revenue cycle manager

Phoenix Heart

<div>Description: 
Position Summary:
Analyzes and interprets data to initiate and facilitate implementation of solutions for process, quality, and procedural improvements within the Enterprise Revenue Cycle by understanding Enterprise Revenue Cycle operations, processes, systems, regulations, clinical practice, payer changes and data.
RESPONSIBILITIES:<ul><li>Assess team members for potential, strengths and development needs and conduct career development discussions to grow the talent pipeline.</li><li>Translate and oversee organizational strategies for assigned goals.</li><li>Investigate and partner with HR in the resolution of associate issues.</li><li>Manage the resolution of client issues and ensure appropriate follow-up is done to manage client relationship.</li><li>Manage &amp; administer program policies &amp; procedures.</li><li>Analyzes, designs, and redesigns processes, workflow, and systems to ensure quality, effectiveness, and efficiency, identifies resource impact, and leads and facilitates process improvements by understanding system dependencies.</li><li>Prepare ad hoc analysis to assist hospital and corporate leadership in understanding the various elements impacting the Revenue Cycle</li><li>Runs reports, tracks operational and financial Revenue Cycle metrics (staff productivity, quality)</li><li>Collaborates with Financial Clearance and Billing Supervisor to audit samples of patient accounts on a monthly basis to ensure accuracy of financial clearance, charge entry, payment posting, and denial management follow-up procedures.</li><li>Define and document scope and objectives with project sponsors across the revenue cycle.</li></ul><ul><li>
Maintains strictest confidentiality and abides by all HIPAA requirements and standards.</li><li>
Participation in new hire/annual training is a condition of employment.</li><li>
Other duties as assigned.</li></ul>
Benchmarking:<ul><li>Indicators (Appointment no show rates, charge lag, net collections, net days in receivables, denials as a % of revenue, bad debt, cost to collect,), and patient-level data (e.g., types of patients, diagnosis, etc)</li></ul>
Requirements: 
Other Requirements:<ul><li>
Ability to maintain effective in busy and/or stressful situations.</li><li>
Ability to communicate effectively in person, by phone and in writing.</li><li>
Requires adherence to all policies and procedures, including but not limited to standards for safety, attendance, punctuality, and professional appearance.
</li><li>Must be able to establish and maintain effective working relationships with managers and peers.</li><li>
Exposure to Blood Bourne Pathogens (BBP) and Other Potentially Infectious Materials (OPIM) is rare but possible. Vaccinations and training are offered upon hire.</li></ul>
KNOWLEDGE, SKILLS and ABILITIES:<ul><li>Identify &amp; generate proposals for potential projects to improve processes, cost to collect and cash yield.</li><li>Develop and manage revenue cycle project dashboards, results and benefits realization, track progress, identify opportunities to accelerate implementation plans or create corrective plans as needed.</li><li>Provide guidance to and support to the revenue cycle organization on change management and performance improvement strategies.</li><li>Evaluate Revenue Cycle department processes and procedures.</li><li>Participate in requirements gathering and implementation of new IT applications Understanding of the various roles, responsibilities, and technical aspects of the entire revenue cycle, specifically in the healthcare, medical, or ambulatory surgery center industry.</li><li>Knowledge of medical terminology and health insurance billing</li></ul>
EDUCATION:<ul><li>Bachelor&rsquo;s Degree required, Masters in Business or Healthcare Finance preferred</li><li>Minimum two years of management experience within the revenue cycle functions in the healthcare, medical, or ambulatory surgery center industry.</li></ul>
PHYSICAL REQUIREMENTS:
Hearing: Adequate to perform job duties in person and over the telephone.
Speaking: Must be able to communicate clearly to patients in person and over the telephone.
Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
Other: Requires occasional lifting and carrying items weighing up to 15 pounds unassisted. Requires frequent bending, reaching, and repetitive hand movements (specifically keyboarding and writing), standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular work shift. Assisting with patient mobility may be required. This may require you to on occasion wear gloves and/or other Personal Protective Equipment (PPE).
The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.</div>

Revenue Cycle Manager

HCF Management, Inc.

