Revenue Cycle Manager

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Requirements:

• Minimum of 3-5 years of experience in medical billing, coding, and revenue cycle management, preferably in a sleep medicine or specialty practice.
• Strong knowledge of insurance payers, CPT/ICD-10 coding, and reimbursement policies.
• Experience with EHR and practice management systems (experience with [insert specific system if applicable] is a plus).
• Ability to scrub claims and handle appeals.
• Knowledge of Athena is a big plus.

Responsibilities:

• Manage end-to-end revenue cycle operations, including coding, billing, claims submission, payment posting, denial management, and collections.
• Identify inefficiencies and implement strategies to streamline workflows, reduce claim denials, and improve cash flow.
• Ensure adherence to Medicare, Medicaid, and commercial payer policies, as well as HIPAA and other healthcare regulations.
• Analyze trends in claim denials and outstanding accounts receivable, developing corrective action plans to optimize collections.
• Oversee patient billing procedures and ensure clear communication regarding financial responsibilities.
• Generate and analyze revenue cycle reports, providing insights and recommendations to leadership on financial performance.
• Train and supervise billing and coding staff, fostering a culture of accountability and efficiency.
• Work with the practice’s electronic health records (EHR) and billing systems to ensure seamless integration and accurate data management.