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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.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Revenue Cycle ManagementFinancial AnalysisClaims ProcessingCPT CodingHCPCS CodingDiagnosis CodingA/R ManagementData Trend AnalysisPolicy DevelopmentCompliance Regulations
Soft Skills
Leadership SkillsExcellent CommunicationCritical ThinkingConflict ManagementAttention to Detail