Revenue Cycle Senior Manager

Senior Revenue Cycle Manager

Are you ready to lead and innovate in the dynamic world of healthcare finance? Join us as a Senior Revenue Cycle Manager and spearhead the transformation of financial operations, driving efficiency, maximizing revenue, and ensuring financial health for our organization. If you’re a seasoned leader with a passion for revenue optimization and a track record of success, we want to hear from you.

Summary:

The Revenue Cycle Senior Manager will have financial and operational accountability over Next Med’s revenue capture system, including but not limited to claims, coding, prior authorization, verification of benefits, accounts receivable, and all other revenue cycle operations. This individual will provide leadership, administration, supervision, organization, planning and direction over all activities of the Revenue Cycle to ensure accomplishment of the organization’s objectives.

• Direct supervision of Revenue Cycle department manager.
• Direct all aspects of revenue cycle for professional services, ancillary services and Ambulatory Surgery Center (ASC) services.
• Develop short‑ and long‑term strategies for optimal KPI’s.
• Review and approve Revenue Cycle FTE and operating budgets.
• Develop policies and procedures across the system for greater efficiency, lean management, best practices, optimal KPI’s, reduced variation, and increased patient satisfaction.
• Prepare and deliver executive level reports, summaries and presentations outlining progress toward meeting annual goals and objectives, including KPI reports.
• Analyze the cost benefit of programs.
• Synchronize processes, systems, policies and workflows across Registration, Prior Authorization, Coding, Accounts Receivable and Coding & Billing for best throughput, best practices, and efficiency.
• Work collaboratively with Director of Finance on revenue cycle performance to meet strategic goals and develop guidelines and procedures using data analysis, with a goal of revenue enhancement in mind.
• Monitor A/R, large outstanding balances, Month End Reports, charge reconciliation and collections.
• Identify claim denial trends, communicate with appropriate staff, and coordinate projects to respond.
• Hold regular meetings with managers and staff to review issues, reports, expectations and provide updates.
• Stay up to date with current coding, billing, payer requirements and federal and state regulations related to billing and collections.
• Manage staff as assigned and help staff develop performance and training goals and objectives. Evaluate performance and recommend merit increases, promotions, and disciplinary actions to Human Resource Officer.

• Expert in facility (ASC) coding, billing, collecting.
• Expert in managing a team of coders, collectors, billers, patient advocates (entire facility‑side revenue cycle).
• Expert knowledge of CMS/Medicare/Medicaid/Private rules and conventions.
• Knowledge of principles and practices, planning and management essential to manage, direct, and coordinate the revenue cycle of an ASC.
• Expert knowledge of ICD‑10‑CM and CPT Coding principles and guidelines.
• Knowledge of revenue cycle for Ambulatory Surgery Center required.
• Knowledge of AAPC standards of medical billing and coding a plus.
• Expert knowledge of management software and applications.
• Proficient with Microsoft Office, including Word, PowerPoint, Excel, and Outlook.
• Able to exercise a high degree of initiative, judgment, discretion, and decision‑making.
• Demonstrated expertise in financial analysis and reporting.
• Demonstrated expertise in gathering and interpreting data, analyzing situations, and taking appropriate action.
• Strong communication and critical thinking skills.

• Bachelor’s degree in business or healthcare administration required.
• 5‑10 years of revenue cycle experience in a leadership position.
• Minimum of five years of medical billing management experience in such areas as medical office/hospital administration and/or healthcare receivables management, or related experience.
• Experience in revenue cycle for Ambulatory Surgery Center required.
• Demonstrated critical thinking and problem‑solving skills, and…