Revenue Cycle Manager

Healthcare Chaos Management (HCM) is a 40-year-old, nationally scaled healthcare revenue cycle company that is transforming into a cutting-edge Healthcare FinTech organization. We serve hospitals and healthcare systems across the U.S., blending human-centric service with intelligent automation to improve patient financial experiences and optimize healthcare revenue operations. Position Summary The Client Excellence Manager (RCM) is responsible for leading revenue cycle performance initiatives and supporting clients in optimizing financial outcomes. This role serves as a strategic partner to healthcare clients, providing data-driven insights, operational guidance, and process improvement recommendations to enhance efficiency, reduce denials, and maximize reimbursement. Key Performance Indicators (KPIs) The KPIs that will be used to measure the performance of the individuals in this role include, but are not limited to: Net Collection Production / Productivity Quality Assurance Scores Client Satisfaction Essential Duties and Responsibilities Analyze revenue cycle data, trends, and denial patterns to identify opportunities for improvement, reduce recurring issues, and enhance overall revenue cycle performance. Review physician charge utilization and billing variances to support accuracy and improved reimbursement outcomes. Develop and implement standardized solutions, process enhancements, and corrective action plans to improve workflow efficiency and reduce denials. Monitor key performance indicators (KPIs), prepare performance updates, and present insights to client leadership through dashboards, scorecards, and regular meetings. Serve as the primary point of contact for assigned clients, building strong relationships, addressing issues promptly, and ensuring revenue cycle needs are met. Provide tailored recommendations to clients, collaborating closely to resolve operational challenges and optimize financial performance. Support system-related needs by querying data, troubleshooting interface or reporting issues, and working with internal teams to improve data accuracy. Provide end-user support and training related to Epic or other revenue cycle platforms to strengthen understanding, compliance, and performance. Communicate updates related to coding, reimbursement policies, operational changes, and industry standards. Coordinate, schedule, and conduct training sessions for client and internal teams to support workflow adoption and process improvements. Identify risks or inefficiencies in client workflows and recommend corrective measures to resolve financial or operational issues. Collaborate cross-functionally with internal teams on enhancements, program development, and client implementation needs. Participate in and lead meetings, committees, task forces, or workgroups related to revenue cycle optimization. Manage and respond to all RCM support cases in a timely and professional manner to ensure high client satisfaction. Ensure all revenue cycle activities adhere to federal, state, and payer regulations, including HIPAA and CMS guidelines. Strong understanding of revenue cycle operations and performance metrics Advanced analytical and data interpretation skills Proficiency in reporting tools and data visualization (e.g., Excel, Power BI) Excellent client relationship management and communication skills Strong problem-solving and critical thinking abilities Ability to manage multiple priorities in a fast-paced environment Detail-oriented with a focus on accuracy and outcomes Ability to influence and collaborate across teams Job Qualifications, Skills, Abilities, Requirements Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Bachelor’s degree in healthcare administration, business, finance, or a related field (Master’s degree preferred). Minimum of 5–7 years of experience in revenue cycle management, including at least 3 years in a leadership or managerial role. Demonstrated success in managing, optimizing, and improving revenue cycle processes within a healthcare setting. Strong knowledge of healthcare billing and coding standards (CPT, ICD-10, HCPCS) and payer regulations. Proficiency in data analytics and performance management tools (e.g., Excel, PowerBI, SQL) with the ability to interpret and present complex data. Excellent problem-solving, organizational, and project management capabilities. Ability to lead, mentor, and influence teams in a fast-paced, dynamic environment. Exceptional interpersonal and communication skills to effectively collaborate with internal teams and manage client relationships. Experience with EPIC, Meditech, Cerner, and/or Salesforce preferred #J-18808-Ljbffr