
Healthcare Revenue Cycle Optimization Expert
1 week ago
We are seeking a highly skilled Revenue Cycle Management Specialist to oversee the efficient and effective functioning of our revenue cycle processes.
- This role will be responsible for ensuring compliance with regulatory requirements and industry best practices, developing strategies to optimize revenue generation and enhance cash flow, monitoring key performance indicators (KPIs) and financial metrics, and collaborating with cross-functional teams to streamline revenue cycle processes.
- The ideal candidate will have experience in revenue cycle management or healthcare finance, strong knowledge of healthcare reimbursement systems, billing regulations, and coding guidelines, as well as proficiency in using revenue cycle management software and electronic health record (EHR) systems.
Responsibilities include:
Revenue Cycle Oversight- Manage and supervise revenue cycle operations to ensure 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.
- Oversight of timely and accurate submission of claims to third-party payers, including Medicare, Medicaid, commercial insurance companies, and self-pay patients.
- Monitoring claim status and working closely with the billing team to resolve any coding or billing discrepancies.
- 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.
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field (master's degree preferred).
- 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.
Benefits
- A dynamic work environment with opportunities for growth and development.
- A competitive salary and benefits package.
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