Revenue Operations Manager

RadNet   •  

Rochester, NY

Industry: IT Consulting/Services

  •  

5 - 7 years

Posted 241 days ago

Job Description

Job Summary:

The Revenue Operations Manager is responsible for providing operational management with a focus on optimization of reimbursement through leadership and oversight of medical billing/AR Follow-Up through enforcement of policies and procedures while streamlining processes.

Duties and Responsibilities

*Plan, direct and evaluate follow-up and collections to ensure consistent positive cash flow to achieve operational efficiencies.

*Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.

*Directly supervises accounts receivable collection team. Monitors progress of team on a daily basis and redirects follow-up efforts as appropriate.

*Provides leadership to ensure timely, efficient and accurate processing of claims; timely initial billing, follow-up, payment posting and denial management.

*Work collaboratively with all levels of personnel and management on revenue cycle performance to meet strategic goals and develop all guidelines, policies, and procedures through use of data analysis.

*Continually monitor billable revenues to identify and explain significant variances.

*Coordinate and lead scheduled management meetings; conduct detailed review of key performance indicators and trends within accounts receivable.

* Review and auditcontractual write-offs and denials to identify potential reimbursement issues and opportunities.

*Assess departmental capabilities and monitor staff performance.

*Monitor accounts sent for collections and reimbursement received from insurance companies and other third party payers.

*Ensure productivity of billing and collections team by developing and/or updating billing and collection processes, methods, policies, guidelines, best practices.

*Daily, monthly and annual reporting, bench marking and trending maximizing technology to improve function. Analyzing and summarizing data with subsequent communication to senior leadership and clinical operations.

*Strategically identifies and communicates critical success factors necessary to support financial and organizational goals.

*Supervise the use of revenue information systems/ software and maintain a comprehensive working knowledge of the system, reporting relevant information to senior leadership.  

We offer advancement opportunities, hands-on training, and benefits including: medical / dental / vision coverage, paid time off, paid holidays, education reimbursement, free life insurance, pre-tax matching 401k plan, pre-tax flexible spending plan, and a host of other perks!   

Requirements

Minimum Qualifications, Education and Experience

  • Bachelor's degree - preferred in business, healthcare, accounting or finance or equivalent of education and experiencerequired.
  • Minimum of 5 years previous healthcare administration /revenue cycle, billing management with experience in Worker's compensation/no fault.
  • 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.
  • Extensive knowledge of and experience in large scale receivables management.
  • Ability to perform strategic planning and prioritize goals.
  • Experience implementing and maintaining billing system.
  • Strong proficiency in Microsoft office with advanced Excel skill.
  • 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.
  • Ability to manage mutiple projects.

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