Practice Manager

The Practice Manager is responsible for managing the ongoing activities and operations required to support and optimize CRC’s revenue cycle, launch and maintain CRC’s ancillary service lines, and support other initiatives as assigned.

Duties/Responsibilities

Revenue Cycle Management

Provider Credentialing and Enrollment
Direct, provide oversight, and address escalations related to obtaining and submitting provider information required for initial credentialing and payor enrollment
Monitor and serve as primary contact for all provider reassignment, enrollment, and rostering activities performed by CRC’s provider enrollment service vendor including regular review of reports, proactive inquiry of outliers, and driving processes to improve KPIs

Billing and Collections
Direct, provide oversight, and address escalations related to resolution of pending claims due to missing patient information. Provide guidance to admin staff and providers on strategies to address missing information and prioritize follow-up.
Regular review of reports and key metrics (e.g. unbilled claims, aged AR, etc), identification of negative trends/outliers, and collaboration with VP to determine appropriate direction to billing vendor to prevent/correct
Coordinate and escalate with internal and external stakeholders to address provider workflows, contract/enrollment issues, and other areas impacting billing office efficiency and collections

Payor Relations
Support VP in initiation and follow-up management of payer/plan group contracting activities across multiple CRC markets and entities (when not supported by enrollment service vendor)

Customer Relations
Serve as primary contact for patient/family billing inquiries escalated from provider, facilities, or billing vendor and complete follow-up communications as appropriate
Serve as contact for patient billing inquiries from facility stakeholders and collaborate with VP on appropriate follow-up

Ancillary Service Line Operations

Care Coordination Operations
In collaboration with internal operations team, oversee and direct activities related to launch of care coordination program for onboarding facilities and providers
Maintain daily, weekly, and monthly operational reporting to evaluate coordinator productivity, caseload management, and service line performance. Collaborate with VP on identification of trends and implementation of enhancing, corrective, or preventive actions.
Maintain and direct regular generation of provider care coordination scorecard and direct/complete follow-ups as appropriate
Direct and oversee generation of monthly program metrics and, in collaboration with internal operations, distribute monthly facility “success” communications.

Psychiatry Operations
Assist VP with logistics and project plan management for launch of initial psychiatric services
Support VP in information gathering and assessment of market payor mix to inform service line pro forma
Support VP in ongoing operations activities as assigned


Required Skill and Abilities
Familiarity with medical terminology and medical insurance plans/benefits required
Knowledge of insurance claim processing and third-party reimbursement. Knowledge and understanding of managed care and negotiated agreements.
Proficient in use of business software applications. Familiar with use of web-based applications and productivity tools
Communicates effectively and professionally with administrators, providers, vendors, patients, and other external parties (oral and written)
High degree of discretion and sensitivity in handling of patient and provider information
Skilled at managing multiple priorities and tasks and responds effectively to interruptions
Proven ability to successfully supervise and manage services supported by support staff, outsourced teams, and/or third-party service providers. Skill in motivating and directing the work and activities of staff with the ability to effectively delegate. Ability to establish and maintain a cohesive work team and efficiently work under pressure


Education and Experience
Bachelor’s degree or equivalent experience required.
Three (3) to five (5) years practice management, healthcare provider business operations, and/or revenue cycle management experience required.
Minimum two (2) years of progressive leadership experience in a complex healthcare organization required.
Prior experience in medical, behavioral, or post-acute provider group setting with multi-market/state operations highly preferred.


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