Manager-Revenue Cycle

About the role

Provides leadership and supervision of day-to-day operations and assigned staff within the Medical Billing groups. Manages the billing and pre-authorization department ensuring compliance with acceptable coding, billing and cash application practices.

Responsibilities

• Responsible for all revenue related activities including billing, coding, accounts receivable, collections and cash application processing ensuring completeness, accuracy and timeliness of all functions.
• Works closely with the Finance staff on matters related to billing, revenue recognition, the reconciliation of accounts receivable and the accurate posting of cash.
• Provides weekly KPI’s to leadership.
• Reviews and assists with revenue enhancement plans.
• Provides revenue cycle reports and metrics, including average daily census and payor mix.
• Maintains compliance with contractual reporting obligations under agreements with third-party payors and others.
• Provides analytical support to service lines across the organization by providing consistent and meaningful financial information, reporting and analysis.
• Communicates organizational direction to department staff.
• Administers, interprets and ensures compliance of organizational policies and procedures within assigned area(s).
• May plan, develop and/or direct programs and/or services within assigned area(s).
• Participates in the preparation of annual operational budgets, monthly financial statements and the related analysis of the variances against the budget.
• Participates and reports in the monthly operations review with the various service lines.
• Maintains billed vs. contracted rates as well as the corresponding contractual allowance account.
• Collaborates in coordinating internal and external billing and accounts receivable audits.

Requirements

• A minimum of three years supervising a financial department in a health care setting is preferred.
• Extensive knowledge of medical billing, and health care accounting practices required.
• Strong analytical skills in billings systems, system conversions and general ledger are required.