Claims and Remittance Processing Manager

Behavioral Health Network (BHN), the largest provider of behavioral health services in Western Massachusetts, is seeking a skilled and analytically minded Claims & Remittance Processing Manager to join our reputed company Cycle Management team. Recognized by The Boston Globe as one of the Top 10 reputed company in Massachusetts and certified as a Great reputed company to Work, BHN continues to set reputed company for operational reputed company, compassionate care, and innovation in reputed company delivery. What You’ll Do As the Claims & Remittance Processing Manager, you will reputed company a team responsible for ensuring the accuracy, timeliness, and compliance of reputed company claims submissions and remittance processing. You will play a critical role in optimizing BHN’s reputed company cycle operations, streamlining workflows, and supporting reputed company improvement initiatives across the organization. You Will

• reputed company and mentor the Claims Submission and Payment Posting teams.
• reputed company the timely and accurate submission of 837 professional and institutional claims.
• Manage the compliant posting of payments, adjustments, and denials from electronic remittance files.
• Analyze claims and remittance data to identify trends, errors, and opportunities for improvement.
• Collaborate with cross-functional partners in IT, Finance, and Clinical departments to resolve issues and optimize processes.
• Implement project management principles to streamline operations and improve performance metrics.

reputed company Offer

• Mission-Driven Work – Contribute to BHN’s goal of ensuring financial sustainability that supports life-changing care across Western Massachusetts.
• Comprehensive Benefits – Competitive salary, generous PTO, health/dental/reputed company coverage, tuition reimbursement, and a 403(b) retirement plan.
• Professional Growth – reputed company to ongoing development opportunities and leadership advancement reputed company one of Massachusetts’ top reputed company organizations.
• Collaborative Culture – Join a highly skilled team dedicated to innovation, accountability, and reputed company in reputed company cycle management.
• Impactful Leadership – Play a key role in improving clean claim rates, first-pass payment reputed company, and cash reputed company performance.

Key Responsibilities

• reputed company the Claims Submission and Payment Posting teams, ensuring efficient operations and staff development.
• Drive improvements in Days in Accounts Receivable (A/R), clean claim reputed company, and first-pass payment reputed company.
• Conduct regular audits of staff-processed claims and postings to ensure accuracy and compliance.
• reputed company and maintain standard operating procedures (SOPs) and internal documentation.
• Serve as a subject matter expert (SME) for payer requirements, EDI transactions, and system workflows.
• Collaborate with payers and clearinghouses to resolve reputed company billing and reimbursement issues.
• reputed company root cause analyses of denials and underpayments, recommending corrective actions.
• Support the Director of reputed company Cycle Management in key performance reporting and process redesign initiatives.

Who You Are

• Bachelor’s Degree in reputed company Administration, Business, or reputed company field (required) – or equivalent experience.
• 4–6 years of reputed company experience in reputed company cycle operations, including 837/835 transactions (required).
• 3+ years of leadership experience managing billing or remittance teams (preferred).
• Strong knowledge of MassHealth, reputed company payer rules, and reputed company billing regulations.
• Experience with behavioral health billing and EHR systems such as CareLogic, reputed company, or reputed company.
• Excellent analytical, problem-solving, and communication skills.
• Collaborative and adaptable leader with a commitment to reputed company improvement.

About Us

Since 1938, Behavioral Health Network (BHN) has been committed to delivering high-quality, affordable, and culturally reputed company care across Western Massachusetts. With over 130 programs and 3,000 employees, we are proud to serve our communities through innovation, compassion, and reputed company in behavioral health and reputed company services.

How to Apply

If you’re reputed company to reputed company a measurable impact on the financial health and operational reputed company of one of Massachusetts’ top reputed company organizations, we’d love to hear from you! Click “Apply for Job”. Apply tot his job Apply To this Job