Job Description

Revenue Cycle Manager

About Us

Playabilities for Sensational Kids is a dynamic, multi-disciplinary pediatric clinic specializing in occupational, physical, and speech therapy. We provide personalized, innovative, and client-centered therapy services to children with neurodevelopmental disabilities, including developmental delays, autism, and sensory processing disorders. Through engaging, play-based therapy, our team fosters growth, confidence, and independence, ensuring that every child receives the support they need to thrive.





At Playabilities, we believe in doing better--for children, families, and the future of therapy. Our journey began with a simple but powerful idea: to break down the barriers that prevent children from receiving the services they need and deserve. We are committed to creating a world where therapy isn't limited by funding or structure but driven by possibility and passion.





Our team at Playabilities doesn't just provide therapy--we build a movement that redefines what pediatric therapy can be. Our work is guided by

five core values

that shape our culture and mission, and every day, our team brings these values to life:

Passionate About Making a Difference- We are energized through serving others. Every action we take is driven by our commitment to improving the lives of children and families.

Learn and Innovate- We strive for personal and professional growth to continuously better serve our company and community. We embrace change and new ideas.

Do the Right Thing- We prioritize relationships and make all decisions, especially people decisions, with integrity. Trust is at the heart of everything we do.

We Build a Village- Connection is the foundation of our services. We create meaningful relationships, ensuring families and professionals feel supported every step of the way.

Share

Joy and Have Fun- Therapy should be empowering and joyful. We help families achieve and maintain "joie de vivre"--the joy of life--through our work.

Your Role

Under the general direction of the Director of Finance, the

Revenue Cycle Manager

(RCM) plays a pivotal role in overseeing the medical billing operations of our pediatric outpatient therapy clinic. The successful candidate is responsible for managing all aspects of the revenue cycle, including claims processing, collections, and payer relations. The RCM ensures timely and accurate reimbursement for services provided, maintains compliance with payer and regulatory requirements, and leads continuous improvement efforts across the billing function.



The RCM also leads and executes special projects that support strategic and operational goals, often partnering across departments to ensure projects are completed accurately and on time.

Key Responsibilities

Claim Submission and Denial Management

Oversees accurate and timely claims submission and payment posting within payer contracts. Manages the full lifecycle of claim denials, reconsiderations, and appeals, ensuring timely response, follow-up, and resolution within contractual limits. Designs and implements new processes to reduce future denials and improve claim success rates. Leads high-level denial projects and collaborates with payers to identify and address systemic issues.

Collections and Account Management

Oversees patient billing and account statement accuracy. Leads the collections process in collaboration with the clinical and scheduling teams, ensuring family accounts remain accurate and up to date. Communicates proactively with families regarding overdue balances and, when necessary, notifies them when services must be paused or discontinued due to non-payment. Manages recurring payment plans and monitors compliance with payment agreements. Oversees relationships with collection agencies and ensures timely submission of qualifying accounts.

Follow-Up and Payer Coordination

Manages all billing follow-up tasks in the EMR except authorization-related denials, ensuring timely and accurate claim processing. Investigates claim or payment anomalies, identifies root causes, and implements corrective actions. Partners closely with the Revenue Cycle Liaison and Credentialing Manager to ensure alignment between billing, credentialing, and payer communication workflows. Collaborates with insurance negotiation service providers to ensure accurate data sharing and optimal outcomes for reimbursement and payer contracts.

Audits and Special Projects

Oversees execution of any payer-initiated audits, ensuring timely response, accurate documentation, and compliance with all requirements. Leads and participates in special projects across departments, including system configuration, process improvements, and trend analysis. Conducts research on payer or billing trends and implements findings to enhance efficiency and financial performance.

Policies and Operational Excellence

Develops and implements policies and procedures to ensure compliance with billing regulations and to optimize revenue cycle performance. Oversees EMR billing module configuration and improvement initiatives. Collaborates with cross-functional teams on system and process upgrades related to billing operations.

Regulatory Compliance

Maintains up-to-date knowledge of payer policies, NCCI edits, MUE limits, and regulatory requirements. Provides ongoing education to staff on appropriate billing practices, CPT coding, and payer updates.

Collaboration

Partners with clinical, administrative, and scheduling teams to resolve billing and coding issues. Establishes and maintains relationships with payer representatives to proactively address claim processing challenges. Works cross-departmentally to ensure financial and operational alignment with Playabilities' mission and values.

Reporting

Compiles and presents revenue cycle metrics (e.g., days in A/R, net collection rates, denial rates, and error rates) to leadership. Uses data analysis to identify opportunities for improvement and implement corrective measures.

What We Offer

A Mission You Can Believe In:

At Playabilities, we are dedicated to transforming pediatric therapy and creating new possibilities for children with all abilities. Founded by visionary occupational therapist Kelly Reardon, our mission is deeply rooted in enriching the lives of children and families. Every day, you'll have the opportunity to make a meaningful change alongside a passionate team that values innovation, collaboration, and exceptional care. Our goal is to lead pediatric therapy in the Midwest and become the clinic of choice for families, shaping the future of pediatric therapy, and making a lasting impression in children's lives.

