Overview
Join our dynamic healthcare organization as a Revenue Cycle Manager, where you will lead and optimize the entire revenue cycle process to ensure maximum financial performance and compliance. In this pivotal role, you'll oversee billing operations, manage cross-functional teams, and implement strategies that streamline revenue collection from patient registration through final payment. Your expertise will directly impact the organization’s financial health while ensuring adherence to healthcare billing regulations and industry standards. If you thrive in a fast-paced environment and are passionate about healthcare finance, this is your opportunity to make a meaningful difference.
Responsibilities
- Oversee the end-to-end revenue cycle process, including patient registration, medical billing, coding, claims submission, payment posting, and accounts receivable management.
- Ensure compliance with all medical billing regulations, including Medicare, Medicaid, and private insurance third-party billing requirements.
- Manage and develop a team of billing specialists and revenue cycle staff to promote accuracy, efficiency, and professional growth.
- Monitor key performance indicators (KPIs) related to revenue cycle metrics such as days in accounts receivable, claim denial rates, and collection effectiveness.
- Collaborate with clinical departments to optimize electronic health records (EHR) management and ensure accurate documentation for billing purposes.
- Implement best practices for healthcare billing management, including ICD coding accuracy and adherence to medical coding standards.
- Maintain up-to-date knowledge of healthcare regulations affecting revenue cycle activities, including Medicare and Medicaid regulations.
- Utilize billing software and Microsoft Office tools to generate reports, analyze data trends, and present actionable insights to leadership.
- Manage authorizations and track utilization management
Experience
- Proven experience managing mental/behavioral healthcare billing management processes.
- Extensive knowledge of medical billing regulations compliance, ICD coding (International Classification of Diseases), medical coding practices, and insurance third-party billing procedures.
- Demonstrated ability to lead teams effectively within a healthcare setting, fostering collaboration and continuous improvement.
- Familiarity with Medicaid revenue cycle management systems and electronic health records (EHR) platforms.
- Strong understanding of health insurance policies, Medicare regulations, Medicaid regulations, and other payer-specific requirements.
- Proficiency in Microsoft Office applications such as Excel for data analysis and reporting purposes.
Join us in driving excellence in healthcare revenue management! Your expertise will empower our organization to deliver outstanding patient care while maintaining financial integrity through innovative strategies and dedicated leadership.
Pay: $50,000.00 - $61,118.96 per year
Benefits:
- Employee assistance program
- Flexible schedule
- Professional development assistance
Work Location: In person
