Revenue Cycle Manager
Revenue Cycle Manager
Revenue Cycle Managers oversee the financial health of healthcare organizations by managing the entire billing cycle. They focus on optimizing cash flow, reducing claim denials, and ensuring timely reimbursements. This role involves analyzing revenue data, implementing efficient billing strategies, and collaborating with teams to maintain compliance and improve financial outcomes.
Job Description:
- Oversee the entire revenue cycle, including patient registration, insurance verification, coding, billing, and payment collections.
- Monitor and optimize the performance of the billing team to ensure timely and accurate billing and collections.
- Ensure compliance with healthcare regulations, payer policies, and industry standards throughout the revenue cycle process.
- Work closely with healthcare providers, insurance companies, and patients to resolve billing issues and reduce claim denials.
- Develop and implement policies and procedures to improve revenue cycle efficiency and reduce accounts receivable aging.
- Review and analyze financial reports to identify trends and provide recommendations for improving revenue cycle performance.
- Provide training and mentorship to billing and coding staff, ensuring they stay updated on industry changes.
- Coordinate audits and reviews to ensure accuracy and compliance with coding and billing standards.
Desired Candidate Profile:
- Proven experience in medical billing, coding, or revenue cycle management, preferably in a healthcare setting.
- Strong understanding of insurance processes, payer policies, and healthcare regulations (e.g., HIPAA).
- Excellent leadership and team management skills to oversee a team of billing and coding professionals.
- Analytical skills to review financial data and make informed decisions to optimize revenue cycle performance.
- Ability to identify and resolve issues that affect billing accuracy and timely payments.
- Familiarity with healthcare software, EHR systems, and medical coding standards (ICD-10, CPT, HCPCS).
- Strong communication skills for collaboration with internal teams, insurance companies, and patients.
- Relevant certifications (e.g., Certified Revenue Cycle Professional (CRCP), Certified Professional Coder (CPC)) are preferred.