Revenue Cycle Management Manager
Cenevia Health Business Services
Revenue Cycle Manager
The Revenue Cycle Manager is responsible for all duties listed below. The position requires coordination with clients, executive staff and RCM staff for the revenue cycle management performance reporting.
Core duties and responsibilities include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.
Lead and supervise revenue cycle staff
- Provide day-to-day leadership, coaching, and performance oversight for billing, coding, collections, and reimbursement teams.
- Ensure staff adhere to organizational policies, regulatory requirements, and best practices across the full revenue cycle.
Monitor and report staff productivity
- Develop, track, and analyze productivity metrics for all revenue cycle functions.
- Prepare regular performance dashboards and present findings and suggestions for improvement to the Director of Revenue Cycle Management and the CEO. Course correct as necessary with staff between reporting intervals.
Optimize revenue cycle processes
- Identify workflow gaps, bottlenecks, and opportunities for improvement across charge capture, claims submission, payment posting, and denial management.
- Implement process enhancements that improve accuracy, reduce days in A/R, and strengthen cash flow.
Ensure compliance and quality standards
- Oversee adherence to payer guidelines, coding standards, and internal quality benchmarks.
- Conduct routine audits and provide corrective action plans to maintain accuracy and compliance.
Collaborate with executive leadership
- Serve as a key liaison between revenue cycle operations and executive leadership.
- Provide strategic insights, trend analysis, and recommendations that support organizational financial goals
Qualifications
- Applicant must have a minimum of five years of experience in insurance reimbursement, account collections, coding, and medical terminology.
- Candidate should be advanced in using eClinicalWorks products
- Must have excellent customer service skills.
- High school diploma or equivalent required.
- CPC certification and/or CPB certification preferred
- Previous managerial experience necessary
Competencies
- Accountability and Result - Assuming responsibility for successfully completing assignments or tasks; self-imposing excellence standards rather than waiting for others to impose or enforce them.
- Client Focus - Anticipating, understanding, and fulfilling customer needs and expectations by providing excellent direct and indirect service.
- Coaching - Managing people, process, and/or projects by providing guidance and direction to others in a way that not only accomplishes results but earns/gains respect.
- Manages Change - Guiding, directing, and inspiring a continuum of change and transformation initiatives.
- Problem Solving - Using problem analysis skills to identify and define issues for resolution and choosing optimum courses of action.
- Productivity - Ensuring efficiency requirements are met even in the face of time or resource restrictions.
- Quality Focus - Assuring quality standards are met within appropriate specifications by accurately checking process and tasks over time.
Physical demands
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work environment
The noise level in the work environment is usually moderate.
Cenevia is an equal opportunity employer. At Cenevia, we believe diversity brings strength and adaptability by drawing on a broad range of talents, experiences and perspectives, and affords an inclusive workplace and culture where all people, regardless of gender, race, ethnicity, sexual orientation, or background, feel a sense of belonging.
This position is remote, and employee must have suitable and secure technology to be eligible for consideration – e.g., secure Wi-Fi, telephone, dedicated workspace (See HR Manual and Telecommuting Agreement for details). Additionally, employee is required to participate and be seen in meetings via video conference as part of this role.
Compensation
Salary is commensurate with experience, relevant certification/education, and relevant RCM software proficiency.
Benefits offered
- Simple IRA Matching
- Health Insurance
- Paid Time Off
- Paid Holidays
- Dental Insurance
- Vision Insurance
- Life Insurance
- Employee Assistance Program
- Tuition Reimbursement
- Disability insurance
- Fitness Program
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