Central Services Manager, IDD

Central Services Managers, IDD Services

Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.

Summary

The Central Services Manager is responsible for direct oversight of the Eligibility/Authorization, Individual Funds, Revenue Cycle, and Central Services functions. Across these focus areas, this role develops and implements action plans to address barriers as staff escalate issues and present ongoing progress to executive leadership.

This role ensures Medicaid renewals and service authorizations are worked and submitted timely; is responsible for the quality assurance of the billing/AR processes, serves as a liaison with other departments and various state and local agencies to ensure timely reimbursement; and ensures accurate reporting of client financial transactions, as well as appropriate completion and storage of broader client information (e.g., SSI application, state forms, burial plan).

Essential Job Functions

To perform this job successfully, an individual must be able to satisfactorily perform each essential functions listed below.

• Establish & adjust task expectations calendar based on daily, weekly, bi-weekly, monthly tasks & team KPIs (e.g., turnaround times) to execute requests
• Oversee team execution of administrative tasks from intake through discharge, focusing on an individual being eligible & authorized for services with clean billing
• Monitor KPIs (including but not limited to # expired eligibility & authorizations, AR, aging, rejections) to drive team priorities and process changes
• Conduct regular check-ins with field leadership to ensure central services teams are operating effectively and tasks are completed accurately and timely
• Operate with continuous improvement mindset, adjusting processes, team assignments, etc. based on observed successes and failures
• Act as liaison between functional leaders (Eligibility & Authorizations, Trust Funds, Revenue Cycle), field leaders, and central services specialist team members for complex cases, stepping in to resolve issues directly as needed
• Encourage cohesion across all functional, central services specialist, field, and D&S Community Services partner teams
• Provide overall performance updates to state, business unit, and company executive leadership teams, including key metrics, identified challenges, and remediation plans
• Performs other related duties and activities as required.

Success in This Role Includes Accountability to the Success of Underlying Teams

Eligibility & Authorization Management –

• Monitor reports to ensure Medicaid renewals & authorizations are submitted timely
• Identify and address trends preventing Medicaid renewal, authorization submission, or billing
• Partner with field teams to collect and submit required documentation and/or signatures related to renewal or reauthorization
• Develop a comprehensive understanding of the eligibility & authorization workflow from beginning to end

Revenue Cycle Management (Front End & Denials) –

• Audits methods and procedures of the accounts receivable function to improve efficiency and maintain accurate records
• Ensures compliance will federal, state and local regulations and statutes, as well as company policies and procedures
• Completes monthly review of balance sheet accounts, in particular, the bad debt reserve, reviewing sales allowance and accurately forecasting that for the remainder of the year, as applicable
• Analyzes, interprets and communicates accounts receivable issues requiring management's attention (rejections & denials)
• Maintains appropriate relationships with payer agencies to support denials resolution & collection

Individual Funds Management –

• Audits accurate reporting and completion of client financial transactions and monthly financial statements
• Oversees investigations of misappropriations of funds, in consultation with supervisor/s (QIDDP) and in conjunction with the QA manager and State Director/Executive Director
• Ensures client finance procedures are in compliance with all Sevita and regulatory standards

Central Services Administration –

• Collects and/or support submission of necessary documentation and state forms upon intake
• Manages admission, discharge, transfer (ADT) data in individual records across multiple systems (service documentation, billing, state portal)
• Collaborates with functional leaders, field teams, and broader D&S Community Services departments to complete eligibility, authorization, and denials-driven administrative tasks (e.g., data entry, signature collection, form submission)

Supervisory Responsibilities

• Manages assigned personnel. Completes performance evaluations, orientation, and training. Makes decisions on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves employee problems within position responsibilities.

Minimum Knowledge and Skills Required by the Job

The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job.

Education and Experience:

• Bachelor's degree preferred
• 5+ years of experience in related field required (revenue cycle, healthcare or human services)
• 2+ years in a supervisory role

Certificates, Licenses, and Registrations:

• None

Other Skills and Abilities:

• Ability to work as a member of a multi-disciplinary team.
• Demonstrated leadership skills with motivating team and driving results.
• Excellent verbal and written communication skills
• Commitment to quality care and the multidisciplinary team approach

Other Requirements:

• Travel as needed

Physical Requirements:

• Sedentary work . Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.