Key Responsibilities
Operational Leadership
- Provide oversight of daily operations across behavioral health support functions.
- Lead department managers, including Intake, Clinical Support, Billing, Credentialing, and IT coordination.
- Ensure alignment across patient access, communication, telehealth, and care support teams.
- Drive service excellence across multi-channel patient communication (calls, texts, and video visits).
Patient Access & Call Center Oversight
- Oversee inbound and outbound patient call operations supporting mental health services.
- Manage patient call volume, queue performance, and workforce planning.
- Ensure service levels meet performance targets such as Average Speed of Answer (ASA), First Call Resolution (FCR), Abandonment Rate, Average Handle Time (AHT), and Patient Satisfaction (CSAT).
- Improve patient access to care by reducing wait times and streamlining scheduling workflows.
Commercial Payers & Billing Operations Oversight
- Oversee billing operations related to commercial insurance payers, ensuring accurate claim submission, payment posting, and revenue cycle efficiency.
- Collaborate with the Billing Manager to monitor claims performance, denial rates, reimbursement timelines, and payer-specific compliance requirements.
- Ensure operational alignment between patient access, insurance verification, authorizations, credentialing, and billing workflows.
- Monitor key revenue cycle metrics, including clean claim rate, days in accounts receivable (A/R), denial trends, and payer turnaround times.
- Support strategic payer relationships and operational readiness for commercial insurance audits or credentialing updates.
- Partner with leadership to improve revenue optimization
Technology, Telehealth & Systems Oversight
- Oversee implementation, optimization, compliance, and performance of digital healthcare platforms including Spruce Health, and Zocdoc.
- Ensure integration between communication platforms and EMR/EHR systems.
- Maintain HIPAA compliance across telehealth and communication tools.
- Monitor system performance, patient engagement, and operational analytics.
- Support staff training and technology adoption.
- Evaluate new digital solutions to enhance patient access and experience.
Patient Experience & Service Quality
- Establish service standards for compassionate, compliant patient communication.
- Oversee appointment coordination, follow-ups, referrals, and retention workflows.
- Manage escalated patient concerns and service recovery.
- Drive initiatives that enhance patient engagement and continuity of care.
Compliance & Documentation
- Ensure adherence to HIPAA and U.S. healthcare privacy regulations.
- Maintain documentation integrity across EMR, CRM, and communication systems.
- Support audits, quality monitoring, and regulatory reporting.
Process Improvement & Strategy
- Analyze operational data to identify inefficiencies and improvement opportunities.
- Lead workflow redesign, automation initiatives, and technology enhancements.
- Develop performance improvement strategies across departments.
- Partner with leadership to scale operations and support organizational growth.
Leadership & Talent Development
- Provide direction and mentorship to Managers.
- Establish accountability structures tied to KPI performance.
- Support workforce planning, hiring strategies, and training programs with the HR Director.
Qualifications
- Bachelor's degree in Healthcare Administration, Business, or related field (Master's preferred).
- 5+ years of leadership experience in healthcare operations.
- Experience in mental or behavioral healthcare service environments.
- Background in call center or patient access operations.
- Experience managing multiple operational managers.
- Proficiency with Spruce Health, Doxy.me, and Zocdoc.
- Experience with EMR/EHR systems.
- Knowledge of call center platforms, IVR, and queue systems.
- Data analysis and KPI performance management.
- Must use own equipment (laptop/PC, reliable headset, stable internet)
- Must have a comfortable, quiet, and distraction-free workspace for remote days.
Work Schedule
- Full-time role as a 1099 Independent Contractor.
- Hybrid setup on remaining days, depending on team needs
- Regular coordination and check-ins with the CSuite