PM Pediatric Care

Operations

• Billing & Payer Project Management: Serve as a project lead on payer-related initiatives, tracking timelines, deliverables, and cross-departmental coordination.
• Support claim submission, denial management, and appeals workflows across RCM and Behavioral Health (BH) teams.
• Proactively monitor aging claims and payer issues, driving resolution through effective collaboration with billing vendors and internal stakeholders.
• Identify systemic denial trends, develop corrective action plans, and escalate complex issues appropriately.
• Ensure payer enrollments, credentialing updates, and clearinghouse requirements are on schedule and compliant.
• Data Analysis & Reporting: Build and maintain dashboards, Excel-based reports, and trackers to measure revenue cycle performance (e.g., claim turnaround time, denial rates, collections).
• Support leadership with financial forecasting, reconciliation, and variance analysis.
• Organize and present data to support audits, compliance, payer reporting, and operational reviews.
• Develop standardized templates and reporting procedures to increase visibility and efficiency across teams.
• Leadership & Operational Support: Act as a liaison between RCM leadership, billing vendors, and internal departments to ensure goals and timelines are met.
• Assist in creating and maintaining SOPs and documentation to support training and compliance.
• Drive continuous improvement by identifying workflow gaps and recommending scalable solutions.
• Support strategic initiatives by delivering insights that enhance reimbursement, reduce denials, and optimize operational efficiency.

Revenue Cycle and Billing Operations Lead

Therapist

• Provide individual therapy to students
• Conduct assessments and develop individualized treatment plans tailored to each student's needs
• Utilize evidence-based therapeutic approaches to address behavioral issues
• Collaborate with school staff, parents/guardians, and community resources to support students
• Maintain accurate clinical documentation in compliance with school district and state requirements

PM Pediatric Care

Revenue Cycle and Billing Operations Lead

Clinical Therapist

Revenue Cycle and Billing Operations Lead

Clinical Therapist (Part-time; Roosevelt, NY)