Revenue Cycle Manager - Remote

Overview

The Revenue Cycle Manager is responsible for overseeing the billing and coding staff along with making day-to-day decisions; responsible for understanding and ensuring all procedures are coded within regulatory mandates; assists with following up on insurance claims, and submits appeals as needed.

In Short

• Oversees billing department functions, including medical coding, charge entry, claims submission, payment posting, accounts receivable follow-up, and reimbursement management.
• Serves as the practice expert and primary resource for all billing processes.
• Plans and directs patient insurance documentation, coding, billing, collections, and data processing to ensure accuracy and efficiency.
• Analyzes billing and claims for accuracy and completeness, submits claims to appropriate insurance entities, and follows up on any issues.
• Maintains communication with other departments to gather additional patient information for accurate billing.
• Prepares and analyzes accounts receivable and financial reports in collaboration with the CFO.
• Conducts monthly analysis of payer trends to optimize reimbursement processes.
• Ensures compliance with Federal, State, and payer regulations in all billing operations.
• Manages and updates the charge master according to CMS fee schedules.
• Supervises billing office personnel, managing work allocation and training.

Requirements

• Strong knowledge of healthcare financial management and medical billing processes.
• Exceptional analytical and problem-solving skills with a strong attention to detail.
• Proficient in using healthcare billing software and revenue cycle management tools.
• Strong leadership skills with the ability to manage and motivate a team.
• Excellent communication and interpersonal skills.
• Strong knowledge of federal, state, and payer-specific regulations.
• Ability to work in a fast-paced environment and manage multiple priorities.

Benefits

• Opportunity to work in a diverse and inclusive environment.
• Engagement in meaningful work that contributes to patient care.
• Professional development and training opportunities.
• Collaboration with a passionate team of professionals.
• Potential for career advancement within the organization.