revenue cycle manager

Regional Cancer Care Associates LLC

<div>Overview:<div></div><div><br>
We are seeking an experienced and detail‑oriented Revenue Cycle Manager/ Pre-Certification to oversee front-end revenue cycle operations across multiple practice sites. This role ensures efficient, compliant, and accurate processes that support optimal financial performance and an exceptional patient experience.</div><div></div><div><br>
Elevate your career and make a difference with RCCA. Apply now to become a vital member of our team dedicated to transforming cancer care!</div><div></div><div><br>
Employment Type: FullTime</div><div>
Location: Remote</div><div>
Compensation: $81,685 - $85,000</div><div><i>
Compensation packages based on your unique skills, experience, and qualifications</i></div><div></div><div><br>
As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide: Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities.</div><div></div><div><br>
We believe these benefits underscore our commitment to the well-being and professional growth of our employees.</div><br>
<div></div>
Responsibilities:<div></div><div><b><br>
Responsibilities and Duties:</b></div><ul><li>
Oversee the Eligibility and Pre-authorization teams for Oncology treatments and oral pharmacy services, ensuring all patient eligibility is verified accurately and promptly.</li><li>
Function as a liaison between Central Business Office, physicians, and practice sites to resolve accounts receivable issues and questions.</li><li>
Develop and maintain relationships with insurance providers to facilitate efficient eligibility verification processes and pre-authorization submissions.</li><li>
Collaborate with healthcare providers to gather necessary documentation required for pre-authorization and ensure timely approval of oncology treatments and oral pharmacy prescriptions.</li><li>
Implement and oversee technology solutions to streamline eligibility checks, pre-authorization processes, and reduce manual errors.</li><li>
Monitor and report on pre-authorization approval rates and turnaround times, identifying areas for improvement.</li><li>
Coordinate with the billing department to ensure that pre-authorized treatments are billed correctly and in a timely manner.</li><li>
Conduct regular audits to ensure adherence to internal policies and external regulations, staying informed about changes in healthcare regulations related to oncology and pharmacy services.</li><li>
Assist in the development and implementation of training programs for corporate and practice employees, including training on eligibility and pre-authorization procedures, to improve A/R and billing functions.</li><li>
Maintain a working knowledge of applicable laws and regulations as they relate to assigned responsibilities and communicate regulatory and industry standards to employees.</li><li>
Conduct audits to ensure compliance and monitor productivity in the A/R, eligibility, and pre-authorization functions.</li><li>
May coordinate facilities and office management functions including payroll submission.</li><li>
Supervise, through multiple subordinate supervisors, teams of employees involved in the Pre-authorization and eligibility of Accounts Receivable for the Central Business Office.</li><li>
Provide on-going front-office process review and implement process revisions as needed.</li><li>
Coordinate and or provide training for new front office staff, and retraining as needed.</li><li>
Super User of Practice Management System and interfaced systems.</li><li>
Ensures roll-out of System updates to front-office team.</li><li>
Chairs Revenue Cycle Front Office task teams. Co-chairs C2C</li></ul>
Qualifications:
<ul><li>High school diploma or equivalent required</li><li>
Bachelor&rsquo;s degree preferred.</li><li>
Oncology Experience preferred</li><li>
Minimum seven years of medical business office experience</li><li>
Two years experience managing, delegating, and following up on work priorities of others.</li><li>
Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc)</li><li>
Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).</li></ul><div>
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.</div><div></div><div><br>
WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.</div></div><div></div>

