
Revenue Cycle Operations Manager
4 days ago
Role Overview
We are seeking a seasoned revenue cycle professional to join our team as an Accounts Receivable Executive. In this role, you will be responsible for ensuring the smooth functioning of our revenue cycle processes, driving revenue growth and optimizing collections.
Key Responsibilities:- Revenue Cycle Oversight: Manage and supervise the revenue cycle operations, ensuring compliance with regulatory requirements and industry best practices.
- Develop Strategies: Develop and implement strategies to optimize revenue generation and enhance cash flow.
- Financial Analysis: Monitor key performance indicators (KPIs) and financial metrics to identify trends, areas for improvement, and potential revenue leakage.
- Cross-Functional Collaboration: Collaborate with cross-functional teams, such as clinical departments, finance, coding, and compliance, to streamline revenue cycle processes.
- 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.
- Deny Pattern Analysis: Analyze denial patterns, identify root causes, and implement corrective measures to minimize denials and maximize collections.
- Accounts Receivable Management: Review and analyze accounts receivable aging reports to identify delinquent accounts and take appropriate actions for timely payment.
- Process Improvement: Continuously assess revenue cycle processes, identify inefficiencies, and recommend process improvements to enhance operational efficiency and revenue integrity.
- Qualifications: Bachelor's degree in Healthcare Administration, Business Administration, or a related field; master's degree preferred.
- Experience: Experience in revenue cycle management or healthcare finance.
- Skills: Strong knowledge of healthcare reimbursement systems, billing regulations, and coding guidelines; proficiency in using revenue cycle management software and electronic health record (EHR) systems.
- Leadership Skills: Strong leadership and team management abilities; effective communication and interpersonal skills to collaborate with various stakeholders.
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