
Senior Revenue Cycle Strategist
6 days ago
Job Description:
We are seeking a seasoned professional to lead our revenue cycle management team. As a key member of our organization, you will be responsible for ensuring the efficient and effective functioning of revenue cycle processes within our healthcare organization.
The ideal candidate will possess strong knowledge of healthcare reimbursement systems, billing regulations, and coding guidelines. Experience in revenue cycle management or healthcare finance is required, with a bachelor's degree in a related field being a minimum qualification.
Responsibilities:
- Manage and supervise revenue cycle operations, ensuring compliance with regulatory requirements and industry best practices
- Develop and implement strategies to optimize revenue generation and enhance cash flow
- Monitor key performance indicators (KPIs) and financial metrics to identify trends, areas for improvement, and potential revenue leakage
- Collaborate with cross-functional teams to streamline revenue cycle processes
- Billing and Claims Management: Oversee timely and accurate submission of claims to third-party payers
- 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
Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field
- Experience in revenue cycle management or healthcare finance
- Strong knowledge of healthcare reimbursement systems, billing regulations, and coding guidelines
- Proficiency in using revenue cycle management software and electronic health record (EHR) systems
- Familiarity with third-party payer requirements, including Medicare, Medicaid, and commercial insurance
- Excellent analytical and problem-solving skills with the ability to interpret financial data and identify trends
- Strong leadership and team management abilities
- Effective communication and interpersonal skills to collaborate with various stakeholders
What We Offer:
Our organization offers a competitive salary and benefits package, as well as opportunities for career growth and professional development.
About Us:
Our organization is committed to delivering high-quality patient care and improving the healthcare experience for our patients and their families.
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