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Revenue Cycle Operations Manager

Remote:

Full Remote

Contract:

Full time

Experience:

Senior (5-10 years)

Work from:

North Carolina (USA), United States

Offer summary

Qualifications:

Bachelor’s degree in Healthcare Administration or related field, 6 years managing a team, 5 years interpreting insurance explanations, 3 years conducting healthcare trend analysis, Knowledge of medical coding and billing.

Key responsabilities:

Oversee daily Revenue Cycle workflow
Lead personnel development and lifecycle management
Conduct trend analysis for profitability
Educate care centers on financial performance
Support Account Management with RCM issues

Unified Women's Healthcare XLarge https://unifiedwomenshealthcare.com/

5001 - 10000 Employees

See more Unified Women's Healthcare offers

Job description

Overview

The Revenue Cycle Operations Manager is responsible for the day-to-day operation, planning, oversight, and scheduling of the department. The primary function is to ensure efficient work flow process, training & cross training, work assignments, achievement of productivity metrics, coding compliance and accurate, timely monitoring and management and follow through of care center billing cycles. The manager provides leadership and guidance for the Revenue Cycle staff to ensure best practices and that department goals are achieved.

Responsibilities

The Revenue Cycle Operations Manager responsibilities include but are not limited to:

Day-to-day planning, oversight, and maintenance of Revenue Cycle workflow to achieve an efficient and effective billing process
Provide leadership to team, manage personnel development and employee lifecycle
Conduct trend analysis to identify profitable benchmarks and significant patterns of unprofitability
Educate care centers and claims coordinators on the financial performance of the practice
Develop and maintain policies and procedures, systems and best practice methods to improve efficiencies with workflow
Work as needed with Account Management team to ensure care center satisfaction related to Revenue Cycle Operations
Provide support and escalation for RCM issues presented to Account Management

Qualifications

Bachelor’s degree in Healthcare Administration, Business Administration or related field
A minimum of 6 years’ experience managing a team
A minimum of 5 years' experience in interpreting insurance explanation of benefits
A minimum of 3 years’ experience conducting healthcare trend analysis with ability to articulate results to division directors
Ability to proactively analyze and recognize existing batch problems and identify opportunities for improvement
Demonstrated thorough knowledge of medical coding and billing requirements
Experience with Athena software a plus
Experience communicating logically and clearly both orally and in writing
Strong organizational skills with attention to detail in order to adapt to varied workflows, multiple tasks, deadlines, and changing priorities.
Ability to think outside the box to solve problems and to escalate when appropriate
Experience leading a team and taking responsibility for work outcomes