Job Description:
The Vascular & Vein Institute of the South is a leading private vascular surgery practice committed to providing high-quality care. We are seeking a full-time Revenue Cycle Manager (RCM) to oversee the daily operations as they pertain to the revenue cycle process. The RCM Manager is responsible for overseeing and optimizing the entire process, from patient registration to final payment. This includes overseeing insurance verification, coding, billing, claims processing and reimbursement procedures to ensure financial efficiency and compliance with healthcare regulations. This individual will play a key role in developing strategies to maximize revenue capture, reduce denials, and enhance operational workflow. The ideal candidate is a detail-oriented and proactive leader with a strong background in outpatient medical billing, coding, insurance processes and healthcare financial operations.
Responsibilities:
· Oversee the daily operations of the revenue cycle process for outpatient services, including patient registration, insurance verification, coding, billing, and collections.
· Develop and implement policies and procedures to enhance revenue cycle performance.
· Lead and manage a team of billing and coding professionals, providing guidance, training, and performance evaluations.
· Ensure compliance with healthcare regulations, payer guidelines, and industry standards.
· Collaborate with clinical and administrative teams to streamline processes, enhance workflow efficiency, and ensure accurate patient information.
· Identify and resolve billing discrepancies and denials, working closely with insurance carriers and patients to facilitate prompt payment.
· Monitor key performance indicators (KPIs) and implement strategies to improve revenue cycle metrics, including reducing days in accounts receivable (AR) and minimizing claim rejections.
· Stay current with healthcare industry trends, payer policies, and changes to billing and coding standards.
· Develop and maintain relationships with insurance payers, negotiating payment terms and resolving escalated billing issues as needed.
· Provide regular reporting to senior management on revenue cycle performance, trends, and opportunities for improvement.
Experience:
· Bachelor’s degree in healthcare administration, business, finance, or related field
· Certification in healthcare revenue cycle management (e.g. CHC, CPC, or AAPC) is preferred.
· Minimum of 5 years of experience in revenue cycle management with at least 2 years in a supervisory role
· Strong knowledge of outpatient medical billing, coding (CPT, ICD-10, HCPCS), insurance verification, and payer requirements
· In-depth understanding of HIPAA regulations, healthcare reimbursement models, and payer processes
· Excellent analytical, organization, and problem-solving skills
· Strong leadership abilities with the capacity to motivate and manage a team effectively
· Exceptional communication skills, both written and verbal, with the ability to interact professionally with patients, staff, and external stakeholders
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Work Location: In person
