Senior Accountant – Revenue Cycle Management
6 days ago
Job Title:
">- Revenue Cycle Operations Manager
The Accounts Receivable Executive is a crucial role in ensuring the smooth operation of our financial systems. As a key member of the Finance & Accounting Department, you will be responsible for managing and supervising revenue cycle operations to optimize revenue generation and maximize collections.
Key Responsibilities">As an experienced Revenue Cycle Operations Manager, your primary responsibilities will include:
">- Managing and supervising revenue cycle operations, including patient registration, charge capture, coding, billing, claims processing, denial management, and accounts receivable follow-up.
- Developing and implementing strategies to optimize revenue generation and enhance cash flow.
- Monitoring key performance indicators (KPIs) and financial metrics to identify trends, areas for improvement, and potential revenue leakage.
- Collaborating with cross-functional teams, such as clinical departments, finance, coding, and compliance, to streamline revenue cycle processes.
- Billing and Claims Management: Overseeing the timely and accurate submission of claims to third-party payers, including Medicare, Medicaid, commercial insurance companies, and self-pay patients.
- Monitor claim status and work closely with the billing team to resolve any coding or billing discrepancies.
- Analyze denial patterns, identify root causes, and implement corrective measures to minimize denials and maximize collections.
- Stay updated with changes in healthcare regulations, payer policies, and coding guidelines to ensure compliance and accurate billing.
- Accounts Receivable Management: Review and analyze accounts receivable aging reports to identify delinquent accounts and take appropriate actions for timely payment.
- Implement strategies for effective accounts receivable follow-up, including phone calls, appeals, and negotiations with payers and patients.
- Collaborate with the finance team to reconcile payments, identify posting errors, and resolve outstanding balances.
- Provide guidance and support to the team in resolving complex billing and reimbursement issues.
- Process Improvement: Continuously assess revenue cycle processes, identify inefficiencies, and recommend process improvements to enhance operational efficiency and revenue integrity.
- Implement automation and technology solutions to streamline workflows and reduce manual intervention.
- Conduct regular audits and reviews to ensure compliance with coding guidelines, billing regulations, and internal policies.
- Develop and deliver training programs to educate staff on revenue cycle best practices, coding updates, and compliance requirements.
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