Position Summary: Revenue Cycle Manager is responsible for overseeing the overall policies and objectives of the HCF&rsquo;s Family of Companies revenue cycle activities, including pricing, billing, third party payer relationships, collections, denials, and reimbursement rates, while monitoring adherence to HCF&rsquo;s policies/procedures, to optimize cash flow and financial performance. Position Responsibilities: <ul><li>Follow HCF Policies and Procedures</li><li>Oversee and manage the operations of the billing department.</li><li>Review, design, and maintain policies and procedures regarding pricing, billing, collections, and other financial analysis as needed.</li><li>Ensure all billing operations are conducted in compliance with federal, state, and payer regulations, guidelines, and requirements.</li><li>Plan and direct patient insurance documentation, coding, billing, and data processing to ensure accurate and efficient billing and account collection.</li><li>Analyze billing and claims for accuracy and completeness before submission to Medicare, Medicaid, and insurance entities.</li><li>Work in collaboration with Collections Manager, and Denials Team to follow up on outstanding accounts.</li><li>Track and report metrics related to coding error rates, billing turnaround times, and DSO (Days Sales Outstanding)</li><li>Maintain open communication lines with Collections Manager, Regional Directors of Operations, Business Office Managers, and Administrators on significant dollar amount accounts.</li><li>Work in collaboration with the Compliance Department to manage relations with payers and providers to generate high reimbursement rates and low levels of denials.</li><li>Auditing current processes and procedures to monitor and improve efficiency of billing operations.</li><li>Perform other duties as assigned.</li></ul>Knowledge, Skills and Abilities: Must hold a Bachelor&rsquo;s Degree in Business, Accounting, or a related discipline and/or have previous Revenue Cycle experience in long-term care. A thorough understanding of and experience with Long-term Health Care billing processes and strong organizational, computer, and time management skills are required. Benefits for the Manager of Revenue Cycle Manager: Promotion opportunities Flexibility Education/Learning Competitive benefit package What we look for in a Revenue Manager: Experience &ndash; If you&rsquo;ve had a job or experience in a position with similar goals and responsibilities, we&rsquo;d love to connect with you. Skills &ndash; We&rsquo;re looking for individuals that are compassionate, team players, social, trustworthy and service-minded. Characteristics &ndash; We&rsquo;re looking for individuals that are self-motivated, dependable, ethical, and ready to jump in and provide outstanding care and customer service to our residents. The Company Our Core Values, better known as We Care is that each and every employee in the organization is held to standards of Wholeheartedness, Excellence, Collaboration, Accountability, Respect, and being Ethical. Whether you work for HCF or become a resident of HCF, we can promise you one thing; we will treat you like family! Work Location: In person

Agency Partner Interactive

DescriptionWe are seeking an experienced and results-driven Medical Billing &amp; Coding Manager / Revenue Cycle Manager to own and manage the complete end-to-end Revenue Cycle Management (RCM) function. This role requires a seasoned professional with 10&ndash;12 years of experience in medical billing, coding, and healthcare operations across diverse practice settings.The ideal candidate will lead teams, streamline workflows, ensure compliance, and drive revenue optimization while maintaining full accountability for the financial performance of the revenue cycle.Key Responsibilities:<ul><li>Own and manage the complete end-to-end Revenue Cycle Management (RCM), including patient registration, insurance verification, charge capture, coding, billing, claims submission, payment posting, denial management, appeals, and AR follow-up</li><li>Lead, hire, train, and scale the medical billing and coding team, ensuring high performance and accountability</li><li>Drive optimization of the entire revenue cycle workflow to maximize collections and minimize revenue leakage</li><li>Ensure strict adherence to HIPAA compliance and other healthcare regulations</li><li>Oversee credentialing and provider enrollment with insurance payers to ensure uninterrupted billing operations</li><li>Supervise insurance verification processes to improve claim accuracy and reduce denials</li><li>Manage claims lifecycle, including submission, tracking, denial analysis, and appeals resolution</li><li>Take full ownership of Accounts Receivable (AR) performance, including reducing aging and improving cash flow</li><li>Act as the primary point of contact for insurance companies, resolving complex reimbursement issues and escalations</li><li>Develop and implement standard operating procedures (SOPs) for efficient and compliant billing operations</li><li>Monitor updates in ICD-10, CPT, and HCPCS coding standards and ensure team adherence</li><li>Establish, track, and report on KPIs and performance metrics to continuously improve RCM outcomes</li></ul>Requirements<ul><li>Bachelor's degree in healthcare administration, Business, or related field (or equivalent experience)</li><li>10&ndash;12 years of experience in medical billing, coding, and full-cycle Revenue Cycle Management</li><li>Proven experience in a leadership or managerial role, managing teams and operations</li><li>Strong knowledge of HIPAA regulations, payer policies, and compliance standards</li><li>Hands-on expertise in credentialing, insurance verification, claims management, AR, and appeals</li><li>Experience working with multiple specialties or healthcare practices</li></ul>Certifications (Preferred):<ul><li>CPC (Certified Professional Coder)</li><li>CCS (Certified Coding Specialist)</li><li>CPB (Certified Professional Biller) or equivalent</li></ul>Key Skills:<ul><li>Strong leadership and team-building capabilities</li><li>Excellent communication and negotiation skills with payers and stakeholders</li><li>Deep understanding of end-to-end RCM processes</li><li>Analytical mindset with the ability to interpret financial and operational data</li><li>Strong problem-solving and decision-making abilities</li><li>High attention to detail and process orientation</li><li>Proficiency in medical billing software and EHR/EMR systems</li></ul>Preferred Experience:<ul><li>Experience managing billing operations across multiple specialties or group practices</li><li>Proven track record of scaling RCM operations and building teams from the ground up</li><li>Familiarity with US healthcare systems, payer mix, and reimbursement models</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What are your current &amp; gross salary expectations, and is it negotiable?</li><li>If hired, what would be your notice period, and is there any possibility of an early joining date?</li><li>Have you worked with international clientele and their projects? If so, can you share your experience?</li><li>Why are you considering leaving your current role, or why did you leave your previous company?</li><li>Please provide your email address for further communication:</li><li>Which time slot do you prefer: 7:00 PM to 4:00 AM? (Onsite)</li></ul>Work Location: Remote

