy, and maintain regulatory compliance in alignment with industry best practices.
Key Responsibilities :
- Strategic Planning & Execution : Oversee back-end behavioral health RCM processes, including AR processes, denials management, appeals, payment posting, and ancillary specialties. Understand, develop and implement SOPs to optimize operational efficiency and minimize revenue leakage.
- Cost Reduction Initiatives : Identify trends in denials and rejections, implementing corrective actions to maximize revenue recovery.
- Weekly / Monthly Reporting : Monitor key performance indicators (KPIs) and drive improvements in cash flow, collections, and reimbursement rates. Understand and conduct root cause analysis to achieve benchmarking on underperforming KPI.
- Technical Skills : Assist in technology implementation and automation initiatives to enhance efficiency and reduce manual errors.
- Collaboration & Communication : Collaborate with cross-functional teams, including front-end operations, finance, and compliance, to resolve billing issues and improve workflows.
- Team Leadership & Development : Lead and motivate teams to achieve performance goals, foster a collaborative environment, and ensure clear communication across all levels. Provide effective feedback and manage relationships with internal and external stakeholders through strong negotiation and public speaking skills. Develop and deliver facility onboarding and adhoc trainings.
- Regulatory Compliance : Keep up with industry trends, regulatory changes, and payer policies. Ensure compliance with payer policies, state and federal regulations, and HIPAA Part 2 requirements.
- Operational & Organizational Management – Prioritize and delegate tasks effectively, ensuring smooth project execution and alignment with organizational goals. Develop and mentor employees, optimizing team strengths to improve efficiency and outcomes.
- Problem-Solving & Strategic Decision-Making – Analyze issues logically, think strategically to enhance operations, and make confident decisions under pressure to drive continuous improvement.
- Client Relationship Management : Maintain relationships with insurance payers to address claim resolution, escalations and reimbursement challenges. Utilize data analysis and reporting tools to provide insights and recommendations for process improvements.
Requirements :
About Medusind :
Since 2002, organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape.Medusind’s unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. Client satisfaction is the primary focus of the Medusind leadership and staff.Our highly experienced personnel, cutting edge technology, and forward thinking approach allows us to deliver effective solutions while staying ahead of healthcare industry changes.
