Mgr, Revenue Cycle (JR223619)

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Job ID: JR223619

About the Role

This position manages the revenue cycle operations for Cincinnati Children's, ensuring accurate and timely billing, collections, and financial reporting.

Responsibilities

• Oversee daily revenue cycle activities including charge entry, payment posting, and account resolution.
• Develop and implement policies and procedures to optimize revenue cycle performance.
• Monitor key performance indicators (KPIs) such as days in accounts receivable, denial rates, and collection rates.
• Collaborate with clinical and administrative teams to ensure accurate coding and billing practices.
• Lead denial management efforts, identifying root causes and implementing corrective actions.
• Manage and mentor a team of revenue cycle specialists, providing training and support as needed.
• Prepare and present financial reports to senior leadership, highlighting trends and areas for improvement.
• Ensure compliance with federal, state, and payer-specific regulations related to billing and reimbursement.
• Participate in system upgrades and process improvements to enhance efficiency and accuracy.

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field.
• Minimum of 5 years of experience in healthcare revenue cycle management, with at least 2 years in a supervisory or managerial role.
• Strong knowledge of medical billing, coding (CPT, ICD-10, HCPCS), and reimbursement methodologies.
• Experience with electronic health record (EHR) and revenue cycle management (RCM) systems.
• Proficiency in Microsoft Office Suite, particularly Excel for data analysis and reporting.
• Excellent communication, leadership, and problem-solving skills.
• Certification in Healthcare Revenue Cycle (e.g., CRCR, CHFP, or similar) is preferred.

Benefits

• Comprehensive health, dental, and vision insurance.
• Retirement savings plan with employer match.
• Paid time off and holidays.
• Employee assistance program (EAP).
• Professional development opportunities and tuition reimbursement.
• On-site childcare and wellness programs.