Job Description:\n\n Anuvia Prevention & Recovery Center | Confidential Job Posting NOW HIRING Revenue Cycle Manager — Standard Business Hours • Revenue Cycle • Founding Leadership Role Monday – Friday, 8:00 AM – 5:00 PM • On-Site, Main Campus, Charlotte, NC Department Revenue Cycle Functional Area Utilization Management • Payer Operations • Front-End Revenue Cycle Reports To Chief Operating Officer FLSA Status Salary / Exempt Certification CRCR (Certified Revenue Cycle Representative) preferred Education Bachelor's degree preferred (or equivalent experience) License Valid NC or SC Driver's License required Work Hours Monday – Friday, 8:00 AM – 5:00 PM (occasional extended hours as needed) “The Revenue Cycle Manager builds and leads Anuvia's payer-to-cash cycle — protecting revenue, driving intake accuracy, and standing up the operational, technical, and training backbone that keeps every client's access to care intact.” Position Summary The Revenue Cycle Manager is a founding leadership role at Anuvia Prevention & Recovery Center, responsible for standing up the organization's Revenue Cycle function and leading its day-to-day operations. Reporting directly to the Chief Operating Officer, the Revenue Cycle Manager owns the end-to-end revenue cycle — from intake accuracy through clean-claim submission — and builds the operational, technical, and training backbone that protects Anuvia's revenue and every client's access to care. To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Duties & Responsibilities Utilization Management & Authorizations Own end-to-end Utilization Management for Medicaid MCO, Medicare, and commercial payer work across all programs and locations.Direct submission and tracking of all initial authorization requests for inpatient admissions and outpatient services.Own end-to-end reauthorization work for programs with high-frequency administrative reauthorization requirements — including but not limited to Residential Treatment, SACOT, and IOP — from initial authorization through renewal and continued stay. Scope expands as new programs, payers, or authorization rules are added.Route medical-necessity reauthorizations for other programs to Clinical at least 5 business days before expiration.Maintain the authorization system of record in NetSmart — payer, units, dates, reference numbers, and expiration alerts — for every active authorization.Coordinate peer-to-peer review scheduling for denied authorizations; Clinical conducts the review. Intake Paperwork Review & Cross-Functional Partnership Oversee centralized daily review of prior-day intake paperwork submitted from every Anuvia location; review completed by 10:30 AM the next business day.Partner with the Front-Desk / Admin working lead and clinical intake staff to define intake standards, drive paperwork quality, and remediate errors — holding functional accountability for intake accuracy across every site.Publish a monthly intake-accuracy scorecard by site (correction rate, missing-field rate, insurance-capture accuracy, MCO-eligibility catch rate) and review results with intake site leads.Own the intake training curriculum, job aids, and NetSmart intake-workflow configuration; co-deliver intake refreshers with the Front-Desk / Admin working lead.Verify insurance eligibility for every client using payer portals (Availity, NaviNet, UHCprovider, MCO portals), EDI 270/271 transactions, and direct outreach; resolve coordination-of-benefits (COB) exceptions.Lead the weekly insurance review of the active client census — coverage, MCO enrollment, active authorization, units remaining, and rate-setup accuracy. MCO Enrollments & Payer Relations Determine and confirm each client's MCO (Trillium, Partners, Alliance, or other); complete MCO enrollment/registration so the client is active in the MCO's system for authorization.Document MCO, plan, member ID, and effective date in NetSmart; proactively resolve enrollment gaps (member-not-found, between MCOs, incorrect assignments).Serve as day-to-day primary point of contact with MCO and commercial payer representatives; escalate systemic issues to the COO. Provider Contracts & Payer Agreements Own Anuvia's provider-side contracts with MCOs and commercial payers for billable services — in-network agreements, single-case agreements, letters of agreement — from credentialing through renewal.Coordinate credentialing / re-credentialing with each MCO and commercial payer so Anuvia is an eligible billing provider for the services it delivers.Maintain a single contract repository / payer matrix; own the renewal