Who We Are: At Midwest Behavioral Health Center, our mission is to transform lives and inspire wellness through evidence-based care. To provide our patients with the best possible outcomes, we recognize the importance of cultivating a nurturing, dynamic, safe, and inclusive work environment. We strive to be a premier employer of choice as we aspire to set the standard for compassionate care. Midwest Behavioral Health Center is designed to provide a full continuum of comprehensive inpatient and outpatient behavioral health services to children, adolescents, and adults in need of support in our community.

Who We Are Looking For: Midwest Behavioral Health Center is seeking a proactive Revenue Cycle Manager with a strong, comprehensive background in revenue cycle management who is passionate for the services we provide. Position Overview: The Revenue Cycle Manager is a key member of the MBHC administrative team. They are responsible for the oversight and execution of the entire revenue cycle for a diverse payor mix. They will ensure accurate billing, claims processing, payor relations, and strategic growth planning. The Revenue Cycle Manager will also have a participating role in fostering a positive and collaborative work environment.

Key Responsibilities:

● Critical to understand, fully believe in, and be responsible for conducting MBHC’s mission and vision.

● Oversee the full revenue cycle management process, including patient registration accuracy, insurance verification, charge capture, claim submission, payment posting, denial management, and accounts receivable follow-up.

● Supervise, manage, and mentor the revenue cycle team in accordance with policy and identified need for professional development. This includes but is not limited to: scheduling, supervision, regular performance evaluations, goal setting, constructive feedback, corrective action, performance improvement planning, and individualized support.

● Prepare and submit clean claims to the appropriate payors. This may include state contracts, commercial insurance, Medicaid, Medicare, and out-of-network payors.

● Ensure accuracy and compliance with payor-specific guidelines, coding, and documentation requirements.

● Monitor and follow up on submitted claims to ensure timely payment and resolve any issues related to denials or rejections.

● Analyze revenue cycle management reports and key performance indicators to optimize financial performance and identify trends or issues in billing processes.

● Review and verify patient insurance benefits, collect and process co-pays, monitor deductibles to adjust billing accordingly, and communicate out-of-pocket costs to patients.

● Set up and maintain billing systems and payor profiles within the EMR, practice management systems, and other related platforms.

● Ensure all systems reflect current CPT, ICD-10, HCPCS codes, and payor requirements.

● Support internal audits and external reviews with complete and accurate billing documentation.

● Identify and implement process improvements that enhance billing accuracy, speed, and regulatory compliance.

● Understand, remain informed, implement, and adhere to all current federal, state, accreditor, licensure, payor, or internal policies, procedures, and protocols applicable to billing operations.

● Provide ongoing needed or required training and education to staff, as assigned.

● Support leadership in future planning and initiatives for network and revenue growth.

● Participate in payor contract discussions, negotiations, onboarding, and performance analysis, as assigned.

● Build and maintain effective relationships with payor representatives to resolve issues. ● Ensure identified facility or department metrics and key performance indicators are achieved.

Education and Experience:

● Associate or bachelor’s degree in healthcare administration, Finance, or related field preferred; a high school diploma or equivalent required.

● A minimum of 3 years of experience in medical billing and revenue cycle management is required.

● A minimum of 1 year of experience in behavioral healthcare setting is required.

● A minimum of 1 year of experiencing in a leadership role is required.

● Strong knowledge of commercial insurance, Medicaid (Michigan), Medicare, and out-of-network billing procedures required.

● Proficiency in using billing software and EMR systems required.

● Understanding of RCM best practices and metrics.

● Competency and experience with CPT, ICD-10, and HCPCS coding specific to behavioral health.

● Strong analytical and problem-solving skills, verbal and written communication skills, and organizational skills with the ability to prioritize workload and meet deadlines.

● Excellent interpersonal and conflict resolution skills with ability to work effectively in a time environment across all departments.

● Understanding of diverse cultures and gender specific issues and the ability to incorporate needs of gender and culturally diverse groups into the organization.

● Exhibits excellent customer relation skills as evidenced by supportive and constructive communication with all contacts including coworkers, patients, stakeholders, payors, contractors, visitors, families, and referral sources.

Non-Discrimination Statement: Great Midwest Group and Midwest Behavioral Health are equal opportunity employers. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on performance as aligned with our Mission, Vision, and Five Areas of Focus. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. We believe there is power in diversity and that a diverse workforce representing the people and communities we serve is critical to our success and the quality of our care.

Job Type: Salary

Schedule: Varies Ability to Commute: Tecumseh, MI 49286 (Required) Ability to Relocate: Tecumseh, MI 49286: Relocate before starting work (Preferred) Work Location: on site

Send resumes to: contact@midwestbhc.com/ Attn: Beth Watters

We are looking to add an experienced Billing Specialist to our team! As a billing specialist, some of the main tasks you will be responsible for are:

- Submitting claims to insurance companies

- Following up on outstanding insurance claims and adjusting as necessary

- Processing denials - Obtain new insurance information from patients

- Answer patient questions about their bill

-Other department duties; this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee.

-The employee may perform other related duties as assigned by their supervisor.

Experience

- Previous experience working in a mental health setting or medical office required

- Familiarity with medical terminology, coding systems (ICD-10), and medical records Required Skills and Abilities Excellent communication skills including active listening.

Strong and clear writing/typing skills, including proper spelling and grammar Service

-oriented and able to resolve patient grievances with empathy and understanding.

Proficient computer skills with the ability to learn and navigate new software.

Ability to work well with co-workers and in a team setting Ability to accept and apply feedback

Ability to work independently Regular and predictable attendance In person work required for regular face to face collaboration with co-workers and supervisor.

Valid Driver's License

Ability to pass a background check 2+ year billing in a medical office setting

Preferred: Experience billing in a mental health & primary care practice setting

Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times

Education: High school or equivalent (Required)

Experience: Medical billing: 3 + years (Required)

Shift availability: Day Shift Part-time 9:00am -1:00pm

Tue-Wed-Thur-Fri 1:00pm- 5:00pm

Tue-Wed-Thur-Fri Ability to Commute: Grand Rapids, MI 49505 (Required)

Work Location: In person (Required)

Please send cover letter and resume to attention of info@noblehealthcaresolutions.com