Gold Coast Dental

<div>Are you a detail-driven leader with a passion for optimizing financial performance in healthcare? Join our growing dental group as a Revenue Cycle Manager and play a key role in driving operational excellence across our practices. 
About Us 
We are a multi-location dental group committed to delivering exceptional patient care while maintaining efficient, transparent business operations. As we continue to expand, we&rsquo;re looking for a skilled professional to oversee and enhance our revenue cycle processes. 
Position Overview 
The Revenue Cycle Manager will be responsible for managing the full lifecycle of billing and collections, ensuring maximum reimbursement, minimizing denials, and improving overall financial performance. 
Compensation 
26-34/hr - $54,000-72,000

Bonus

Benefits 
Key Responsibilities
<ul>
<li>Oversee end-to-end revenue cycle operations, including billing, coding, collections, and payment posting</li>
<li>Analyze KPIs and financial reports to identify trends and improvement opportunities</li>
<li>Manage and mentor billing team members to ensure productivity and accuracy</li>
<li>Ensure compliance with insurance regulations, coding standards, and payer requirements</li>
<li>Develop and implement strategies to reduce claim denials and increase collections</li>
<li>Collaborate with clinical and administrative teams to streamline workflows</li></ul> 


Qualifications
<ul>
<li>3+ years of experience in revenue cycle management, preferably in dental or healthcare</li>
<li>Strong knowledge of dental insurance billing, coding, and reimbursement processes</li>
<li>Experience with practice management and billing software</li>
<li>Excellent analytical, organizational, and leadership skills</li>
<li>Ability to work in a fast-paced, multi-site environment</li></ul> 


What We Offer
<ul>
<li>Comprehensive benefits package (health, dental, 401k)</li>
<li>Opportunities for growth within a rapidly expanding organization</li>
<li>Supportive and collaborative team environment</li></ul></div>

Revenue Cycle Manager (Dental Group)

