Revenue Cycle Manager

Job Summary: The Revenue Cycle Manager oversees and optimizes the revenue management processes within the company. The Revenue Cycle Manager must have a deep understanding of healthcare billing, coding, reimbursement, and compliance regulations, coupled with strong leadership and analytical abilities.

Supervisory Responsibilities: Directs and oversees Revenue Cycle Team. Conducts performance evaluations that are timely and constructive.

Duties/Responsibilities: Revenue Cycle Optimization: Develop and implement strategies to streamline revenue cycle processes, including billing, coding, claims management, and collections, to maximize revenue and minimize delays. Billing and Coding Compliance: Ensure accurate and compliant coding practices according to industry standards (e.g., ICD-10, CPT), payer guidelines, and regulatory requirements (e.g., HIPAA, CMS).Claims Management: Oversee the timely submission, tracking, and resolution of claims to minimize denials and optimize reimbursement. Implement effective denial management strategies to address claim rejections and appeals. Revenue Analysis and Reporting: Analyze revenue cycle performance metrics, identify trends, and generate insightful reports to monitor key performance indicators (KPIs) and inform decision-making processes.

Required Skills/Abilities: Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech).Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid).Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights. Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams. Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders.

Required Skills/Abilities: Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech).Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid).Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights. Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams. Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders.

Education and Experience: Bachelor's degree in healthcare administration, finance, business, or related field. Master's degree preferred. Minimum of 5 years of experience in revenue cycle management, preferably in a healthcare setting. Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) certification preferred.

Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Must be able to lift to 15 pounds at times..