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Patient Access Manager

Sunshine Behavioral Health -
Arizona

Job Details

Full-time
$70,000 - $80,000 a year

Qualifications

Management
Medical insurance coverage verification
Team leadership
Medical billing compliance checks
Supervising experience
Medical claims submission
Insurance provider collaboration
Medical Billing Certification
Cross-functional collaboration
Managing medical billing & coding team teams
Healthcare coding investigations
Cross-functional communication

Full Job Description

About us:

We are a leader in recovery and mental health services. Our mission is to provide the highest quality substance abuse treatment services and deliver them with passion, integrity, and company spirit. Through our programs, individuals receive the tools to overcome their alcohol/drug dependencies and learn to manage co-occurring disorders.

Role Summary:

The Patient Access Manager will be a detail-oriented and organized individual on the Revenue Cycle/UR team. The Patient Access Manager will supervise the Revenue Cycle team. This professional must be a strategic and critical thinker with a proven record of success in expanding company objectives.

Responsibilities:

Oversee patient access functions, including insurance verification, eligibility, and benefits coordination.
Ensure accuracy and completeness of patient financial and demographic information prior to claim submission.
Identify and resolve coding errors to support clean claim submission and reduce denials.
Manage and support revenue cycle processes, with a focus on front-end optimization and workflow efficiency.
Interpret and apply payer rules and regulations, particularly within behavioral health services.
Monitor billing processes for both in-network and out-of-network payers.
Develop, maintain, and analyze Excel-based reports to track key revenue cycle metrics and identify trends.
Collaborate with clinical, admissions, finance, and operations teams to ensure alignment and resolve issues impacting reimbursement.
Communicate effectively across all levels of the organization to support operational and financial goals.
Support continuous process improvement initiatives to enhance revenue cycle performance.
All other duties as assigned

Preferred Qualifications:

An understanding of addiction and/or mental health
Proficiency in excel, including building and analyzing reports.
Strong foundational understanding of full cycle revenue.
Proficiency in Microsoft suite (Outlook, Excel, Word, Teams)
Experience in process improvement or revenue cycle optimization initiatives.

Minimum Requirements:

Medical Billing & Coding Certificate required.
Minimum of 2 years of medical billing experience.
Minimum of 2 years of insurance verification and benefits experience.
2 years of experience supervising or leading revenue cycle functions.
Experience billing both in-network and out-of-network claims.
Ability to identify and correct coding errors to ensure clean claims.
Strong communication skills with the ability to work cross-functionally across departments and leadership levels.
Strong knowledge of payer rules and regulations, preferably in behavioral health.

Physical Requirements:

During remote work, employees are responsible for ergonomic requirements and a work area free from distractions that is HIPAA-compliant.
Role is performed using computer (including screen, keyboard, mouse, etc), phone, and other typical office equipment.
Significant phone work including talking and listening.
Note: Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions.

Sunshine Behavioral Health is an equal opportunity employer and prohibits discrimination and harassment of any kind.

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