Revenue Cycle Manager

VITRA Health  is hiring, and we believe that our team is the key to our success. That is why we are looking for a Revenue Cycle Manager   to join our team. If you are a passionate, caring, motivated professional who is looking to make a difference in your community, we encourage you to apply today!

Vitra Health is a mission-driven healthcare services organization dedicated to strengthening families and communities by supporting caregivers and enabling individuals with disabilities or chronic medical needs to remain safely and comfortably in their homes. Through programs such as Adult Foster Care (AFC), Group Adult Foster Care (GAFC), and Adult Day Health, Vitra Health provides personalized care plans, financial support for caregivers, and culturally competent case management across Massachusetts.

The Revenue Cycle Manager manages all activities, processes, and functions of Revenue Cycle Operations for Vitra Health in accordance with state and federal regulatory mandates and best practices. In addition, the position is responsible for tracking, monitoring, and maintaining all key revenue cycle metrics and proactively identifying revenue and process opportunities.

Essential Functions:

• Develop, mentor and lead RCM staff by fostering communication, providing ongoing training, and problem solving.
• Be metrics driven leader and generate KPI's and financial reports related to revenue cycle performance
• Ensure accurate billing, timely follow up, and compliance with regulatory requirements to optimize revenue generation.
• Monitors accounts receivable aging reports and ensures RCM team maintains timely denial management
• Maintain up-to-date knowledge of billing regulations and compliance standards
• Identifies opportunities for process improvement to enhance revenue cycle efficiency
• Works closely with compliance to ensure billing practices are aligned with state and federal laws
• Provides supervision and training of staff and software and knowledge of regulations concerning their areas of responsibility.
• Monitors the payment reconciliation process with the accounting department for accuracy and compliance
• Maintains payer contracting and payer relationships
• Other duties as assigned

Competencies Required:

• Must have deep RCM experience and supervisory experience managing healthcare billing teams
• Understanding of federal, State, and private health insurance programs, billing, eligibility standards, and coding
• Principles and practices of conducting and responding to internal and external audits

Education, Experience,

• A minimum of five (5) years of full-time or experience in a revenue cycle leadership position
• Bachelor's degree in finance, business administration, healthcare administration, or related field Preferred (Or equivalent Work Experience)
• Proven experience in healthcare billing, payer contracting and denial management
• Sound knowledge of health insurance providers
• Strong interpersonal and organizational skills
• Excellent customer service skills as well as problem-solving skills
• The ability to work in a fast-paced environment
• A thorough understanding of healthcare regulations, compliance standards, and their application in billing practices.
• Ability to identify billing issues, propose solutions, and implement changes to improve revenue cycle efficiency.

Physical and Environmental Demands:

In office position – Braintree, MA. Works in a clean, well-lit environment with fluctuating temperatures in close proximity to others. Requires substantial periods of repetitive work utilizing a computer, headset, monitor, keyboard, and mouse. Requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual, hearing acuity and manual dexterity to operate equipment. Perks and Benefits:

• Health Insurance with a 75% employer contribution.
• Dental and Vision Benefits.
• Supplemental Benefits
• Life, Accident, Critical Illness and Disability Insurance.
• 401K with a company match.
• Accrued Paid-Time-Off.
• ADP LifeMart Corporate Discounts
• Competitive Pay Rates.
• Wellness Benefits.
• Tuition Reimbursement. 
• Supportive team structure and company culture with a focus on work/life balance.

Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

#LP