Postgraduate Center for Mental Health
Insurance and Billing Operations Manager
Postgraduate Center for Mental Health, New York, New York, us, 10261
Insurance and Billing Operations Manager
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Insurance and Billing Operations Manager
role at
Postgraduate Center for Mental Health
Compensation Base pay range: $79,824.00/yr – $90,000.00/yr
Job Scope The Insurance and Billing Operations Manager is responsible for overseeing all insurance, billing, and eligibility functions across two mental health clinics. The Manager serves as the primary liaison between clinical teams, billing departments, insurance carriers, and administrative leadership, ensuring a seamless revenue cycle from intake through reimbursement.
Essential Functions
Oversee daily insurance eligibility verification for new and returning clients, ensuring authorizations and required documentation are obtained prior to service.
Manage billing workflow for two clinics, ensuring accurate and timely claim submission and monitoring claim status to address rejections.
Conduct routine audits of billing accuracy, CPT coding alignment, and documentation compliance.
Track and report on revenue cycle KPIs such as days in A/R, denial rate, and clean claim rate.
Serve as point person for escalated billing and insurance disputes, collaborating with carriers to resolve reimbursement discrepancies.
Partner with clinic leadership and train staff on eligibility workflows, documentation standards, and billing expectations.
Develop and maintain SOPs for eligibility checks, billing escalations, and dispute resolution.
Build strong relationships with insurance carriers and serve as the primary contact for payer representatives regarding clinic billing, claims, credentialing, and operational needs.
Qualifications
Bachelor’s degree in Business, Healthcare Administration, Finance, or related field (Master’s preferred).
Minimum 5 years of experience in healthcare billing, insurance eligibility, or revenue cycle management (behavioral health preferred).
Strong knowledge of commercial plans, Medicaid, Medicare, and managed care.
Experience working with EHR and billing platforms.
Excellent communication, analytical, and problem‑solving skills.
Ability to work independently, manage competing priorities, and support multiple clinic sites.
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Insurance and Billing Operations Manager
role at
Postgraduate Center for Mental Health
Compensation Base pay range: $79,824.00/yr – $90,000.00/yr
Job Scope The Insurance and Billing Operations Manager is responsible for overseeing all insurance, billing, and eligibility functions across two mental health clinics. The Manager serves as the primary liaison between clinical teams, billing departments, insurance carriers, and administrative leadership, ensuring a seamless revenue cycle from intake through reimbursement.
Essential Functions
Oversee daily insurance eligibility verification for new and returning clients, ensuring authorizations and required documentation are obtained prior to service.
Manage billing workflow for two clinics, ensuring accurate and timely claim submission and monitoring claim status to address rejections.
Conduct routine audits of billing accuracy, CPT coding alignment, and documentation compliance.
Track and report on revenue cycle KPIs such as days in A/R, denial rate, and clean claim rate.
Serve as point person for escalated billing and insurance disputes, collaborating with carriers to resolve reimbursement discrepancies.
Partner with clinic leadership and train staff on eligibility workflows, documentation standards, and billing expectations.
Develop and maintain SOPs for eligibility checks, billing escalations, and dispute resolution.
Build strong relationships with insurance carriers and serve as the primary contact for payer representatives regarding clinic billing, claims, credentialing, and operational needs.
Qualifications
Bachelor’s degree in Business, Healthcare Administration, Finance, or related field (Master’s preferred).
Minimum 5 years of experience in healthcare billing, insurance eligibility, or revenue cycle management (behavioral health preferred).
Strong knowledge of commercial plans, Medicaid, Medicare, and managed care.
Experience working with EHR and billing platforms.
Excellent communication, analytical, and problem‑solving skills.
Ability to work independently, manage competing priorities, and support multiple clinic sites.
#J-18808-Ljbffr