Revenue Cycle Manager/ Pre-Certification

Sacramento Ear, Nose & Throat

<div><p><b>Originally established in 1957, Sacramento Ear, Nose &amp; Throat&rsquo;s (SacENT) award-winning physicians are nationally recognized leaders in their fields. At SacENT, the mission of the physicians and staff is to provide the highest standard of state-of-the-art specialty medical care in a personal, compassionate manner.</b></p><p><b>
POSITION SUMMARY</b></p><p>
The Billing Manager is responsible for the daily activities of the billing department and oversees the billing department&rsquo;s employees; the billing department is required to ensure that patients are eligible for services and apply the appropriate charges to their insurance or personal billing account. They monitor payments of medical bills, transmit electronic claims, and deal directly with insurance companies.</p><p><b>
ESSENTIAL FUNCTIONS</b></p><ul><li>
Oversees the day-to-day operations of the billing department to ensure it operates in the most efficient, productive, accurate and timely manner in alignment with protocol specifications</li><li>
Manages the selection, training and development and on-going performance of the billing department staff.</li><li>
Actively involved in continuous billing and collection process improvement to maximize reimbursement.</li><li>
Monitors contracts with payers and ensure that they are abiding by those contracts.</li><li>
Oversees the staff in collecting payments for deductibles, office co-pays, and co-insurance</li><li>
Oversees financial counseling with patients who are looking at large medical bills</li><li>
Runs reports monthly to ensure that the accounts are worked timely</li><li>
Ensures that the appropriate billing codes are being used</li><li>
Ensures that new employees are fully and properly trained before they start working directly with patients, physician offices, and insurance companies. If any patients have denials of specific bills, these disputes typically go to the billing managers for review. The billing manager is in charge of escalated customer disputes and is expected to resolve them.</li></ul><p><b>
OTHER</b></p><ul><li>
Other duties as assigned.</li></ul><p><b>
Minimum Education (or substitute experience) required:</b></p><ul><li>
High school diploma or equivalent.</li><li>
Five (5) years of Medical Billing and Collection Experience</li></ul><p><b>
Minimum Experience required</b></p><ul><li>
3-5 years of medical coding and billing cycle and revenue cycle management</li><li>
3-5 years successful management experience</li></ul><p><b>
KNOWLEDGE, SKILLS AND ABILITIES</b></p><p><b>
Knowledge</b></p><ul><li>
Extensive knowledge of medical coding and billing cycle and revenue cycle management</li><li>
Good working knowledge of Accounting, data, administrative processes and principles, applicable regulations and state and federal laws (minimum 2 years)</li><li>
Strong knowledge of medical issues and terminology</li><li>
Expert knowledge of ICD-9/10 &amp; CPT Codes</li><li>
Strong knowledge of health insurance denial process</li><li>
Very familiar with insurance eligibility requirements</li></ul><p><b>
Skills</b></p><ul><li>
Strong leadership skills</li><li>
Exceptional communication skills</li><li>
Attention to details</li><li>
Planning and Organizing skills</li><li>
Strong decision making and stress tolerance</li><li>
Proficient in MS Office (Word, Excel, Outlook)</li></ul></div>

Billing Manager

North Florida Surgeons, P.A.

<div><h1 class="jobSectionHeader"><b>About the Role:</b></h1>
<div>We are seeking a knowledgeable and engaging Revenue Cycle Trainer to join our Revenue Cycle team. This role is responsible for developing and delivering training programs that ensure staff understand revenue cycle processes, compliance standards, and organizational policies.</div>
<h1 class="jobSectionHeader"><b>Key Responsibilities:</b></h1>
<ul><li>Conduct training for new hires and existing staff on billing, coding, claims processing, and reimbursement procedures.</li>
<li>Develop and maintain training materials that meet regulatory and organizational standards.</li>
<li>Monitor training effectiveness and provide ongoing education as needed.</li>
</ul><h1 class="jobSectionHeader"><b>Qualifications:</b></h1>
<ul><li>Associate&rsquo;s or Bachelor&rsquo;s degree in Healthcare Administration or related field preferred.</li>
<li>3+ years of experience in revenue cycle operations or medical billing.</li>
<li>Strong communication and presentation skills; proficiency with Microsoft Office and EHR systems.</li>
<li>Experience with Athena</li>
</ul>
<div></div><h1 class="jobSectionHeader"><b>Why Join Us:</b></h1>
<ul><li>Competitive compensation and benefits</li>
<li>Opportunity to make an impact on operational excellence</li>
<li>Collaborative and supportive work environment</li></ul></div>

