Revenue Cycle Support/Project Manager

BrightSpring Health ServicesThe 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 presentationConfirm success of transmissions upon initial setupAccurate contractual allowance setup in multiple billing system(s)Accurate calculation of expected reimbursementSetup of new sites within Revenue Cycle PlatformsProactively work acquisitions to avoid as many disruptions as possibleWork with EDI staff to ensure all eligible electronic options are enabled/utilizedPerform Month-End Close Procedures/Processes:Report variancesReview systems for non-admits or duplicate admissionsProblem solving system issues, identifying root cause and next stepsPortal Admin/accessWayStar setups and payer matchingPartner with Operations, as needed, to identify work through issuesAnalyze data for anomaliesSupervise work of direct reportsMaintain excellent partnerships with multiple lines of business and departmentsCoordinate to identify changes for governmental payorsMonitor for variances and facilitate researchDegree, 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%BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.

Created: 2025-11-15