Hospital/ASC Revenue Cycle Manager

Responsibilities

• Lead a team of billing and coding professionals, providing guidance, support, and mentorship.
• Foster a positive and inclusive work environment that encourages collaboration, teamwork, and professional growth.
• Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge.
• Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes.
• Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations.
• Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
• Serve as the primary point of contact for providers and administration, addressing inquiries, resolving issues, and fostering strong relationships.
• Collaborate with stakeholders to understand their needs and develop strategies to improve revenue cycle performance.
• Conduct regular meetings with providers and administration to provide updates, gather feedback, and ensure alignment on goals and expectations.
• Stay up to date with industry regulations, coding guidelines, and payer policies to ensure compliance with billing and coding practices.
• Implement and enforce policies and procedures that comply with HIPAA and other relevant regulations.
• Conduct internal audits to identify potential compliance issues and develop action plans to address them.
• Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency.
• Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance.
• Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes.
• Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
• Drive positive patient interaction on all touch points.
• Supervise staff productivity on a daily basis.
• Fill in staff functionality when necessary as a working team lead.

Qualifications

• In-depth knowledge of physician billing and coding practices, reimbursement methodologies, and industry regulations.
• Proven experience in revenue cycle management, preferably in a leadership role.
• Strong understanding of key performance indicators (KPIs) and experience in monitoring and improving revenue cycle metrics.
• Excellent communication and interpersonal skills to interact effectively with providers, administration, and team members.
• Familiarity with compliance requirements, such as HIPAA, and experience in implementing and enforcing compliance programs.
• Strong leadership abilities with a supportive and effective management style.
• Analytical mindset with the ability to identify areas for improvement and drive process optimization.
• Proficiency in revenue cycle software and healthcare billing systems.
• Certification in medical coding (e.g., CPC, CCS) is a plus.

Benefits

• Employer sponsored Major Medical
• Employer sponsored Dental
• Employer sponsored Vision
• Accidental Death and Disability insurance
• 401K matching
• Flexible spending account
• Generous paid time off
• True opportunity for advancement