Description:
The Revenue Cycle & Patient Access Manager is responsible for the day-to-day leadership and operational performance of the Ambulatory Surgery Center's revenue cycle and patient access functions. This position oversees patient registration, authorizations, insurance verification, billing, coding, accounts receivable, collections, and related revenue cycle activities to ensure timely reimbursement, exceptional patient service, and compliance with applicable regulations.
The Manager leads a high-performing team focused on operational excellence, process improvement, financial performance, and an outstanding patient experience while partnering closely with clinical, administrative, and finance leaders to support organizational goals.
Key Responsibilities
Revenue Cycle Operations
-
Manage the daily operations of the revenue cycle, including patient registration, insurance verification, coding, billing, collections, payment posting, denials, and accounts receivable.
- Ensure timely and accurate claim submission, reimbursement, and follow-up activities.
- Monitor key revenue cycle metrics and develop action plans to improve financial performance.
- Identify operational inefficiencies and recommend process improvements to increase productivity and reduce denials.
Patient Access Leadership
-
Oversee front desk and registration operations to ensure an exceptional patient experience.
- Ensure accurate patient registration, insurance verification, demographic collection, and financial responsibility discussions.
- Develop workflows that improve patient access while supporting clean claims and revenue integrity.
Team Leadership
-
Lead, coach, and develop Revenue Cycle and Patient Access team members.
- Conduct performance evaluations and provide ongoing coaching and professional development.
- Foster accountability, collaboration, customer service, and continuous improvement.
- Assist with hiring, onboarding, training, scheduling, and retention of team members.
Financial Operations
-
Oversee billing, coding coordination, payment posting, denial management, and accounts receivable processes.
- Review aging reports and monitor collection performance.
- Collaborate with physicians, coders, and clinical leadership to improve documentation and reimbursement accuracy.
- Ensure timely resolution of payer issues and reimbursement delays.
Compliance & Quality
-
Ensure compliance with payer requirements and federal and state regulations.
- Maintain knowledge of Medicare, Medicaid, commercial payer requirements, and ASC reimbursement guidelines.
- Monitor coding and billing accuracy through regular audits and quality reviews.
- Assist with external audits and regulatory reviews.
Performance Improvement
-
Monitor and report key performance indicators including:
Days in A/R
Net Collection Rate
Clean Claim Rate
First Pass Resolution Rate
Denial Rate
Registration Accuracy
Point-of-Service Collections
- Recommend and implement operational improvements that increase efficiency and financial performance.
- Support technology optimization and workflow automation initiatives.
Collaboration
-
Partner with clinical leadership, finance, scheduling, registration, and physicians to resolve operational issues.
- Work closely with the Chief Growth & Revenue Officer to implement departmental priorities and achieve organizational goals.
- Serve as a resource for staff regarding billing, reimbursement, registration, and payer requirements.
Requirements:
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field, or equivalent combination of education and experience.
- Five to seven years of progressively responsible experience in healthcare revenue cycle management, preferably within an Ambulatory Surgery Center, physician practice, or outpatient setting.
- Two or more years of leadership or supervisory experience.
- Strong knowledge of:
Medical billing
Coding fundamentals
Insurance reimbursement
Accounts receivable
Revenue cycle best practices
- Experience with electronic health record (EHR) and practice management systems.
- Excellent analytical, organizational, communication, and leadership skills.
Preferred
-
Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Specialist (CRCS), Certified Revenue Cycle Executive (CRCE), CPC, or similar certification.
- Experience with ASC reimbursement methodologies and payer contracting.
Range:
Minimum: $85,000
Maximum: $105,000
