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Senior Financial Operations Manager
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**Job Summary:** We are seeking a seasoned professional to oversee our revenue cycle operations and optimize financial performance.
- **Revenue Cycle Oversight**: Manage and supervise the efficient functioning of revenue cycle processes, ensuring compliance with regulatory requirements and industry best practices.
- Develop and implement strategies to enhance cash flow, maximize collections, and minimize denials.
- 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 and resolve complex billing and reimbursement issues.
- **Billing and Claims Management**: Oversee 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 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.