A Village of Care & Collaboration:

We are dedicated to being the best place to work for therapists, where collaboration across disciplines creates a vibrant and supportive community. At Playabilities, we're seeking passionate individuals who thrive in a dynamic, collaborative setting and are eager to make a meaningful impact in the lives of children and families. Here, you'll be part of a team that supports and empowers each other, cultivating an atmosphere where every contribution is valued and celebrated.

Growth Opportunities:

We're not just growing as a company; we're building a movement. Here at Playabilities, you'll have the chance to develop your career and enhance your skills while contributing to a collaborative and innovative environment. Whether you're looking to expand your expertise or grow within our organization, we provide the tools and support to help you succeed.

Competitive Compensation:

We appreciate the dedication and expertise of our team, which is why we offer competitive compensation that reflects your hard work. Your contributions will not only be recognized and rewarded but will also make a meaningful impact every day.

Premium Benefits:

We offer a comprehensive benefits package to support your health and well-being. Full-time employees enjoy health, dental, and vision insurance, along with supplemental coverages such as life insurance and short-term disability. The package includes competitive paid time off (PTO), 8 paid holidays per year, and a 401(k) plan to support your long-term financial goals. We even provide Personal & Community Enrichment (PCE) time--empowering you to extend your impact and nurture positive change beyond Playabilities. The best part? Your benefits begin on the first day of the month following your hire date!

Additional Details

Direct Reports:

None

Education:

Bachelor's degree in healthcare administration, business administration, or related field

Experience and Qualifications:

Minimum of 5 years of experience in healthcare revenue cycle management in an outpatient therapy setting.

Skills/Licensure/Certification/Knowledge:

Certified Revenue Cycle Specialist (CRCS) preferred, but candidates with seven or more years of revenue cycle management experience in lieu of this will be considered. Strong knowledge of medical billing and coding regulations, reimbursement methodologies, and payer policies Demonstrated ability to analyze data and identify opportunities for process improvement Excellent communication, leadership, and interpersonal skills Proficiency with previous EMR systems and moderate to advanced skill level within Microsoft Excel Must be efficient with computers, windows operating system and Microsoft Office

Job Demands and Work Environment:

The following demands represent those that must be met to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

Physical Demands:

(With or without reasonable accommodation)

Seated Work:

Ability to sit for extended periods; alternative workstation setups (e.g., sit-stand desks) may be utilized as needed to support individual needs Requires extensive phone-based tasks.

Light Lifting:

Occasionally required to lift and/or move up to 10-25 pounds (e.g., therapy tools, office supplies, equipment).

Manual Dexterity:

Ability to perform tasks requiring fine motor skills such as typing or using office tools, with or without reasonable accommodations, including assistive technology

Technological Proficiency:

Ability to effectively utilize various computer applications and systems to optimize productivity and efficiency

Phone Use:

Requires frequent phone-based communication tasks.

Sensory Demands

(With or without reasonable accommodation)

Hearing:

Ability to actively listen to others, including picking up on tone, inflection, and non-verbal cues

Vision

: Ability to observe behavior, interpret body language, and read written and electronic documentation

Speech:

Clear verbal communication to effectively interact with clients, families, and team members

Employee/Client Interaction Requirements

(With or without reasonable accommodation)

Emotional Engagement:

Ability to maintain professional composure while handling emotionally charged situations with employees or clients and clients experiencing distress

Physical Proximity:

Comfortable working in close proximity to others, while maintaining professional boundaries.

De-escalation Skills:

Ability to handle crises with clients and employees, which may require calm demeanor and verbal de-escalation techniques

Cognitive and Emotional Demands

(With or without reasonable accommodation)

Concentration

: Ability to maintain focus during client sessions, meetings, documentation, or planning activities.

Emotional Resilience:

Ability to manage emotional responses when faced with sensitive, complex, or high-pressure situations.

Conflict Resolution:

Ability to mediate disagreements or address difficult client or employee dynamics.

Multitasking & Flexibility:

Comfort managing multiple responsibilities and shifting priorities in a dynamic clinic environment. May require commute between clinic locations

Work Environment Considerations

(With or without reasonable accommodation)

Work Settings:

Ability to work in varying settings such as office, remote (if applicable), clinic, or community locations. Reasonable accommodations for remote or flexible work arrangements will be considered in accordance with ADA guidelines.

Emotional Landscape:

Exposure to emotionally charged situations requiring adaptability to client needs

Team Collaboration:

Regular interaction with coworkers, leadership, families, and/or clients requiring effective communication, collaboration, and professionalism.

EQUAL EMPLOYMENT OPPORTUNITY (EEO) STATEMENT:

Playabilities does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, military or veteran status or any other characteristic protected by local, state, or federal law

REASONABLE ACCOMMODATION STATEMENT:

Playabilities for Sensational Kids is committed to providing reasonable accommodations for qualified individuals with disabilities throughout all stages of the employment process. If you require an accommodation to complete an application, participate in an interview, or engage in any part of the recruitment or employment process, please contact us. We are dedicated to engaging in a timely, good-faith interactive process to determine appropriate accommodations in accordance with applicable laws. This job description is not intended to be all-inclusive. The employee may perform other related duties.

If you're ready to bring your expertise to a mission-driven team and take your career to the next level, we'd love to have you join our dedicated team.

Apply today and become a part of something bigger!