Job Description:
Job Title: Recoupment Manager, Client Financial Services
Location: Springfield, Missouri
Department: Client Financial Services
Employment Type: Full Time
Are you a detail-oriented financial professional who enjoys solving complex reimbursement challenges while leading a high-performing team? Join our compassionate, collaborative organization as the Recoupment Manager, Client Financial Services, where your expertise will directly support our mission of helping individuals and communities thrive. This role offers the opportunity to lead an essential revenue cycle function, collaborate with organizational leaders, drive process improvements, and make a meaningful impact through ethical and accurate financial stewardship. We're looking for a strong leader with exceptional analytical skills, customer service excellence, and a passion for continuous improvement.
In this role, you will oversee the review and processing of insurance overpayment requests, insurance credit balances, compliance audit repayments, and client credit balances. You will provide leadership to the Client Financial Services team, monitor quality and productivity standards, support staff development, ensure regulatory compliance, and work collaboratively across departments to improve processes and achieve organizational goals.
Springfield offers an exceptional quality of life with a strong sense of community, affordable living, excellent dining and entertainment options, beautiful parks and trails, and easy access to outdoor recreation throughout the Ozarks. It's a great place to build your career while enjoying a balanced and rewarding lifestyle.
- Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
- Mileage Reimbursement – Company paid for work functions requiring travel
- Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition
- Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce
- Additional Perks & Benefits - Scroll down to bottom of this post to learn more
- Lead and support the Client Financial Services team by providing direction, coaching, training, and ongoing professional development opportunities.
- Oversee the review and resolution of insurance overpayment requests, insurance credit balances, compliance audit repayments, and client credit balances.
- Collaborate with revenue cycle and organizational leadership to establish goals, improve processes, and enhance departmental performance.
- Review payer recoupment requests, validate supporting documentation, and coordinate appeals when appropriate.
- Partner with Compliance and Accounting teams to ensure accurate repayment tracking, reporting, and documentation.
- Conduct quality audits and evaluate productivity metrics to ensure established standards are achieved.
- Prepare refund requests and supporting documentation for repayment processing or recoupment activity.
- Manage employee performance through regular feedback, performance evaluations, and corrective action when necessary.
- Monitor departmental compliance with organizational policies, accreditation standards, and state and federal regulations.
- Analyze reports and financial data to identify trends, opportunities, and operational improvements.
- Ensure timely and accurate timekeeping and workflow management within the department.
- Cross-train with the Cash Posting Manager and perform critical responsibilities during extended absences.
- Deliver exceptional customer service while interacting with staff, payers, vendors, and clients.
- Perform other duties as assigned.
Education, Experience, and/or Credential Qualifications:
- High school diploma or GED required; Bachelor's degree preferred.
- Certification in Billing and/or Coding preferred.
- Minimum two (2) years of experience in a healthcare environment, preferably in healthcare billing, collections, payment processing, denial management, or related revenue cycle functions.
- Missouri CCBHO and MCO billing experience preferred.
- Demonstrated ability to supervise, develop, and evaluate team members.
- Strong analytical skills with the ability to interpret financial data and prepare clear, concise reports.
- Working knowledge of healthcare reimbursement processes and revenue cycle operations.
- Proficiency in Microsoft Excel, including the use of formulas and data analysis tools.
Additional Qualifications:
- Current driver's license, acceptable driving record, and current auto insurance.
- Ability to identify operational issues, develop solutions, and implement process improvements.
- Excellent leadership, conflict resolution, and customer service skills.
- Strong verbal and written communication skills.
- Effective time management and multitasking abilities in a deadline-driven environment.
- Strong computer proficiency and comfort learning and utilizing various software systems.
- Ability to maintain confidentiality and handle sensitive information appropriately.
- Successful completion of background checks, including criminal history, driving record, abuse/neglect, and fingerprint screenings.
- Perform sedentary work, exerting up to 10 pounds of force occasionally and negligible force frequently to move objects.
- Sit for extended periods throughout the workday.
- Occasionally walk or stand for brief periods as needed.
- Perform repetitive hand, finger, and arm movements associated with typing, data entry, and written documentation.
- Utilize computers and other office equipment for prolonged periods.
Keywords: Revenue Cycle Management, Client Financial Services, Healthcare Billing, Insurance Overpayments, Recoupment Management, Collections, Payment Processing, Revenue Cycle Operations, Financial Analysis, Healthcare Administration
Position Perks & Benefits:
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
We are an Equal Employment Opportunity Employer.
Brightli is a Smoke and Tobacco Free Workplace.
