(Non-Remote) Revenue Cycle Manager

Revenue Cycle Manager

As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients.

Major duties and responsibilities include managing overall medical billing operations, overseeing aggressive follow-ups with accounts receivables, tracking fee schedules and insurance denials, identifying and implementing strategies to improve internal and patient billing processes, incorporating and executing quality assurance processes, reviewing and analyzing patient accounts, collaborating with other team members to improve the work environment, providing high-level customer service, researching and compiling necessary documentation for appeal processes, preparing and transmitting claims, following up on unpaid claims, staying current with payer trends, analyzing root causes of denials, identifying areas of concern, sharing trending and feedback, hospital billing, applying insurance and patient payments, reconciling payments, answering patient inquiries, attending community engagement activities, and performing other duties as assigned.

Qualification requirements include 5-7 years of experience with revenue cycles, medical billing, collections, and payment posting, understanding regulatory and compliance requirements, experience with Electronic Medical Records, strong communication and interpersonal skills, expertise with medical and billing terminology, excellent organization and time management skills, and proficiency in computers, particularly Word and Excel. Education and/or experience include a Bachelor's degree from a four-year college or university, 5-7 years related experience and/or training, 1-2 years of supervisory experience, knowledge of medical billing, front-office, physician practice management, and healthcare business processes, strong understanding of medical billing/coding, and previous FQHC experience.