Revenue Cycle Support/Project Manager

BrightSpring Health Services

The Revenue Cycle Support/Project Manager is responsible for accurate payer and contractual allowance setup across multiple billing systems, ensuring correct rate and claim presentation, and coordinating EDI enrollments. Key duties include managing month-end close procedures, analyzing data for anomalies, problem-solving system issues, supervising direct reports, and maintaining partnerships across departments. This role assists and tracks EDI enrollments, is a Subject Matter Expert, and will provide training as needed.

Accurate payer setup in multiple billing system(s): Confirm correct rate and claim presentation Confirm success of transmissions upon initial setup
• Accurate contractual allowance setup in multiple billing system(s)
• Accurate calculation of expected reimbursement
• Setup of new sites within Revenue Cycle Platforms
• Proactively work acquisitions to avoid as many disruptions as possible
• Work with EDI staff to ensure all eligible electronic options are enabled/utilized
• Perform Month-End Close Procedures/Processes: Report variances
• Review systems for non-admits or duplicate admissions
• Problem solving system issues, identifying root cause and next steps
• Portal Admin/access
• WayStar setups and payer matching
• Partner with Operations, as needed, to identify work through issues
• Analyze data for anomalies
• Supervise work of direct reports
• Maintain excellent partnerships with multiple lines of business and departments
• Coordinate to identify changes for governmental payors
• Monitor for variances and facilitate research

• Degree, BBA or BS in Accounting, Finance or Business preferred or equivalent work experience.
• 3+ years of relevant experience preferred.
• CompTIA Project Certification preferred.
• Excellent verbal, analytical and interpersonal skills.
• Intermediate level of Excel knowledge required for optimal functionality in the role.
• Proficiency in Microsoft office suite.
• An ideal candidate for this position can approach problem-solving challenges independently, have strong attention to detail, enjoy working in a fast-paced, collaborative and team-based objectives.
• Ability to understand payer contracts and translate information into payer setup for multiple systems.
• Must have the ability to analyze information and share findings.
• Ability to work with multiple teams to ensure collaboration and effective communication.
• Ensure compliance with corporate policies.
• Travel up to 25%