Revenue Cycle Manager leads, develops and implements
processes for all functions related to the revenue cycle to ensure maximum and
timely cash flow while improving processes and payer denials. Works collaboratively with the Director of Revenue Cycle
Management, Vice President of Finance, and Chief Financial Officer.
Timely and accurate billing and collections, as well as optimizing efficiency
in the RCM functions are essential. Goals will include utilizing automated
claims bill out tools, reducing days in A/R, minimizing rejections and denials,
streamlining insurance verification processes and improving on other relevant key
To perform this
job successfully, an individual must be able to perform each essential duty
satisfactorily. The requirements listed
below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
in related healthcare field and/or equivalent minimum 10 years progressive
experience in clinical RCM/billing/collection function
5-10 years management experience. Ability and track record of effectively
building and leading a coding, billing and collections team.
Drug Medical experience preferred.
with electronic patient registration, EMR and PM systems.
exposure to/knowledge of relevant insurance regulations including state and
in Microsoft Suite with an emphasis on Excel and PowerPoint for board level
developing, implementing revenue cycle processes, controls and automated
strong understanding of / commitment to utilizing technology to improve the business.
self-starter, able to help build, implement and track facility level and
understanding of healthcare, insurance, managed care contracting.
organization and communication skills.
and cooperatively work in a fast-growing organization.
the skills to be independent, motivated and results-driven in centralizing RCM
functions for new and acquired entities, following through with communication,
and being held accountable for the cash reimbursement predictability and
performance of the business.
appropriate tools such as KPI reports and incentive plans to help track and
maintain top performing staff.
evaluation of denial reports by location, ongoing feedback to locations on how
to improve denials stemming from desk and verification errors.
manage and maintain the annual billing.
with coding to ensure compliance with applicable laws, regulations, policies,
& present revenue cycle automation and process improvement opportunities.
strategies to improve reimbursement and collection KPI’s for Billing staff as
well as each Facility/County locations as they relate to RCM.
leadership for insurance verification, billing and collections processes.
with Operations on cash pay patients to ensure we are managing cash AR through
financial counseling and minimizing bad debt expense.
and coach Billing and staff on new developments with contracts, Drug Medical,
and maintain manuals/handouts for processes for Billing departments.
day-to-day functions of Billing Department such as time off and disciplinary
patients for collections and Financial Discharge.
other duties as assigned.