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Acting as a pivotal player in our operations, the Revenue Cycle Manager will be entrusted with the management of customer credit applications, maintenance of accurate records, resolution of customer inquiries, and oversight of customer accounts.
Job Responsibility:
Direct and enhance the revenue cycle process for outpatient services, incorporating patient registration, insurance verification, coding, billing, and collections
Formulate and implement strategies to augment revenue cycle performance
Spearhead a team of billing and coding professionals, offering direction, training, and performance assessments
Ensure adherence to healthcare regulations, payer guidelines, and industry standards
Cooperate with clinical and administrative teams to optimize processes, improve workflow efficiency, and guarantee accurate patient data
Detect and rectify billing discrepancies and denials, liaising closely with insurance carriers and patients to expedite payment
Evaluate key performance indicators (KPIs) and devise strategies to enhance revenue cycle metrics, including minimizing days in accounts receivable (AR) and reducing claim rejections
Keep abreast with healthcare industry trends, payer policies, and alterations to billing and coding standards
Cultivate and sustain relationships with insurance payers, negotiating payment terms, and resolving escalated billing issues as required
Regularly report to senior management on revenue cycle performance, trends, and avenues for improvement
Requirements:
Minimum of 5 years of experience in a similar role as a Revenue Cycle Manager
Familiarity with Accounting Software Systems
Experience with Customer Relationship Management (CRM) systems
Familiarity with Epic Software
Demonstrated experience in Accounting Functions
Proficiency in managing Accounts Receivable (AR)
Experience in Auditing
Proficiency in Billing Functions
Understanding of Budget Processes
Experience in Medical Billing
Knowledge of ICD-10 coding
Proficiency in Medical Coding
What we offer:
medical, vision, dental, and life and disability insurance
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