Position Title: Hospital/ASC Revenue Cycle Manager
Reports to: Director of Facility operations
Location: Remote
Responsibilities:
Leadership and Staff Management:
- Lead a team of billing and coding professionals, providing guidance, support, and mentorship.
- Foster a positive and inclusive work environment that encourages collaboration, teamwork, and professional growth.
- Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge.
KPI Monitoring and Performance Management:
- Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes.
- Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations.
- Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
Provider and Administration Interaction:
- Serve as the primary point of contact for providers and administration, addressing inquiries, resolving issues, and fostering strong relationships.
- Collaborate with stakeholders to understand their needs and develop strategies to improve revenue cycle performance.
- Conduct regular meetings with providers and administration to provide updates, gather feedback, and ensure alignment on goals and expectations.
Compliance and Regulatory Adherence:
- Stay up to date with industry regulations, coding guidelines, and payer policies to ensure compliance with billing and coding practices.
- Implement and enforce policies and procedures that comply with HIPAA and other relevant regulations.
- Conduct internal audits to identify potential compliance issues and develop action plans to address them.
Culture and Process Improvement:
- Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency.
- Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance.
- Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes.
Day to Day Operations:
- Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
- Drive positive patient interaction on all touch points.
- Supervise staff productivity on a daily basis.
- Fill in staff functionality when necessary as a working team lead.
Qualifications:
- In-depth knowledge of physician billing and coding practices, reimbursement methodologies, and industry regulations.
- Proven experience in revenue cycle management, preferably in a leadership role.
- Strong understanding of key performance indicators (KPIs) and experience in monitoring and improving revenue cycle metrics.
- Excellent communication and interpersonal skills to interact effectively with providers, administration, and team members.
- Familiarity with compliance requirements, such as HIPAA, and experience in implementing and enforcing compliance programs.
- Strong leadership abilities with a supportive and effective management style.
- Analytical mindset with the ability to identify areas for improvement and drive process optimization.
- Proficiency in revenue cycle software and healthcare billing systems.
- Certification in medical coding (e.g., CPC, CCS) is a plus.
Join our dynamic team and make a significant impact on our revenue cycle operations. Apply now and help us maintain efficient billing and coding processes while driving a culture of Awesome!
FULL TIME BENEFITS- Employer sponsored Major Medical
- Employer sponsored Dental
- Employer sponsored Vision
- Accidental Death and Disability insurance
- 401K matching
- Flexible spending account
- Generous paid time off
- True opportunity for advancement
