- Professional
- Escritório em Long Beach
About the Role:
The Revenue Cycle Manager plays a critical role in overseeing and optimizing the revenue cycle process to ensure financial stability and compliance by implementing and enforcing policies and procedures, managing billing support staff under the direction of the Revenue Cycle Director.
This position is responsible for managing billing, coding, and AR clerks, and collections to maximize revenue capture while minimizing denials and delays. The manager will lead a team of revenue cycle professionals, providing guidance, training, and performance management to drive operational excellence. Collaboration with clinical, administrative, and financial departments is essential to streamline workflows and implement best practices. Ultimately, this role ensures that the organization maintains a healthy cash flow and meets regulatory requirements, supporting the delivery of quality patient care.
Minimum Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or a related field.
- Minimum of 3-5 years of experience in healthcare revenue cycle management or related financial operations in organization of 300 or more employees
- Proficiency in CalAim Enhanced Care Management (ECM, CPSP and Dental billing preferred.
- Ability to manage difficult or emotional customer instances
- Strong verbal and written communication skills
- Proficiency with electronic health record (EHR) systems and revenue cycle management software.
- Demonstrated leadership experience managing teams in a healthcare or financial environment.
- Shows respect and sensitivity for cultural differences
- Bilingual in English and Spanish preferred
- Knowledge of Practice Management Software, EPIC preferred
- Ability to handle fluctuating volumes of work and be able to prioritize work to meet deadlines
Preferred Qualifications:
- Experience working within a community health center or similar healthcare setting.
- Advanced knowledge of healthcare regulations including HIPAA, Medicare, and Medicaid billing requirements.
- Familiarity with data analytics tools and financial reporting software.
- Master’s degree in Healthcare Administration or Business Administration.
Responsibilities:
- Manage a team of Billing Clerks, Specialty Billers, AR Clerks and Medical Coders. Provide leadership and support as needed
- Manage and implement revenue cycle processes
- Analyze and report on revenue cycle activities
- Support various business strategies through effective revenue cycle management
- Manage key performance Indicators (KPIs) related to revenue cycle activities
- Identify opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals
- Monitors A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps toward resolution using professional judgment
- Collaborate with clinical and administrative teams to address billing and coding challenges and optimize patient financial experience.
- Ensure adherence to HIPAA and other regulatory requirements related to patient information and billing practices.
Skills:
The Revenue Cycle Manager utilizes strong analytical skills daily to assess financial data and identify opportunities for revenue enhancement and process improvement. Effective communication skills are essential for collaborating with cross-functional teams, negotiating with payers, and leading staff. Leadership and team management skills are applied to motivate and develop the revenue cycle team, ensuring alignment with organizational goals. Proficiency in healthcare billing systems and coding standards enables accurate oversight of claims processing and compliance. Additionally, problem-solving skills are critical for resolving complex billing issues and adapting to regulatory changes in the healthcare industry.
