Accounting & Revenue Cycle Manager

Position Overview

We are seeking an experienced and detail-driven Accounting & Revenue Cycle Manager to oversee financial operations and support the growth of our behavioral health practice. This position plays a key role in ensuring the integrity of financial reporting, compliance with state and federal requirements, and strong fiscal stewardship that aligns with the mission of our organization. The ideal candidate will bring expertise in healthcare accounting, revenue cycle management, and financial leadership, along with a commitment to fostering a collaborative and accountable financial culture.

Key Responsibilities

Financial Management & Reporting

Oversee daily accounting operations, including general ledger, accounts payable/receivable, payroll, and reconciliations.

Prepare, review, and analyze monthly, quarterly, and annual financial statements.

Develop and maintain internal financial controls and ensure accuracy of financial data.

Provide financial reporting and analysis to executive leadership to guide strategic decision-making.

Prepare and distribute financial reports to external partners and stakeholders who receive payments from the organization.

Compliance & Risk Management

Ensure compliance with Generally Accepted Accounting Principles (GAAP), state regulations, and federal guidelines.

Monitor adherence to Ohio Medicaid, insurance payer, and grant reporting requirements.

Support external audits, internal audits, and compliance reviews.

Implement policies and procedures that safeguard company assets and ensure fiscal accountability.

Budgeting, Forecasting & Analysis

Assist in leading the annual budgeting process in collaboration with the President, Chief Financial Officer, and leadership team.

Track financial performance against budget and prepare variance analyses.

Develop forecasting models to support operational planning and growth initiatives.

Conduct financial and operational data analysis to improve the efficiency and accuracy of the revenue cycle management process.

Revenue Cycle & Reimbursement Oversight

Collaborate with billing, clinical, and administrative teams to ensure accurate and timely revenue cycle management.

Analyze and monitor reimbursement processes to ensure payments are received efficiently and in compliance with payer requirements.

Oversee and streamline the mileage reimbursement process to maximize efficiency and accuracy.

Leadership & Collaboration

Supervise and mentor accounting or related staff, providing training and professional development.

Partner with external vendors, auditors, and financial institutions as needed.

Foster cross-departmental collaboration to align financial practices with organizational priorities.

Qualifications

Bachelor’s degree in Accounting, Finance, or related field required; CPA or Master’s degree preferred.

Minimum 5 years of progressive accounting experience, with at least 2 years in a supervisory role.

Experience in healthcare or behavioral health accounting strongly preferred.

Strong knowledge of GAAP and Medicaid/insurance payer requirements.

Proficiency in accounting software and advanced Excel (pivot tables, complex formulas, data modeling) required; experience with data analysis and reporting tools (e.g., Power BI, Tableau, or similar) strongly preferred.

Demonstrated ability to perform complex financial data analysis and develop clear, actionable reports for leadership and external partners.

Excellent analytical, problem-solving, and communication skills.

Proven ability to manage competing priorities and meet deadlines.