Summit BHC

• Responsible for assigning ICD-10-PCS diagnostic and procedural codes to patient accounts • Codes and abstracts hospital medical records for maintenance of disease indices • Ensures compliance with federal, state and other regulatory agencies • Resolves error reports associated with billing process • Assists in design and implementation of workflow changes to reduce billing errors

Role Description The Revenue Cycle Process Improvement Manager is responsible for leading operational and workflow improvement initiatives across the Central Billing Office (CBO). This role partners with revenue cycle leadership, operations, finance, IT, and clinical support teams to identify inefficiencies, reduce denials and rework, improve cash acceleration, strengthen controls, and standardize best practices across back-end revenue cycle functions. This role supports the Summit Revenue Cycle by driving measurable improvements in performance, accountability, and scalability. - Lead revenue cycle process improvement initiatives across charge capture, billing, claims submission, payment posting, denials, follow-up, and customer service workflows. - Evaluate current-state workflows to identify inefficiencies, bottlenecks, handoff failures, control gaps, and opportunities for standardization and automation. - Design and implement future-state workflows, SOPs, tools, and operating controls that improve quality, throughput, and accountability. - Apply structured improvement methods such as root cause analysis, workflow mapping, KPI management, and corrective action planning. - Support system optimization, work queue redesign, edit logic improvement, and workflow standardization across facilities, teams, and service lines. - Analyze operational and financial performance trends to identify opportunities to improve cash collections, reduce denials, lower days in AR, minimize rework, and strengthen clean-claim performance. - Partner with revenue cycle and operational leaders to prioritize improvement efforts based on financial impact, operational risk, staffing burden, and patient experience. - Monitor results after implementation to ensure process changes are adopted, sustained, and producing measurable outcomes. - Support efforts to reduce avoidable write-offs, late charges, claim holds, missed authorizations, posting variances, unapplied cash, and preventable reimbursement leakage. - Use data from host system platforms, clearinghouses, payer portals, work queues, and reporting tools to identify root causes of performance issues and develop actionable solutions. - Prepare dashboards, scorecards, summaries, and leadership updates that measure initiative progress and operational impact. - Conduct audits, workflow reviews, and variance analyses to validate compliance with expected processes and identify breakdowns by facility, payer, department, or team. - Translate data findings into practical action plans, operational recommendations, and leadership-level decision support. - Collaborate with Patient Access, HIM, Coding, Clinical Operations, Managed Care, Finance, Compliance, and IT to resolve upstream and downstream revenue cycle barriers. - Lead or support cross-functional meetings, action plans, project workgroups, and implementation efforts tied to process redesign and operational improvement. - Develop training tools, communication materials, and transition plans to support adoption of new workflows and operational expectations. - Support integration, standardization, and stabilization efforts for new facilities, acquired operations, and organizational change initiatives. - Ensure process improvement efforts align with payer requirements, billing regulations, documentation dependencies, internal policies, and audit expectations. - Help strengthen operational controls related to claim quality, charge integrity, payment accuracy, denial prevention, and reconciliation workflows. - Promote a culture of continuous improvement by identifying recurring issues, tracking trends, and building sustainable corrective actions. Qualifications - Bachelor’s degree in Healthcare Administration, Business, Finance, Accounting, Industrial Engineering, or related field preferred; equivalent relevant experience may be considered in lieu of degree. - Three or more years of progressive healthcare revenue cycle, operational improvement, project management, consulting, or related experience preferred. - Experience leading workflow redesign, performance improvement, automation, or revenue cycle transformation initiatives preferred. - Experience in hospital, behavioral health, acute care, physician revenue cycle, or multi-site healthcare operations preferred. - Experience using host system platforms, reporting tools, clearinghouse data, and revenue cycle analytics preferred. - Strong understanding of end-to-end healthcare revenue cycle workflows and common operational control points. - Strong analytical, organizational, project management, and communication skills. - Ability to interpret data, identify root causes, and translate findings into measurable process improvements. - Experience with workflow mapping, standardization, policy development, and cross-functional implementation planning. - Proficiency with Excel, reporting tools, payer portals, and standard revenue cycle systems. Requirements - This position is a remote position. - This position is an individual contributor. Benefits - Comprehensive benefit plan. - Competitive salary commensurate with experience and qualifications.

