Forge Health
Manager, Revenue Cycle – Forge Health
About Us Forge Health is a mission‑driven outpatient mental health and substance use provider dedicated to delivering high‑quality, affordable, and effective care to individuals, families, and communities. With a national payer‑validated track record across all health areas, we pioneer innovation, improve care delivery, and shape the future of behavioral health.
Who we’re looking for Reporting to the Vice President of Revenue Cycle, the Manager, Revenue Cycle will lead day‑to‑day operations in patient eligibility, charge entry, accounts receivable, and patient invoice management. The role drives billing performance, manages workload inventories, ensures the quality of billing submissions, and actively resolves outstanding billing issues with insurance partners. The manager oversees a team of ~11, monitors performance data, and collaborates with internal stakeholders to achieve accurate revenue collection. This position is remote.
What you’ll be doing Operational Leadership
Execute strategy and lead end‑to‑end revenue cycle functions across coding, billing, and collections, ensuring operational efficiency and compliance.
Manage and develop direct reports, fostering accountability, transparency, and continuous improvement.
Partner with the VP of Revenue Cycle Management to define short‑ and long‑term RCM strategies aligned to company objectives.
Operational Excellence
Oversee daily RCM operations for a high‑volume telehealth practice with extensive payer contracts and multi‑state presence.
Ensure accurate charge capture and coding practices to support compliant reimbursement and appropriate provider documentation.
Own key workflows and process maps for claim submission, follow‑up, denials, and appeals; identify and resolve friction points quickly.
Collaborate with IT to improve automation, EDI connectivity, and billing system integrations.
Actively manage billing work inventories for mental health and substance use disorder services with commercial plans, Medicaid, managed‑care organizations, and Medicare.
Proactively identify situations requiring intervention (denials, underpayments, other issues) and implement corrective action.
Correct staff execution or business process challenges that delay revenue collection.
Ensure patient insurance eligibility is actively managed for smooth billing experiences.
Utilize data to identify performance trends and themes.
Coach and develop the RCM team on performance objectives and professional growth.
Promote a team environment encouraging performance, belonging, and engagement.
Ensure RCM team executes processes per regulations, policies, and procedures.
System, Analytics & Performance Management
Enhance, track, and report on KPIs to identify improvement areas and drive performance.
Partner with IT to develop automated dashboards and monthly reporting packages.
Lead data‑driven performance reviews to uncover trends, root causes, and improvement opportunities.
Leverage deep understanding of revenue cycle systems to recommend technology‑driven process improvements.
Collaborate with IT and product teams to optimize system functionality and adopt new tools.
Serve as a key resource for system training, ensuring team proficiency across platforms.
Identify and address revenue cycle training needs at all organization levels.
Prepare impactful reports, analytics, summaries, and visualizations to communicate findings.
Evaluate and pilot new software solutions to enhance scalability, compliance, and performance.
Cross‑Functional Collaboration
Act as the operational liaison between RCM, Clinical Staff, and Patient Support for documentation and billing alignment.
Partner with Contracting/Credentialing to ensure accurate payer setup, EDI enrollment, and fee schedule updates.
Collaborate with Finance on cash forecasting, revenue recognition, and variance analysis.
Compliance & Continuous Improvement
Maintain compliance with payer and state telehealth billing requirements.
Lead initiatives to improve claim accuracy, reduce denials, and accelerate cash collections.
Identify automation and system enhancement opportunities to improve efficiency and scalability.
How we define success
Bachelor’s degree in healthcare administration, business, finance, or a related field (Master’s preferred).
At least 7 years of revenue cycle management experience in healthcare with increasing responsibility.
Experience with commercial insurance, Medicaid, and Medicare programs.
Behavioral health revenue cycle experience preferred.
Strong analytical and problem‑solving skills to interpret complex financial data.
Comprehension of payor contracts and their complexities.
Excellent leadership, with a track record of building high‑performing teams in addiction treatment facilities.
Solid understanding of healthcare regulations, including HIPAA and substance abuse confidentiality.
Proficiency in revenue cycle management software and systems.
Professional certifications in revenue cycle management or addiction treatment billing are highly preferred.
The opportunity We actively pursue integrity, talent, and passion for high‑quality mental health and substance use care. Our core values—Fulfilling, Optimistic, Reciprocal, Grateful, Evidence‑Based—guide everything we do.
The package
Competitive salary aligned with experience (base $70k–$90k).
Comprehensive paid time off package.
Annual time off to volunteer.
Parental leave.
Annual continuing education allocations.
Competitive medical, dental, and vision coverage.
Annual subscription to a leading meditation app.
Professional development support, including financing for advanced licensure and certifications.
Internal supervision opportunities.
Opportunity to join a highly ambitious medical startup.
Modern, elegant, high‑end work environment.
Equal Employment Opportunity We are committed to equal employment opportunity. We give equal consideration to all applicants when filling positions without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, actual or perceived disability, genetic information, marital status, or any other status not related to an applicant’s ability to perform the job duties. All employment practices will be carried out in accordance with federal, state, and local laws.
We will fully comply with regulations and requirements set out by the Americans with Disabilities Act (ADA) and the ADA Amendments Act (ADAAA). We will not discriminate against applicants or other individuals with real or perceived disabilities. When needed, we will provide reasonable accommodation to otherwise qualified candidates so that they are able to perform the essential functions of the position.
