Revenue Cycle Manager

Description About CLS Health CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! Job Summary: The Revenue Cycle Manager oversees and optimizes the revenue management processes within the company. The Revenue Cycle Manager must have a deep understanding of healthcare billing, coding, reimbursement, and compliance regulations, coupled with strong leadership and analytical abilities. Supervisory Responsibilities: Directs and oversees Revenue Cycle Team. Conducts performance evaluations that are timely and constructive. Duties/Responsibilities: Revenue Cycle Optimization: Develop and implement strategies to streamline revenue cycle processes, including billing, coding, claims management, and collections, to maximize revenue and minimize delays. Billing and Coding Compliance: Ensure accurate and compliant coding practices according to industry standards (e.g., ICD-10, CPT), payer guidelines, and regulatory requirements (e.g., HIPAA, CMS). Claims Management: Oversee the timely submission, tracking, and resolution of claims to minimize denials and optimize reimbursement. Implement effective denial management strategies to address claim rejections and appeals. Revenue Analysis and Reporting: Analyze revenue cycle performance metrics, identify trends, and generate insightful reports to monitor key performance indicators (KPIs) and inform decision-making processes. Required Skills/Abilities: Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech). Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid). Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights. Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams. Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders. Benefits: 401(k) 401(k) matching Dental Insurance Disability insurance Health insurance Life insurance Paid time off Vision insurance Requirements Required Skills/Abilities: Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech). Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid). Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights. Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams. Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders. Education and Experience: Bachelor's degree in healthcare administration, finance, business, or related field. Master's degree preferred. Minimum of 5 years of experience in revenue cycle management, preferably in a healthcare setting. Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) certification preferred. Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Must be able to lift to 15 pounds at times. . #J-18808-Ljbffr CLS Health PLLC