Revenue Cycle Trainer

Hillcrest HealthCare System

<div>Overview:
<div>
Join our team as a day shift, full-time, Revenue Cycle Analyst in Tulsa, OK.</div><div></div><div><b><br>
Why Join Us?</b></div><div></div><div><b><br>
Thrive in a People-First Environment and Make Healthcare Better</b></div><div></div><ul><li><i><br>
Thrive:</i><i> </i>We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.</li><li><i>
People-First:</i><i> </i>We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.</li><li><i>
Make Healthcare Better:</i><i> </i>We use advanced technology to support our team and enhance patient care.</li></ul><div></div><p><b><br>
Get to Know Your Team:</b></p><ul><li>
Hillcrest Hospital South, a full-service 180-bed facility located in south Tulsa, offers a comprehensive range of inpatient and outpatient services utilizing cutting-edge technology in a welcoming community environment. As the only DNV Orthopedic Center of Excellence (OCE) in Oklahoma, Hillcrest South stands out for its exceptional orthopedic care. The hospital&rsquo;s RN residency program is accredited by the American Nurses Credentialing Center (ANCC) as a Practice Transition Accreditation Program and Pathway to Excellence, ensuring high-quality training for nurses.
</li></ul>Responsibilities:
<ul><li>The Revenue Cycle Analyst is responsible for the oversight of daily charge capture and reconciliation processes as well as the maintenance of the chargemaster.
</li><li>Incumbent will assist in the monitoring and analysis of clincical trials, new procedures and bundle payment agreements to ensure proposed financial position is met and maintained.
</li><li>They must oversee all areas of Revenue Cycle to ensure accurate and compliant charge items, recognize and resolve billing inconsistencies, analyze contents of reports and software edits to facilitate appropriate revisions, as well as review reports and nurses notes to determine appropriate charges and complete necessary follow up.
</li><li>Specialist will work with the business office to identify denials, overpayments, underpayments and others as necessary to provide analysis and insight.
</li><li>The incumbent must possess strong critical thinking skills and clinical knowledge of procedures in order to effectively achieve the position specific functions.
</li><li>They also must adhere to policies, procedures and regulations to ensure compliance and patient safety.</li></ul>
Qualifications:
<div>
Job Requirements:</div><ul><li>
Previous Charge capture experience preferred, medical terminology required</li></ul><div>
Preferred Job Requirements:</div><ul><li>
Bachelors degree preferred</li></ul></div>

Revenue Cycle Analyst

AltuMed (Cube Healthcare Systems Pvt Ltd)

<p><b>Job Overview:</b></p><p>The RCM Team Lead is an expert in medical billing with comprehensive knowledge across all key domains of the revenue cycle, including Billing, Payments, Accounts Receivable, and Credentialing. As a Team Lead, you are expected to have a strong command of the complete RCM process, with in-depth expertise in both Part A and Part B billing.</p><p>In this role, you will be responsible for managing the full revenue cycle operations of assigned practices. You will work closely with the Manager to ensure practice-specific targets are met, while also supporting team members, resolving escalations, and ensuring adherence to best practices and compliance standards.</p><p><b>Location: Abbottabad (Onsite)</b></p><p><b>Shift Time: 6pm-2:30am</b></p><p><b>Responsibilities:</b></p><p>&middot; Must have strong command over the complete Revenue Cycle Management process, In-depth knowledge of Part A and Part B billing.</p><p>&middot; End-to-end responsibility for the assigned practice(s), ensuring all RCM-related activities meet company standards (e.g., MAGMA standards).</p><p>&middot; Complete understanding of the assigned practice workflows and specialties.</p><p>&middot; Ensure all patient information is accurately and completely entered into the Electronic Practice Management (EPM) system.</p><p>&middot; Review patient admitting records and extract relevant billing information.</p><p>&middot; Complete the billing cycle as per standard operating procedures and training guidelines.</p><p>&middot; Work through EHR, LIS and web portals</p><p>&middot; Demonstrate complete understanding of AltuMed (Medical Billing Software) and other EPM systems.</p><p>&middot; Leverage available software tools to manage claims, payments, and reporting effectively.</p><p>&middot; Respond to emails promptly and professionally.</p><p>&middot; Maintain clear and professional communication with the team and management.</p><p>&middot; Collaborate with your team to support daily, weekly, and monthly tasks.</p><p>&middot; Independently manage assigned responsibilities without the need for supervision.</p><p>&middot; Complete daily, weekly, and monthly tasks as assigned by the Manager.</p><p>&middot; Assist the team in achieving operational targets and support them with task execution when required.</p><p>&middot; Understand and strictly adhere to HIPAA compliance standards.</p><p>&middot; Follow all internal company policies, procedures, and quality standards.</p><p>&middot; Complete all required training tracks within the designated timeframe.</p><p>&middot; Attend and successfully pass all internal training sessions.</p><p>&middot; Be available for weekend shifts or overtime as needed based on workload or business requirements.</p><p>&middot; Perform any additional duties or responsibilities as assigned by the Manager.</p><p><b>Qualifications:</b></p><ul><li>Bachelor&rsquo;s or Master&rsquo;s Degree in science preferably D- Pharm, Physiology Biochemistry, BBA, MBA. Etc.</li><li>Candidates with over 5 years in the medical billing Industry.</li></ul><p>&middot; Excellent domain knowledge of the US- Healthcare Industry.</p><p>&middot; Ability to read, analyze and interpret complex documents.</p><p>&middot; Extensive knowledge of the use of email, search engine, Internet; ability to effectively use payer websites.</p><p>&middot; Proficient with Microsoft products (Excel, Word, Outlook).</p><p>&middot; Comfortable working in a target-oriented atmosphere.</p><p>&middot; Ability to work under pressure and complete the project by meeting the deadlines.</p><p>&middot; Excellent interpersonal communication skills and should be a good team player.</p><p>&middot; Must be detail-oriented, highly organized, and results-driven.</p><p>&middot; Critical Thinking and a can-do attitude.</p><p>&middot; Excellent Typing and work process speed.</p><p><b>KEY PERFORMANCE INDICATORS:</b></p><p>&middot; No. of Patients and Claims Submitted.</p><p>&middot; Resolving Rejection and Denial Management.</p><p>&middot; Timing, attendance, and punctuality.</p><p>&middot; Learning ability on Billing Software.</p><p>&middot; Daily productivity reports with no Errors and completed tasks.</p><p>&middot; Coordination and cooperation within the team.</p><p><b>Benefits:</b></p><p>Market-Leading Salary, Medical insurance, Provident fund, EOBI, Paid Leaves, cash advance, Employee Performance based bonuses, Annual increments, Allowances ( Accommodation, OPD, Travel, Night, utilities, Technical ), Parental Leaves, Annual dinners &amp; trips</p><p><b>Note:</b> Preference will be given to candidates from Hazara Division, KPK for this specific role. However, candidates from all over the Pakistan are welcomed.</p><p>Job Type: Full-time</p><p>Work Location: In person</p>

