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Revenue Cycle Manager
Healthcare Outcomes Performance Co. (HOPCo)Revenue Cycle Manager overseeing day-to-day operations of billing department to maximize revenues. Analyzing data and managing billing processes to enhance overall financial performance of the revenue cycle.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing healthcare revenue cycle operations, including billing department leadership, financial analysis, and compliance with payer guidelines. Proficient in analyzing data trends and implementing processes to optimize revenue metrics while ensuring effective communication with senior leadership.
Highest-signal resume keywords
Healthcare Revenue Cycle LeadershipFinancial Data AnalysisPayer Guidelines KnowledgeAdvanced Excel SkillsSupervisory Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue Cycle ManagementFinancial AnalysisClaims ProcessingCPT CodingHCPCS CodingDiagnosis CodingA/R ManagementData Trend AnalysisPolicy DevelopmentCompliance Regulations
Soft Skills
Leadership SkillsExcellent CommunicationCritical ThinkingConflict ManagementAttention to Detail
Tools & Technologies
Practice Management SystemExcel
Industry Keywords
Medicare GuidelinesMedicaid GuidelinesThird-Party BillingRevenue Cycle MetricsHealthcare Operations
About the role
Key responsibilities & impact- Manages the day-to-day operations of the billing department to maximize net revenues and cash flow by managing all aspects of the revenue cycle while ensuring adherence to policies and procedures.
- Monitor accounts receivable activity and initiates appropriate corrective measures as needed.
- Communicates performance data and associated action plans to Senior Leadership.
- Identifies and implements processes to achieve key revenue cycle metrics including but not limited to A/R days, unbilled a/r, denial percentage, and cash collections.
- Analyze large volumes of data and provide financial analysis and regularly presents trends, movements, and status to Senior Leadership.
- Review billing work queues regularly to ensure that workloads are distributed evenly and that the department metrics are being met.
- Resolve complex patient, physician, and other issues when necessary.
- Manages self-pay receivables including vendor relationships to help resolve AR.
- Develop and implement policies and procedures for designated areas; evaluate new systems and methods and recommend changes as necessary.
- Communicate with payers and know when and how to escalate payer issues.
- Oversee the hiring, training, and supervision of department personnel.
- Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles.
- Conducts regular meetings with staff to discuss third-party reimbursement methodologies.
- Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and/or third party payers.
- Research and resolve discrepancies in a timely manner.
- Works with sensitive and confidential materials and must be able to exercise discretion.
- Verifies and updates patient registration information in the practice management system.
Requirements
What you’ll need- High School diploma or equivalent working knowledge preferred.
- BA/BS in Business Administration, Accounting, Finance, or equivalent is preferred.
- A minimum of office 5 year of experience in a leadership role within a billing department in healthcare revenue cycle operations.
- Prefer experience working with multiple physician specialties.
- Previous supervisory experience and strong leadership skills with an ability to motivate with a positive attitude that positively impacts others.
- Demonstrated successful healthcare revenue cycle leadership experience.
- Experience analyzing and trending financial data.
- Excellent written and verbal communication and presentation skills.
- Excellent critical thinking, troubleshooting, and analytical skills.
- Excellent interpersonal skills including conflict management.
- Experience working in Excel (advanced formulas, pivot table).
- Well organized and able to meet deadlines.
- Excellent attention to detail.
- Knowledge of claims processing and editing systems.
- Strong knowledge of Medicare and Medicaid payer guidelines across multiple states.
- Knowledge of CPT, HCPCS, and diagnosis coding.
Benefits
Comp & perks- Health insurance
- Flexible work arrangements