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About Us Forge Health is a mission‑driven outpatient mental health and substance use provider dedicated to delivering high‑quality, affordable, and effective care to individuals, families, and communities. With a national payer‑validated track record across all health areas, we pioneer innovation, improve care delivery, and shape the future of behavioral health.
Who we’re looking for Reporting to the Vice President of Revenue Cycle, the Manager, Revenue Cycle will lead day‑to‑day operations in patient eligibility, charge entry, accounts receivable, and patient invoice management. The role drives billing performance, manages workload inventories, ensures the quality of billing submissions, and actively resolves outstanding billing issues with insurance partners. The manager oversees a team of ~11, monitors performance data, and collaborates with internal stakeholders to achieve accurate revenue collection. This position is remote.
What you’ll be doing Operational Leadership
Execute strategy and lead end‑to‑end revenue cycle functions across coding, billing, and collections, ensuring operational efficiency and compliance.
Manage and develop direct reports, fostering accountability, transparency, and continuous improvement.
Partner with the VP of Revenue Cycle Management to define short‑ and long‑term RCM strategies aligned to company objectives.
Operational Excellence
Oversee daily RCM operations for a high‑volume telehealth practice with extensive payer contracts and multi‑state presence.
Ensure accurate charge capture and coding practices to support compliant reimbursement and appropriate provider documentation.
Own key workflows and process maps for claim submission, follow‑up, denials, and appeals; identify and resolve friction points quickly.
Collaborate with IT to improve automation, EDI connectivity, and billing system integrations.
Actively manage billing work inventories for mental health and substance use disorder services with commercial plans, Medicaid, managed‑care organizations, and Medicare.
Proactively identify situations requiring intervention (denials, underpayments, other issues) and implement corrective action.
Correct staff execution or business process challenges that delay revenue collection.
Ensure patient insurance eligibility is actively managed for smooth billing experiences.
Utilize data to identify performance trends and themes.
Coach and develop the RCM team on performance objectives and professional growth.
Promote a team environment encouraging performance, belonging, and engagement.
Ensure RCM team executes processes per regulations, policies, and procedures.
System, Analytics & Performance Management
Enhance, track, and report on KPIs to identify improvement areas and drive performance.
Partner with IT to develop automated dashboards and monthly reporting packages.
Lead data‑driven performance reviews to uncover trends, root causes, and improvement opportunities.
Leverage deep understanding of revenue cycle systems to recommend technology‑driven process improvements.
Collaborate with IT and product teams to optimize system functionality and adopt new tools.
Serve as a key resource for system training, ensuring team proficiency across platforms.
Identify and address revenue cycle training needs at all organization levels.
Prepare impactful reports, analytics, summaries, and visualizations to communicate findings.
Evaluate and pilot new software solutions to enhance scalability, compliance, and performance.
Cross‑Functional Collaboration
Act as the operational liaison between RCM, Clinical Staff, and Patient Support for documentation and billing alignment.
Partner with Contracting/Credentialing to ensure accurate payer setup, EDI enrollment, and fee schedule updates.
Collaborate with Finance on cash forecasting, revenue recognition, and variance analysis.
Compliance & Continuous Improvement
Maintain compliance with payer and state telehealth billing requirements.
Lead initiatives to improve claim accuracy, reduce denials, and accelerate cash collections.
Identify automation and system enhancement opportunities to improve efficiency and scalability.
How we define success
Bachelor’s degree in healthcare administration, business, finance, or a related field (Master’s preferred).
At least 7 years of revenue cycle management experience in healthcare with increasing responsibility.
Experience with commercial insurance, Medicaid, and Medicare programs.
Behavioral health revenue cycle experience preferred.
Strong analytical and problem‑solving skills to interpret complex financial data.
Comprehension of payor contracts and their complexities.
Excellent leadership, with a track record of building high‑performing teams in addiction treatment facilities.
Solid understanding of healthcare regulations, including HIPAA and substance abuse confidentiality.
Proficiency in revenue cycle management software and systems.
Professional certifications in revenue cycle management or addiction treatment billing are highly preferred.
The opportunity We actively pursue integrity, talent, and passion for high‑quality mental health and substance use care. Our core values—Fulfilling, Optimistic, Reciprocal, Grateful, Evidence‑Based—guide everything we do.
The package
Competitive salary aligned with experience (base $70k–$90k).
Comprehensive paid time off package.
Annual time off to volunteer.
Parental leave.
Annual continuing education allocations.
Competitive medical, dental, and vision coverage.
Annual subscription to a leading meditation app.
Professional development support, including financing for advanced licensure and certifications.
Internal supervision opportunities.
Opportunity to join a highly ambitious medical startup.
Modern, elegant, high‑end work environment.
Equal Employment Opportunity We are committed to equal employment opportunity. We give equal consideration to all applicants when filling positions without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, actual or perceived disability, genetic information, marital status, or any other status not related to an applicant’s ability to perform the job duties. All employment practices will be carried out in accordance with federal, state, and local laws.
We will fully comply with regulations and requirements set out by the Americans with Disabilities Act (ADA) and the ADA Amendments Act (ADAAA). We will not discriminate against applicants or other individuals with real or perceived disabilities. When needed, we will provide reasonable accommodation to otherwise qualified candidates so that they are able to perform the essential functions of the position.
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