Finance & Revenue Cycle ManagerFarmington Hills, MI
Finance & Revenue Cycle Manager Job DescriptionPosition SummaryThe Finance & Revenue Cycle Manager is responsible for managing the day-to-day operations of Miller Vein's revenue cycle, including insurance verification, prior authorizations, claims management, payment posting, denial management, accounts receivable, collections, reimbursement, and related financial processes.
The Manager leads and supports the billing and insurance team, monitors revenue cycle performance, identifies opportunities for improvement, and works closely with leadership to ensure accurate, timely, and efficient financial operations.
Leadership & Team Management- Manage, coach, and support billing and insurance team members.
- Oversee onboarding, training, performance management, and staff development.
- Establish and monitor productivity standards and performance expectations.
- Conduct performance evaluations and provide ongoing feedback and coaching.
- Help prioritize workloads and ensure appropriate coverage and follow-up.
- Foster a culture of accountability, teamwork, collaboration, and continuous improvement.
- Serve as a resource for team members regarding complex billing, insurance, and reimbursement issues.
Revenue Cycle Operations- Manage insurance verification and prior authorization processes.
- Oversee claims submission, payment posting, denial management, and follow-up.
- Monitor accounts receivable and collections activity.
- Ensure claims are processed accurately and in a timely manner.
- Review denied and underpaid claims and identify trends and opportunities for improvement.
- Monitor outstanding accounts and ensure appropriate follow-up.
- Implement and maintain processes designed to maximize reimbursement and improve revenue cycle efficiency.
- Work with providers, clinical teams, and administrative staff to resolve billing and insurance issues.
- Identify workflow issues and recommend practical solutions.
Financial Performance- Monitor key revenue cycle metrics, reimbursement trends, collections, and financial performance.
- Develop and implement action plans to improve collections, reduce denials, and optimize cash flow.
- Assist with budgeting, forecasting, and financial planning activities.
- Prepare revenue cycle and financial performance reports for leadership.
- Analyze data to identify trends, issues, and opportunities for improvement.
- Assist with maintaining effective financial controls and processes.
- Ensure accurate and timely reporting of revenue cycle results.
Compliance & Quality- Ensure compliance with HIPAA, CMS, payer requirements, and applicable healthcare regulations.
- Participate in audits, compliance reviews, and corrective action planning.
- Maintain departmental policies, procedures, and internal controls.
- Monitor team processes for accuracy, consistency, and compliance.
- Stay current on payer requirements and changes affecting billing and reimbursement.
Qualifications- Bachelor's degree preferred.
- Five years of healthcare revenue cycle experience preferred.
- Three years of supervisory or management experience preferred.
- Strong knowledge of medical billing, insurance reimbursement, claims processing, denials, accounts receivable, and revenue cycle operations.
- Experience with EMR and practice management systems.
- Strong analytical and problem-solving skills.
- Ability to interpret revenue cycle and financial data and translate findings into action.
- Strong leadership, organizational, and communication skills.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
- Detail-oriented with a strong commitment to accuracy and follow-through.
