Revenue Cycle Manager

About the role

Curalta Health is seeking a Revenue Cycle Manager to join our team in Rochelle Park, NJ. This position is responsible for managing the entire revenue cycle process, including insurance verification, coding, claim submissions, and collections.

Responsibilities

• Manage the end-to-end revenue cycle, including insurance verification, coding and claim submissions
• Responding to all patients, doctors, and field staff inquiries in a timely manner via various channels (phone or email)
• Serves as a point of contact for resolving issues by troubleshooting problems, handling complaints, and finding an effective resolution
• Analyze denials, identify trends, implement strategies to reduce, fix and prevent denials
• Maintain key performance metrics, monitor metrics such as Days in AR, collection rates, coding errors and reporting to leadership
• Supervise, train, mentor staff to improve efficiency and accuracy and evaluate performance of employees
• Ensure compliance with state/federal regulations (including Medicare and Medicaid) and develop internal policies for billing accuracy
• Utilize Electronic Health Records (EHR) and practice management systems (Modern Medicine)
• Aid in various projects and responsibilities as needed

Requirements

• Bachelor’s degree in finance or business preferred or a combination of education and experience
• Minimum 5 years of Revenue Cycle experience, healthcare, or medical office supervisory experience required
• Experienced with insurance company operating procedures, regulations, and billing requirements required
• Experience with computer accounting programs, spreadsheets, and applications required
• Experience with medical terminology and coding required
• Experience with facility credentialling and managed care contracting required
• Experience with billing software required
• Modernizing Medicine experience preferred
• Experience with Podiatry billing a plus

Skills

• Knowledge of current medical terminology to communicate with staff and patients
• Time Management & excellent organization are very important for this position
• Proficient computer skills, including working knowledge of Microsoft Office (Work & Excel to use daily), e-mail systems, and web-based programs
• Detail oriented with the ability to prioritize, organize, troubleshoot and problem solve
• Excellent time management skills and multitasking skills
• Strong oral, written and interpersonal communication skills

Physical Requirements

• Prolonged periods of sitting or standing at a desk and working on a computer
• Must be able to lift up to 15 pounds at times