Revenue Cycle Operations Senior Manager

Responsibilities

• Strategically plans, directs and evaluates revenue cycle operations functions to ensure consistent maximum cash flow to achieve operational efficiencies.
• Utilizes data analysis, strategically and continuously refine the revenue cycle operations and workflows to minimize denials and the slowdown of claims resolution; optimize performance and net cash collections; reduce days in accounts receivable status.
• Examines and provides recommendations for resource allocation, structure and benchmarking.
• Manage the completion of revenue cycle dashboards and work with leaders of other areas of revenue cycle to drive improvement.
• Makes measurements and documents employee performance, reviewing monthly for staff development, recognition and goal achievement.
• Ensures productivity of the team by developing and/or updating processes, methods, policies, guidelines, best practices.
• Ownership of Compliance and Medicare contractor relationships regarding regulatory reviews and corrective action.
• Oversight for the resolution of BBB/OAG patient complaints specific to RCO; escalates to internal and external leadership as needed to ensure patient satisfaction and corrective actions are completed.
• Perform due diligence audits of selected criteria for acquisitions and provide feedback to the Strategy team.
• Investigate the root causes of revenue loss or regulatory inconsistencies, such as billing errors or payment disputes, and develop strategic solutions.

Requirements

• Bachelor's Degree Required preferably in business, healthcare, accounting or finance or equivalent of education and experience required.
• Minimum of 5 years’ previous healthcare administration /revenue cycle, billing management experience.
• Working knowledge of full scope revenue cycle management process; patient registration, coding, billing, payment posting, revenue assurance, billing integrity, denial tracking/resolution, accounts receivable, medical terminology, payer contract familiarity with worker's compensation and no-fault billing.
• Comprehensive knowledge of CPT, HCPC, and ICD-10 codes and medical terminology.
• Radiology Certified Coder (RCC) certification, or, other equivalent coding certification.
• Strong proficiency in Microsoft office with advanced Excel skills.
• Strong analytical and problem-solving skills with ability to identify trends, opportunities for improvement and effectively communicate both orally and in writing and present information and respond to questions knowledgeably.

Qualifications

• Ideal Candidate Will Possess Team player who will lead by example and promote a positive work culture when partnering with internal/external business partners.
• Demonstrates initiative, self-awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.

Skills

• Strong analytical and problem-solving skills.
• Effective communication and presentation skills.
• Team player with leadership qualities.

Benefits

• RadNet offers a competitive benefits package including health insurance, retirement plans, and paid time off.

Pay

Pay Range: $80,000 - $95,000 per year