Manager of Revenue Cycle Management
United StatesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- 7+ years
- Required Skills
- Microsoft ExcelHIPAA
Requirements
- 7+ years of experience in healthcare revenue cycle management, billing, or financial operations.
- Strong understanding of healthcare reimbursement systems, payer structures, and regulatory billing requirements.
- Extensive knowledge of CPT and ICD-10 coding standards.
- Proven experience managing accounts receivable, claims processing, and denial management workflows.
- Experience with credentialing processes and payer enrollment workflows.
- Demonstrated leadership experience managing teams, including offshore or third-party vendors.
- Strong analytical skills with the ability to interpret financial and operational data.
- Excellent communication and interpersonal skills for cross-functional collaboration.
- Ability to work in a fast-paced environment and manage multiple priorities simultaneously.
- Strong problem-solving skills with a focus on process improvement and operational efficiency.
- Proficiency with healthcare and business systems such as Excel, Google Workspace, and scheduling/communication tools.
- Familiarity with revenue cycle platforms such as eClinicalWorks or similar systems is a plus.
Responsibilities
- Lead and oversee end-to-end revenue cycle operations, including billing, collections, accounts receivable, denial management, and credentialing workflows.
- Ensure accurate, timely submission of claims while reducing denials and improving reimbursement performance.
- Develop, implement, and monitor KPIs, policies, and procedures to improve revenue cycle efficiency and financial outcomes.
- Analyze billing, coding, and claims data to identify errors, trends, and revenue leakage, implementing corrective actions where needed.
- Manage denial resolution processes, including appeals, payer negotiations, and resolution of underpaid or rejected claims.
- Oversee accounts receivable aging, payment cycles, and clearinghouse activity to ensure financial accuracy and timely collections.
- Work closely with credentialing, coding, and billing teams to ensure compliance with HIPAA and other regulatory requirements.
- Supervise and support offshore and third-party revenue cycle teams, ensuring performance standards and accountability.
- Maintain and strengthen relationships across internal departments including clinical operations, finance, HR, and credentialing.
- Monitor payer setups including EDI, ERA, and EFT processes and ensure proper configuration and functionality.
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