ASC Revenue Cycle Manager

Location: Remote
Department: Revenue Cycle Services
Reports To: Director of Hospital/ASC Revenue Cycle Management
Employment Type: Full-Time
Salary: $65,000 - $95,000

Company Overview

MedHQ, LLC is a fast-growing, leading provider of consulting and technology-enabled expert services for outpatient healthcare. With a 97% client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. MedHQ is recognized as one of Becker’s Top 150 Places to Work in Healthcare.

MedHQ’s service offerings have expanded organically over the years, evolving from high-quality human resources, accounting, and staff credentialing services as a Professional Employer Organization (PEO) into a comprehensive, menu-driven financial management company. Our services include Advisory, Client Human Resources, Client Accounting, Staff Credentialing, Clinical Staffing, and Revenue Cycle Services.

Position Summary

The ASC Revenue Cycle Manager is responsible for leading all revenue cycle functions within a high-volume ambulatory surgery center environment. This position requires extensive knowledge of healthcare and ASC-specific billing and coding, along with a strong understanding of ASC facility billing, payer contracting nuances, and operational requirements unique to cardiology service lines.

The ideal candidate is an experienced revenue cycle leader who demonstrates strong analytical abilities, a commitment to continuous process improvement, and the ability to build collaborative relationships with physicians, administrators, and staff.

Essential Duties and Responsibilities

Leadership and Staff Management

• Lead and supervise a team of billing and coding professionals.
• Provide mentorship, coaching, and day-to-day support to revenue cycle staff.
• Foster a collaborative and accountable work environment that promotes professional growth.
• Conduct performance evaluations and provide constructive feedback.
• Develop and implement training programs specific to revenue cycle workflows.
• Serve as a working manager and perform staff-level duties as needed to maintain operational continuity.

KPI Monitoring and Performance Management

• Develop, implement, and monitor key performance indicators (KPIs), including:
• Clean claim rates
• Denial rates
• Days in Accounts Receivable (AR)
• Procedure-level reimbursement benchmarks
• Analyze revenue cycle data to identify trends and opportunities for improvement.
• Implement corrective action plans to address revenue leakage and performance gaps.
• Ensure timely and accurate claim submission, payment posting, denial management, appeals, and AR follow-up.

Provider and Administration Collaboration

• Serve as the primary revenue cycle liaison for physicians, ASC administration, and clinical leadership.
• Collaborate with surgery teams to optimize documentation and reimbursement outcomes.
• Lead regular meetings with providers and administration to review performance metrics and establish operational goals.

Coding and Billing Oversight

• Oversee coding and billing for a wide range of procedures.
• Apply current CPT, ICD-10, and HCPCS coding guidelines specific to the ASC setting.
• Monitor ASC facility billing requirements, including device-intensive procedures and pass-through billing.
• Maintain knowledge of payer LCD and NCD policies, prior authorization requirements, and coverage determination updates.

Compliance and Regulatory Oversight

• Maintain current knowledge of billing regulations, CMS guidelines, payer policies, and coding updates.
• Ensure compliance with HIPAA and all applicable healthcare regulations.
• Conduct internal audits to identify compliance risks and implement corrective action plans.

Process Improvement and Operational Excellence

• Promote a culture of continuous improvement, innovation, and operational efficiency.
• Identify workflow bottlenecks and implement data-driven process improvements.
• Champion best practices, technology solutions, and cross-functional collaboration to maximize revenue performance.

Day-to-Day Revenue Cycle Operations

Oversee all revenue cycle functions, including:

• Charge capture
• Claims submission
• Payment posting
• Denial management
• Coding
• Accounts receivable follow-up
• Monitor staff productivity, work queues, aging reports, and payer follow-up timelines.
• Support a positive patient financial experience throughout all revenue cycle interactions.

Education and Experience Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field preferred.
• Minimum of five (5) years of progressive revenue cycle management experience, preferably within an Ambulatory Surgery Center (ASC) or physician practice.
• In-depth knowledge of cardiology and ASC billing and coding practices.
• Strong understanding of ASC facility billing and device-intensive procedures, including Medicare, Medicare Advantage, and commercial payers.
• Demonstrated success in monitoring and improving revenue cycle KPIs.
• Proficiency with revenue cycle software, practice management systems, and ASC billing platforms.
• Excellent communication, leadership, and relationship-building skills.
• Strong analytical and problem-solving abilities, with experience identifying revenue leakage and implementing process improvements.
• Working knowledge of HIPAA and applicable healthcare compliance requirements.

Physical Requirements

• Prolonged periods of sitting and working on a computer.
• Ability to communicate effectively via telephone, video conferencing, and email.
• Ability to occasionally lift up to 15 pounds.

Benefits

• Medical/Dental/Vision Insurance Options
• Accidental Death and Disability Insurance
• 401(k) with Employer Match
• Flexible Spending Account (FSA)
• Paid Time Off (PTO)  

Additional Information

Applicants must be legally authorized to work in the United States. MedHQ, LLC is unable to sponsor or take over sponsorship of an employment visa at this time.