Role Description The Director-Revenue Cycle-Accounts Receivable is responsible for leading and optimizing daily insurance follow-up, denial management, and accounts receivable operations across the revenue cycle. This role provides both strategic direction and hands-on operational oversight to accelerate cash collections, reduce aged receivables, minimize avoidable write-offs, and strengthen denial prevention and recovery performance. The Director partners cross-functionally to resolve payment barriers, improve first-pass resolution, and ensure consistent, high-quality execution of follow-up and denial workflows across all payer classes, including government, commercial, managed care, and self-pay. Qualifications - Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred; equivalent relevant experience may be considered in lieu of degree. - Five or more years of progressive healthcare revenue cycle experience required. - Experience in hospital, behavioral health, acute care, physician revenue cycle, or multi-site healthcare operations preferred. - Strong knowledge of payer reimbursement, denial management, appeals, claims adjudication, and account resolution workflows. - Working knowledge of payer rules, timely filing requirements, authorization requirements, and reimbursement regulations. - Strong analytical, problem-solving, leadership, and communication skills. - Proficiency with EMR/PMS platforms, clearinghouses, payer portals, and Microsoft Excel. - Experience in behavioral health, SUD, acute psych, or multi-facility healthcare environments preferred. Requirements - Three or more years of leadership experience in collections, denial management, accounts receivable follow-up, or related functions required. - HFMA, CRCR, or similar revenue cycle certification preferred. Benefits - Comprehensive benefit plan. - Competitive salary commensurate with experience and qualifications.

Role Description The Director-Patient Accounts is responsible for leading and optimizing daily billing operations, payment posting, reconciliation, and patient/customer service functions across the revenue cycle. This role combines strategic leadership with active operational oversight, ensuring high-performance execution across all areas. - Accountable for improving claim accuracy, accelerating cash application, enhancing the patient financial experience, reducing rework, and ensuring consistent, compliant, and efficient processes across billing, cash posting, and customer-facing support teams. Qualifications - Bachelor’s degree in Healthcare Administration, Business, Finance, Accounting, or related field preferred; equivalent relevant experience may be considered in lieu of degree. - Five or more years of progressive healthcare revenue cycle experience required. - Experience in hospital, behavioral health, acute care, physician revenue cycle, or multi-site healthcare operations preferred. - Strong knowledge of billing workflows, claim edits, clearinghouse processes, payment posting, electronic remittance advice, reconciliation, refunds, and customer service best practices. - Understanding of payer reimbursement methodologies, contractual adjustment logic, and common revenue cycle control points. - Strong analytical, organizational, leadership, and communication skills. - Proficiency with EMR/PMS platforms, clearinghouses, payer portals, Excel, and standard reporting tools. - Experience in behavioral health, SUD, acute psych, or multi-facility healthcare environments preferred. Requirements - Three or more years of leadership experience in billing, cash posting, payment reconciliation, customer service, or related revenue cycle operations required. Benefits - Comprehensive benefit plan. - Competitive salary commensurate with experience and qualifications. Company Description Summit Healthcare Mgmt is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

Role Description The Patient Accounting Manager is responsible for the supervision of the day-to-day operations involving billing, third party/patient collections follow-up and ensuring the overall accuracy of the accounts receivable (AR) balances for each facility. This position will work independently to resolve complex payer and operational issues to assist in the overall improvement of the daily operations necessary for a successful Centralized Business Office specializing in behavioral healthcare servicing multiple facilities. Qualifications - High school diploma or GED required. - Three or more years of progressive experience in healthcare revenue cycle management required, with a strong focus on accounts receivable and collections. - Demonstrated experience leading or supervising collections teams, including staff development, performance management, and workflow optimization. - Proven track record of reducing AR days, improving cash collections, and resolving aged and complex accounts. - In-depth knowledge of payer contracts, denial management, underpayment recovery, and appeals processes. - Hands-on experience with insurance follow-up, patient balance collections, and coordination of benefits. - Strong analytical skills with experience using AR reporting, dashboards, and KPIs to drive performance (e.g., AR >90 days, collection rates, first-pass resolution). - Experience working collaboratively with billing, cash posting, coding, and compliance teams to resolve upstream issues impacting collections. - Proficiency with practice management and EHR systems and advanced Excel or reporting tools preferred. - Healthcare setting required; experience in behavioral health, hospital, or multi-specialty practices preferred. Requirements - Perform billing and collections operations across multiple facilities, ensuring compliance and efficiency for all payer types. - Participate in hiring, supervision and evaluation of assigned staff. - Monitor accounts receivable for payer and operational issues, independently resolving concerns by collaborating with CBO leaders, facility staff, and executive leadership as necessary. - Provide professional and technical support to staff. - Promptly address inquiries from insurance carriers, family members, and patients regarding account balance concerns. - Identify staff training needs and actively participate in the development, implementation, and evaluation of training, orientation, and educational programs. - Assign tasks to staff through patient accounting/billing software as needed. - Act as administrator for payer website/log in access. - Assist in the Provider Enrollment, Re-enrollment, and Credentialing process. - Assist with A/R Month End close process. Benefits - Comprehensive benefit plan. - Competitive salary commensurate with experience and qualifications. Company Description Summit Healthcare Mgmt is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

