Revenue Cycle Manager

Our client, a dedicated healthcare organization committed to community development, is hiring a Revenue Cycle Manager to lead their billing and reimbursement operations. This pivotal role ensures the financial health of the organization by streamlining revenue cycle processes, supervising billing staff, and ensuring compliance with industry standards and regulations. Responsibilities: Supervise daily activities of the billing department and foster workflow enhancements through automation and standardization. Conduct regular team meetings to ensure alignment with revenue cycle management (RCM) plans, programs, and deadlines. Identify and address challenges in the revenue cycle to maximize collection efficiency and reimbursement. Apply strong analytical skills to leverage data for performance monitoring, trend identification, and revenue integrity improvements. Bring deep expertise in Revenue Cycle Management, including team leadership and operational oversight. Develop and refine policies, procedures, and workflows for billing, coding, and collections. Manage key performance indicators and departmental goals, providing status reports and analytics to senior leadership. Develop and execute strategies to enhance revenue cycle performance and support sustainable growth. Keep abreast of Medicare/Medicaid, third-party payers, and regulatory updates, integrating changes into internal systems and staff education. Oversee coding accuracy, claim transmission, payment posting, and denials management, ensuring adherence to guidelines like ICD-10, CPT, and HCPCS. Recruit, train, and evaluate billing personnel, fostering a high-performing team environment. Ensure compliance with HIPAA, security protocols, and regulatory standards, including participation in on-site on-call coverage. Requirements: Bachelor’s degree and minimum of 5 years of experience in healthcare finance or revenue cycle management, with at least one year supervising claims and reimbursement processes. In-depth knowledge of revenue cycle management, medical billing, coding, managed care products, and regulatory compliance. Active Certified Coder (CPC) is a must. Strong understanding of healthcare administration, HIPAA, insurance practices, and payer credentialing. Effective leadership, communication, and organizational skills; ability to manage staff and projects efficiently. Proficiency in billing practice management systems, Microsoft Office Suite, and internet research skills. Preferred Qualifications: Familiarity with Pay-for-Performance (P4P) incentive programs. Experience with AthenaOne or similar EHR platforms. Some of the Benefits: Opportunity to lead a vital component of a community-focused healthcare organization. Collaborative work environment with professional growth prospects. Competitive benefits package (specific details provided upon request). Take the next step in your career by applying today and contribute to making a difference in community health services.

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