Team Lead RCM

Akron Children's

<div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2>
<b>Job Requisition Number</b> 32711
<div><div>Full-Time / Onsite</div><div>
Monday - Friday</div><div></div><div><br>
Summary:</div><p><br>
The Vice President, Cycle is responsible for the strategic oversight, optimization and day to day operation of the system-wide revenue cycle function. S/he will establish a metric driven approach to managing the department and reporting on performance. The Vice President will help design the future service model that will support the revenue cycle function for the system, while providing exceptional customer experience and ensuring the collection of all revenue due Akron Children's. S/he will develop a culture that is conducive to effective teamwork by recognizing both the internal and external customers and will embrace and model the organization's values of patient centered care. Personal commitment will be demonstrated through open and clear communication, appropriate utilization of resources, recognition of opportunities for quality improvement, and the demonstration of a proactive approach to problem solving. Additionally, s/he will model personal compliance with organization policies.</p><p></p><div>
Responsibilities:</div><br>
<p></p><ul><li>
Directing the activities and systems related to those departments under the Revenue Cycle umbrella that include: Patient Financial Services for hospital and professional services, Hospital/facility-based patient access, Financial Counseling, Revenue Integrity, Professional Coding and Compliance, Health information services.</li><li>
Clinical documentation and coding, including benchmarking and education.</li><li>
Communicate a clear near-term and long-term plans, including measurable improvements and ongoing maintenance of key performance indicators.</li><li>
Creation, maintenance and ongoing evolution of systems and processes necessary to create best practice metrics including A/R days, DNFB days, CFB days, aged A/R over 90 days, payer denial rates and write offs, point of service collections, bad debt, bad debt recoveries, self-pay yield, charge lag time, credit balance days and cost to collect.</li><li>
Collaborates with other areas of Finance including Payor Strategy/Managed Care, Reimbursement Services, Financial Planning and Analysis, and Accounting to support enterprise initiatives.</li><li>
Coordinates decentralize revenue cycle departments including Information Services Revenue Cycle support, Centralized Scheduling, and other decentralized scheduling and patient access departments to insure revenue cycle alignment.</li><li>
Partners with Compliance and Internal Audit functions of the organization to ensure overall compliance with billing regulations.</li><li>
Collaborates with operational leaders, both administrative and clinical, across the organization.</li><li>
Develop and maintain rapport with insurance payers and vendors; hold external entities to contracts and a high level of performance.</li><li>
Serves as the external marketing face for revenue cycle and as such represents Akron Children's Hospital in the appropriate and assigned venues such as OHA committees, legislative conferences, CHA meetings, Epic user groups and appropriate HFMA chapter events.</li><li>
Participates in management decisions, communicates support and participates in the implementation of policies, programs and changes.</li><li>
Maintains excellent relationships with management, physicians and staff.</li></ul><p></p><div>
Other information:</div><p><b><br>
Education and Experience:</b></p><p>
Required:</p><p></p><ul><li>
Bachelor's degree in Business, Accounting, or related field.</li><li>
Years of Relevant Experience: Ten (10) years progressive experience in healthcare revenue cycle management required.</li><li>
Years of Supervisory Experience: Five (5) years' experience in a leadership capacity.</li><li>
Demonstrated competency and senior operational leadership experience in a large, complex organization with multiple locations and matrix accountabilities.</li><li>
Demonstrated strategic thinking, keen judgment and planning skills; recognized commitment to and skill in working in and developing teams; demonstrated ability to achieve results and to develop people; sound fiscal judgment.</li><li>
Possesses superior communication skills both written and verbal. Has the ability to effectively present information and respond to questions from groups of managers, staff, physicians. Has the capacity to present in front of a large group and communicate to senior management and to Board of Directors.</li><li>
Proven record of accomplishment in developing and monitoring scorecards to manage revenue cycle operations.</li><li>
Ability to successfully perform within a metric driven healthcare delivery system.</li><li>
Possess the emotional intelligence to resolve stressful professional situations.</li></ul><p></p><p>
Preferred:</p><p></p><ul><li>
Master's Degree in Business Administration, Accounting, Healthcare, or related field.</li><li>
Children's Hospital revenue cycle leadership experience.</li><li>
In-depth knowledge of Medicaid billing.</li></ul><p></p><div>
Full Time</div><div></div><div>
FTE: 1.000000</div><div></div><div><br>
Status: Onsite</div></div></div><p></p>

