Revenue Cycle Manager

Essential Duties and Responsibilities

• Regularly reviews charging practices, protocols, and systems used for compliance to all government and corporate regulatory standards.
• Provide education on processes and procedures to assure staff comply with policies and procedures.
• Maintains issues log of findings/issues/action plans for the revenue-producing departments.
• Provides training where needed to implement action plans.
• Monitors and trends KPI data on a daily and monthly basis.
• Investigate variances and resolves any issues.
• Communicate issues and resolutions to the Director of Revenue Cycle.
• Provides focus and direction to process improvement with billing functions.
• Help develops and implements training processes to improve cash collections and reduction of denials.
• Meets billing operational standards by implementing production, productivity, quality, and customer-service standards; resolving problems; identifying billing system improvements.
• Accomplishes billing departmental objectives by measuring billing results against plans, evaluating, and improving methods.
• Oversee management of personnel, providing recommendations for hiring, promotion, salary adjustment, and personnel action where needed.
• Establishes the concept of high-performance work teams where applicable.
• Ensures professional verbal and written communication with facilities, clients, and co-workers.

Critical Skills

• 5+ years of experience with revenue cycle audits/payment variance to include denials and/or underpayments.
• 3-5 years of people management experience-hiring, training, performance management, etc.
• Proficiency with the Microsoft Office suite of products to include Word, Excel, and PowerPoint.
• Experience improving revenue cycle processes.
• Proven leadership skills.
• Experience resolving issues and contributing to departmental development.

Educational and Experience Requirements

• Requires 5+ years of experience in billing, collections, payment posting experience combined.
• Knowledge of Commercial, Third-Party Insurance Accounts including but not limited to Medicare, Medicaid, Managed Care, HMO, PPO, Auto, and Work Comp.
• Knowledge of Rules and Guidelines governing the collection and cash posting activities.
• BA/BS in Business Administration, Healthcare, or 5+ years of revenue cycle experience in lieu of degree.
• Uses independent and critical thinking skills to achieve assigned objectives.
• Ability to organize and prioritize.
• Attention to detail.
• Ability to be accurate and timely.
• Good decision-making skills.
• Ability to maintain confidential information.