Revenue Cycle Manager Job Shawnee area,Kansas USA,Healthcare

Location 7405 Renner Road,Shawnee, KS, 66217,United States
Employee Type FT Exempt

Description

The Revenue Cycle Manager is responsible for managing and improving revenue cycle operations across KU Med West ASC, LLC. This regional position works closely with facility leadership and teammates to ensure revenue cycle processes are accurate, timely, consistent, and support the financial performance of each facility and the organization as a whole.

The Revenue Cycle Manager provides oversight of the revenue cycle from patient registration through final account resolution, including insurance verification, authorizations, coding, charge capture, billing, claim submission, payment posting, accounts receivable, denials, appeals, collections, and patient balances.

While this position does not have direct reports, the Revenue Cycle Manager serves as the primary regional resource for revenue cycle matters and works collaboratively with facility leadership, Finance, Operations, payers, and external revenue cycle partners to identify issues, improve processes, and drive results.

Essential Duties and Responsibilities Revenue Cycle Management

Manage and monitor revenue cycle activities across KU Med West ASC, LLC facilities.
Serve as the primary regional resource for revenue cycle questions, issues, and process improvement.
Monitor the revenue cycle from patient registration through final account resolution.
Partner closely with facility leadership and teammates to support effective front-end and back-end revenue cycle processes.
Monitor insurance verification, authorizations, coding, charge capture, billing, claim submission, payment posting, collections, and account follow-up.
Identify gaps or breakdowns in revenue cycle workflows and work collaboratively with the appropriate facility or department to resolve them.
Promote consistent revenue cycle processes and practices across facilities.
Identify opportunities to improve accuracy, efficiency, reimbursement, and collections.
Facilitate resolution of complex revenue cycle issues involving multiple departments, facilities, payers, or vendors.

Facility Partnership

Build strong working relationships with facility Administrators, clinical leaders, providers, and administrative teammates.
Maintain regular communication with facilities regarding revenue cycle performance, issues, trends, and opportunities.
Work directly with facility teams to identify and resolve registration, authorization, documentation, charge capture, and other issues affecting reimbursement.
Provide education, guidance, and support to facility teammates regarding revenue cycle processes and expectations.
Help facilities understand how operational processes and decisions impact billing, reimbursement, denials, and collections.
Participate in facility and regional meetings as appropriate.
Collaborate with facility leadership on action plans when revenue cycle performance does not meet established expectations.
Serve as a liaison between the facilities, Finance, Operations, payers, and external revenue cycle partners.
Monitor accounts receivable performance and aging across facilities.
Identify trends in aged accounts and work with appropriate stakeholders to improve account resolution.
Monitor claim denials and identify recurring trends and root causes.
Coordinate with facilities, payers, and external partners to resolve denied or underpaid claims.
Work with facility teams to address operational issues contributing to denials.
Monitor authorization-related denials and collaborate with appropriate teams to improve processes.
Identify underpayment trends and facilitate appropriate follow-up and resolution.
Develop and track action plans to address revenue cycle performance concerns.

Performance Monitoring & Reporting

Monitor key revenue cycle performance indicators at both the facility and regional levels.
Prepare and communicate routine revenue cycle reports to Finance, Operations, and facility leadership.
Analyze revenue cycle data to identify trends, risks, and opportunities for improvement.
Monitor performance measures including days in accounts receivable, A/R aging, denial rates, clean claim rates, claim submission timeliness, collections, authorization-related denials, underpayments, unbilled accounts, and credit balances.
Work with leadership to establish appropriate revenue cycle goals, benchmarks, and performance expectations.
Provide actionable recommendations based on revenue cycle performance and trends.
Track improvement initiatives and…