Director of Quality and Patient Safety - Behavioral Health | Summit Healthcare Mgmt | Nashville, TennesseeAbout the Job: PURPOSE STATEMENT: The Director of Quality & Patient Safety leads and coordinates quality and performance improvement, regulatory compliance, and patient safety efforts across multiple behavioral healthcare sites. This role ensures that all programs operate within federal, state, and accreditation standards, while driving a culture of continuous improvement, clinical excellence, and risk reduction. Roles and Responsibilities: ESSENTIAL FUNCTIONS: - Identifies, assesses, and prioritizes facilities in the areas of quality, risk, and patient safety. - Completes onsite visits to each assigned facility routinely a minimum of once per quarter and more frequently for higher risk, problem prone facilities. - Conducts weekly calls with each assigned facility for communication and collaboration, and to review Smart Sheets, - Completes required reports such as Weekly Risk Report, Facility Smart Sheets, and other internal documents as requested. - Attends and participates in scheduled weekly, biweekly, monthly, and quarterly meetings on camera or in-person. - Become familiar with each assigned facility’s State licensing and reporting requirements. - Interviews, onboards and conducts weekly 1:1 supervision to facility Quality and Risk Directors. - Participates in relevant start-up facility processes and readiness for licensing and accreditation. - Ensures facility QAPI programs are aligned with strategic goals. - Collects, analyzes, and reports key performance indicators (KPIs), dashboards, and outcome metrics. - Lead root cause analyses (RCAs), failure mode and effects analyses (FMEAs), and other process evaluations. - Collaborates with leadership and clinical teams to improvement opportunities and develop action plans. - Facilitates quality improvement (QI) committees and promote cross-site collaboration and learning. - Lead the development and implementation of patient safety initiatives to reduce harm and improve outcomes. - Oversees incident reporting processes and conduct trend analysis for adverse events, near misses, and sentinel events. - Ensures follow-up and closure of safety-related investigations, including documentation and communication of lessons learned. - Works in partnership with quality, operations, and clinical leadership to mitigate risks and implement corrective actions. - Monitors the timely submission and escalation of both internal and external reporting of adverse events, as well as plans of correction. - Ensures all programs maintain compliance with applicable standards (e.g., Joint Commission, CARF, SAMHSA) and State requirements. - Coordinates and aids with external audits, surveys, and regulatory visits. - Monitors changes in regulatory requirements and implement policy/procedural updates as needed. - Assists with policy development and standard operating procedures to ensure standardization across sites. - Assists facilities with development and implementation of corrective action plans, evidence of standards compliance and other required submissions following mock and actual surveys. - Supports and mentors site-level Quality staff. - Conducts multisite, multidisciplinary leadership calls. - Serves as a key advisor to facility leadership on quality and safety strategy. - Champions a just culture and foster a system of accountability and learning. - Supports integration of evidence-based practices across disciplines and service lines. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: - Bachelor’s Degree in Nursing, Behavioral Health or related field required. Masters’ Degree (MPH, MSN, MHA, MSW or related) preferred. - Four or more years’ experience in healthcare quality, patient safety, or risk management required. - Experience in behavioral health setting and multi-site operations required. - Deep knowledge of QAPI frameworks (e.g. PDCA). - Familiarity with behavioral health accreditation and regulatory requirements. - Strong data analysis skills including proficiency with quality software/tools, Excel, Power BI, HC analytics. - Ability to travel by air and car up to 90% of the time with occasional weekend and evening work. LICENSES/DESIGNATIONS/CERTIFICATIONS: Certified Professional in Healthcare Quality (CPHQ) or Patient Safety (CPPS) preferred. WORK LOCATION: - This position is a remote position. SUPERVISORY REQUIREMENTS: Two or more years’ supervisory/management experience preferred. Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.