Revenue Cycle Manager Jobs

The Revenue Cycle Manager is responsible for overseeing customer accounts, managing internal staff and helping to resolve any revenue cycle matters. The Revenue Cycle Manager must be able to identify patient reimbursement issues, ensure claims, denials, and appeals are efficiently processed, and resolve billing-related issues. An effective manager must also posses vast experience in coding procedures and diagnoses correctly. Ultimately, the Revenue Cycle Manager must be capable of seeking ways to improve the functioning of the revenue cycle department.

This position reports directly to the National Revenue Cycle Director.

Responsibilities
The duties identified below are the essential functions of the position.

• Meet/speak with customers for month-end review and to address any questions or potential issues.
• Lead a team of RCM professionals, that can include charge entry, payment posting and collectors.
• Lead, guide and manage assigned team to achieve daily, weekly and monthly Key Performance Indicators (KPI’s).
• Coordinate time off requests of team members to ensure daily work volume is not negatively impacted.
• Provide motivation to employees to achieve their best performances with a high degree of quality and quantity.
• Perform as a practice expert for the RCM department on all issues related to billing and collections.
• Train, allocate work and resolve problems within the assigned RCM team.
• Answer questions from clients, team members, patients, or others in a professional manner.
• Engage in ongoing personal development in line with the growth and development strategy.
• Carry out audits of current procedures and processes to uncover areas for improvement.
• Review work performance of team members, recommending salary and bonus treatment.
• Successfully meet or exceed quality goals.

Qualifications
A minimum of 10 years of RCM experience within a medical billing and collection company is required. In addition, knowledge through hands on experience in charge entry, coding, collections, payment posting, onboarding of new clients, clearinghouses/claim submission and rejections, use and overall knowledge of insurance portal, is needed.

Knowledge and Skills Required

• Strong technical knowledge and skills.
• Knowledge of clients’ terminology and their health care industry.
• Possess an understanding of HIPAA as it relates to Personal Health Information (PHI).
• Ability to work both independently and within a team environment.
• Proficient use of computer applications, such as MS Office and accounting software, and general office equipment.
• Maintain confidentiality.
• Excellent written, verbal, and interpersonal communication skills.
• Continue to learn and follow coding guidelines and initiatives as they continue to be released. Where payer requirements differ, be agile enough to adapt to the needed format used by the specific payer for correct coding guidelines.
• Excellent problem solving abilities.
• Ability to complete work independently and prioritize work.
• Basic knowledge of general accounting principles and standards.

Compensation
Competitive salary based on experience.

Position Location
Boca Raton, Florida or virtual/remote.

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