VP Revenue Cycle

Forsa Connect

<p>Apply Now Directly:</p><p>https://forsaconnect.com/job/51</p><p>RCM &amp; Insurance Manager (Offshore - Cairo Office)​The RCM Manager will be responsible for overseeing the entire insurance lifecycle, ensuring financial sustainability, and optimizing revenue collection while maintaining strict adherence to Saudi Arabian healthcare regulations.</p><p>​Key Responsibilities ​Comprehensive RCM Oversight: Manage the end-to-end revenue cycle, including patient registration, eligibility verification, medical coding, billing, and claims submission. ​Denial Management &amp; Prevention: Analyze denial trends, identify root causes, and implement corrective actions to minimize rejection rates and optimize recovery through medical justification. ​Compliance &amp; Regulatory Alignment: Ensure all operational processes are fully compliant with the Council of Health Insurance (CHI/CCHI) regulations and the NPHIES platform standards. ​Financial Reporting: Generate and present detailed performance reports, including accounts receivable (AR) aging, net revenue analysis, and collection KPIs to the executive management. ​Contracting &amp; Pricing: Support the evaluation of insurance contracts, manage price lists, and ensure that all agreements are accurately reflected in the system. ​Revenue Diversification: Implement strategies to maintain a healthy balance between different revenue streams (Cash, Credit, and Charity) and avoid over-reliance on delayed payment models. ​Inter-Departmental Coordination: Act as a bridge between the offshore office and the operational facilities in KSA to ensure seamless data flow and documentation. ​Team Leadership: Lead and mentor a team of medical coders and billing specialists, ensuring high accuracy and productivity. ​</p><p>Job Requirements ​</p><p>Education: Bachelor of Medicine (MBBCh/MD) is mandatory. Candidates must be qualified Medical Doctors. ​Market Experience: Minimum of 5 years of professional experience specifically within the Saudi Healthcare Market. ​Technical Expertise: Proficiency in ICD-10-AM, ACHI/AR-DRG coding, and hands-on experience with the NPHIES system. ​Location: Based in Cairo, Egypt (Full-time at the Group&rsquo;s regional office). ​Skills: Strong analytical, negotiation, and leadership skills. Excellent command of professional English and Arabic. ​How to Apply</p><p>​If you meet the above criteria and are ready to lead our RCM operations from Cairo, please apply now.</p><p>Job Type: Full-time</p><p>Work Location: Remote</p>

RCM & Insurance Manager

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