Job Description

Title: Revenue Operations Manager

Location: On Site Position

26460 Summit Circle

Santa Clarita, CA 91350

Reports To: CFO

Time/Status Regular/Full - Monday through Friday

Company Overview: American Health Services is a reputable healthcare organization dedicated to providing innovative and compassionate medication-assisted treatment solutions. Our mission is to empower individuals on the path to recovery from substance use disorders through evidence-based care and support.

Position Overview: We seek a highly organized and detail-oriented professional to join our team as a Revenue Operations Manager. This role will oversee billing processes, manage insurance contracts, and produce Key Performance Indicator (KPI) reports to optimize our treatment facilities' financial health and performance. This position requires knowledge concerning medication-assisted treatment billing and the ability to coordinate with the IT team.

Responsibilities:Billing Supervision

Oversee end-to-end billing processes, ensuring accuracy, compliance, and timely claims submission.
Collaborate with the billing team to address and resolve billing discrepancies, denials, and appeals.
Conduct regular audits to maintain billing accuracy and compliance with healthcare regulations.
Stay abreast of changes in billing codes, regulations, payer requirements and billing software

Contracting with Insurances:

Manage relationships with insurance providers to negotiate, implement, and maintain favorable contracts.
Stay informed about industry trends, reimbursement rates, and changes in insurance policies.
Ensure timely renewal and negotiation of contracts to optimize reimbursement rates.
Collaborate with legal and finance teams to review and execute insurance contract

Producing KPI & Management Reports:

Develop and generate comprehensive KPI reports, highlighting financial and operational performance metrics.
Analyze data to identify trends, assess performance against benchmarks, and provide actionable insights.
Collaborate with various departments to gather relevant data for reporting purposes.
Present KPI reports to leadership, offering recommendations for performance improvement.

Knowledge and Experience

o Billing Medicare, Medicaid, Medi-Cal

o Resolve Denials

o Medical Credentialing

o Account Reconciliation

o Revenue Cycle Operations Processes & Procedures

o Contract Negotiations

o Workflow Optimization

o Conflict Resolution & Management

o Cross-Functional Team Collaboration

o Change Management

Qualifications:

Bachelor's degree in Healthcare Administration, Finance, or a related field.
Minimum of 3 years of experience in healthcare billing, insurance contracting, and revenue cycle management.
Strong knowledge of healthcare billing regulations, including Medicaid and private insurance.
Experience negotiating and managing contracts with insurance providers.
Proficiency in data analysis and reporting tools.
Excellent communication skills with the ability to convey complex information to diverse stakeholders.

Salary __________________________________________________________________________

Negotiable depending upon degree of experience, knowledge, skill, ability, and qualifications.

Benefits___________________________________________________________________

Benefits will be discussed as part of the interview process.

· Health Insurance

· Life Insurance

· Retirement

· Holidays and PTO

How to Apply

If you would like to be considered for this position please email your resume to EDomingo@americanhealthservices.org

Job Type: Full-time

Pay: $32.00 - $33.00 per hour