Revenue Cycle Manager en Sweetgrass & SouthernMED Pediatrics

Description

What it means to be a Revenue Cycle Manager with Us

We value our families we serve, our communities and our team members. As a RCM Manager, you will oversee the billing operations for our multi-location pediatric and counseling outpatient practice, ensuring accurate, efficient, and compliant revenue cycle processes. You will lead a team of billing professionals, monitor key performance indicators (KPIs), and implement best practices to optimize cash flow, enhance patient satisfaction, and maintain compliance with healthcare regulations.are the first point of contact for the families we serve.

Our Mission

At our offices, we do our best each day to provide high quality, compassionate health care to the families in our communities, treating each child as our own. Our staff and providers strive to make each encounter pleasant and informative while respecting the time and individual needs of our patients and families.

Benefits that Matter!

• Paid Time Off
• Matching 401K
• Annual Merit Increases
• Mental Health and Counseling Programs
• Dental and Orthodontic Coverage
• Vision Insurance
• Health Care with Low Premiums
• Short-term Disability
• Access to Virtual Health & Wellness

What a day looks like as a RCM Manager

Leadership and Management

• Oversee all billing operations across assigned locations to ensure consistent, high-quality performance. 
• Recruit, train, and mentor billing staff, fostering a culture of accountability and professional growth. 
• Collaborate with senior leadership and site leaders to align billing practices with organizational goals.

Revenue Cycle Management

• Assist in developing and executing strategies to streamline billing and collections processes, including charge capture, claims submission, and denial management. 
• Monitor and analyze key metrics such as days in accounts receivable (A/R), collection rates, and denial trends. 
• Identify and address revenue leakage and implement corrective actions. 

Compliance and Quality Assurance

• Ensure billing processes comply with federal, state, and local healthcare regulations, including HIPAA and payer-specific requirements.
• Conduct regular audits of billing and coding practices to minimize compliance risks and maintain data accuracy.
• Stay updated on changes in healthcare billing regulations and payer policies, ensuring timely implementation of adjustments. 

Technology and Systems

• Manage and optimize billing software systems to improve efficiency and reporting capabilities.
• Serve as the point of contact for IT and third-party vendors related to billing systems and processes.
• Drive the implementation of new tools and technologies that enhance operational efficiency. 

Reporting and Communication

• Prepare and present financial and operational reports to senior leadership, highlighting trends, challenges, and opportunities.
• Act as a liaison between billing teams and clinical/administrative staff to resolve billing-related issues and improve workflows.
• Maintain open communication with patients and senior leadership regarding billing policies and concerns. 

Requirements

Qualifications

• Four-year college degree required.
• Minimum of 8 years of experience in revenue cycle management with at least 3 years in a managerial or supervisory role.
• Experience in a multi-location or regional healthcare setting is highly desirable.
• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent certification preferred. 

Skills and Abilities

• Strong knowledge of medical billing and coding, including CPT, ICD-10, and HCPCS.
• Familiarity with payer rules, insurance contracts, and reimbursement methodologies. 
• Proficiency in billing software and revenue cycle management tools with eClinicalworks as preferred history.
• Exceptional analytical, organizational, and problem-solving skills.
• Effective communication and interpersonal skills, with the ability to lead diverse teams.
• Ability to manage competing priorities and meet deadlines in a fast-paced environment.
• Ability to communicate effectively both orally and in writing.
• Working knowledge of relevant policies and regulations.
• Ability to flexibly respond to changing demands.
• Strong attention to detail and analytical skills.
• Ability to work both independently and collaboratively in a team environment.

Working Environment

• Office-based.
• Collaborative, patient-focused environment.
• Some travel required.
• Ability to sit for extended periods while working on a computer or attending meetings.

Pay is determined by years of experience as well as location of the office. We hope that you find this position as an exciting opportunity and look forward to the potential of speaking with you!