University of California - San Francisco

<div>Job Description:
The Vice President Revenue Cycle is a core member of the UCSF Health leadership team, responsible for the strategic revenue cycle management to drive optimal performance and support finance objectives. Accountable for the management and operation of the revenue cycle for UCSF Health which includes UCSF Health Enterprise including the Adult Academic Medical Centers, Benioff Children&rsquo;s Hospitals, the Ambulatory Business Unit including Provider Practices, The Community Hospitals, and Affiliate Networks. Responsible and accountable for all aspects of UCSF Health revenue cycle including compliance with UCSF standards and outside regulatory and accreditation agencies. Scope of oversight includes Patient Financial Services, Medical Group Business Services, Patient Access, Inpatient and Outpatient Facility and Professional Coding, Revenue Cycle Quality, Education, and Performance Improvement, and Research Revenue Cycle.
As a member of the senior management team, the VP leads executives in establishing strategy and objectives for improving health system financial performance. Plays a key role in the strategic direction, goal setting and performance management of the revenue cycle. Builds consensus and engages with a broad stakeholder group including medical staff, hospital leadership, and medical group leadership to design, implement, and maintain a high performing and metric driven institutional revenue cycle. Directs large, multi-dimensional initiatives collaborating across entities and departments.
Accountable for aligning revenue cycle operations across UCSF and reporting on key metrics. Takes responsibility for the accuracy and underlying drivers of revenue cycle information and reports. Serves as a senior advisor to leaders, providing financial information for decision-making. Reports to UCSF Health&rsquo;s Senior Vice President Finance and Chief Financial Officer. The VP Revenue Cycle ensures a high level of financial coordination between the UCSF Health Leadership, and other joint ventures and affiliates. Works in close collaboration with Business Unit Chief Financial Officers and Controllers as well as leaders in Government Reimbursement, Health Information Management, Revenue Integrity, Managed Care Contracting, Compliance, Information Technology Case Management, and others. This position presents and interprets financial information on a regular basis to Senior Management, UCSF Health Committees, and Governance Boards.
Responsibilities of the Vice President Revenue Cycle span the enterprise and require constructive relationships with all UCSF leadership, affiliate partners and outside agencies. This is a senior leadership position that requires a proven background leading healthcare revenue cycle functions, with a strong understanding of hospital operations. Expected to successfully interact, negotiate and build UCSF Health relationships, programs and partnerships with an extremely high degree of autonomy. Recognized as an influential leader that strategically manages change through business planning and program execution to achieve broad initiatives. 
Department Description:
The UCSF Health System brings clinical service capabilities into a unified management structure under 4 Business Units, achieving strategic, operational and financial alignment between the School of Medicine, and UCSF Health as well as affiliates and joint ventures. Its structure streamlines decision-making, strengthens the ability to act with one voice, and ensures accountability at every point to execute collectively agreed upon commitment to excellence and efficiency. The UCSF Health System&rsquo;s vision is to provide innovative, high quality, cost-competitive clinical services, and deliver an unparalleled patient experience across the entire care continuum.</div>

Vice President, Revenue Cycle

Apex Tech World

Job Description:We are seeking an experienced RCM Manager to oversee the revenue cycle operations.Requirements:<ul><li>Minimum 5 years of experience in Revenue Cycle Management</li><li>Strong knowledge of medical billing and collections</li><li>Leadership and team management skills</li></ul>What We Offer:<ul><li>Attractive salary package</li><li>Career growth opportunities</li></ul>Apply:Apply via Indeed or send your CV to hr@apextechworld.comWork Location: In person

RCM Manager

UofL Hospital

Job Overview We are seeking a dynamic and detail-oriented Revenue Cycle Analyst to join our team and drive excellence in financial performance and operational efficiency. In this pivotal role, you will analyze revenue cycle processes, identify opportunities for improvement, and develop actionable insights that enhance revenue integrity. Your expertise will empower our organization to optimize billing, collections, and financial reporting, ensuring sustainable growth and operational success. This position offers an exciting opportunity to leverage advanced analytics tools and business intelligence platforms to shape strategic decision-making.Responsibilities<ul><li>Conduct comprehensive data analysis using SQL, Tableau, Power BI, and other analytics tools to monitor revenue cycle performance and identify trends or anomalies.</li><li>Develop and maintain dashboards and reports in Salesforce, Visio, and other platforms to visualize key financial metrics for stakeholders across departments.</li><li>Collaborate with cross-functional teams to streamline billing, coding, collections, and accounts receivable processes through process improvement initiatives.</li><li>Utilize business analysis skills to evaluate current workflows, recommend enhancements, and implement best practices that maximize efficiency.</li><li>Support forecasting activities by analyzing historical data and creating predictive models to project future revenue streams.</li><li>Lead projects related to process automation and system integration to improve data accuracy and reduce cycle times.</li><li>Provide training and support on analytics tools and business intelligence platforms to team members involved in revenue cycle management.</li></ul>Experience<ul><li>Proven experience in revenue cycle analysis within healthcare, finance, or related industries with a focus on billing or collections.</li><li>Strong proficiency in SQL for data extraction and manipulation; experience with Tableau or Power BI for data visualization is essential.</li><li>Demonstrated ability to conduct detailed business analysis using Visio for process mapping and Salesforce for CRM insights.</li><li>Familiarity with data analysis techniques, analytics methodologies, and business intelligence tools to inform strategic decisions.</li><li>Experience managing projects related to process improvement or system upgrades within a fast-paced environment.</li><li>Excellent analysis skills with the ability to interpret complex datasets into clear insights for diverse audiences.</li><li>Knowledge of sales forecasting principles and experience applying them within revenue cycle operations is a plus. Join us as a Revenue Cycle Analyst if you're passionate about transforming data into strategic assets that drive financial success! Bring your analytical mindset, technical expertise, and proactive approach to help us optimize our revenue processes while advancing your career in a vibrant, innovative environment.</li></ul>Pay: $68,062.83 - $82,903.63 per yearWork Location: Remote

Revenue Cycle Analyst

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10000 revenue cycle manager jobs Near Me

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