Revenue Cycle Manager

About the Job

Cedar Point Health is a physician-owned company with a dedication to healthcare on the western slope of Colorado. With two urgent care sites four primary care locations a growing Behavioral Health Department and a PT wellness center we have many options to support our patients. We are looking for a qualified Revenue Cycle Manager to fill an available position at our administration location in Montrose Colorado. Come join our growing company that supports opportunities for growth learning and career expansion.

Mission: Our mission is to serve Western Colorado communities by providing high-quality compassionate comprehensive health care to all ages.

Job Information

• Job Title: Revenue Cycle Manager
• Department: Finance
• Reports To: Director of Finance
• Supervises: Medical Billing Supervisor
• FLSA Status: Exempt
• Employment Status: Full-Time
• Work Location: Administration

• Pay Range: $70000$80000 annually

Position Summary

The Revenue Cycle Manager is responsible for the oversight of Cedar Point Healths revenue cycle operations including staff management payer relations coding billing claims management accounts receivable collections third-party billing services and audits. This position works closely with the Director of Finance finance team providers department leaders payers vendors and the EMR vendor to support accurate billing timely reimbursement effective cash flow and continuous improvement of revenue cycle processes. The Revenue Cycle Manager monitors key performance indicators and financial results and develops strategies to improve revenue cycle performance and achieve established cash-flow targets.

Key Responsibilities

The essential responsibilities of this position include:

• Liaise with the third-party billing vendor and oversee performance expectations successful process improvements CPH billing coding accounts receivable collections and other contractual expectations.
• Train develop support and manage staff while promoting a collaborative and accountable team environment.
• Maintain and manage applicable bonus programs and adhere to CPH and HR policies and procedures; evaluate and approve timecards and time-off requests for supervised staff.
• Work in collaboration with department supervisors regarding oversight of check-in and check-out processes education training dashboards scripting CPH software mapping and related revenue cycle workflows.
• Work in collaboration with the Director of Finance and the Accounting Manager as it relates to revenue cycle management.
• Maintain a monthly revenue cycle dashboard including KPIs production numbers accounts receivable activity collection performance and other relevant measures.
• Comply with CMS federal and state regulations payer guidelines and applicable coding requirements and ensure consistent and compliant coding application.
• Research regulatory updates and collaborate with appropriate leaders to ensure necessary changes are incorporated into daily workflows.
• Develop and maintain a double-check process for EMR postings to bookkeeping software on a monthly and/or quarterly basis.
• Collaborate with the EMR vendor to improve data mining and financial reporting tools as they relate to revenue cycle operations.
• Assist the Director of Finance with payment analysis for commercial payers including fee schedules contracts and plan offerings under each insurance plan.
• Collaborate with the Director of Finance and appropriate organizational leaders regarding key insurers and value-based revenue performance and outcomes.
• Assist the Director of Finance in preparing and developing operational strategies to increase cash collections reduce bad debt and maintain key metric standards.
• Identify trends and make recommendations for areas of improvement within the revenue cycle.
• Manage CPH revenue cycle policies objectives and initiatives to achieve operational goals and cash-flow targets.
• Collaborate and have complete oversight of all credentialing duties to ensure prompt credentialing that does not interfere with timely revenue collections.

Other Duties:
This job description is not intended to contain a comprehensive listing of all activities duties or responsibilities required of the employee. Duties responsibilities and activities may change based on organizational needs.

Requirements

Required Qualifications

• Education: Bachelors degree or higher in a related field preferred; equivalent relevant experience may be considered.
• Experience: Minimum 5 years of experience working in healthcare revenue cycle medical billing accounts receivable management or a closely related area. Experience in audit compliance billing insurance follow-up and coding is required.
• Licensure/Certification: N/A.
• Technical Skills: Proficient in the use of technology office programs EMR and revenue cycle systems and adaptable to proprietary systems and methods.
• Other Requirements: This position is required to work in person. Commuting to other Cedar Point Health locations within a 75-mile radius may be requested.

Preferred Qualifications

• Bachelors degree or higher in healthcare administration business finance accounting or a related field.
• Experience managing healthcare revenue cycle teams and/or third-party billing vendors.
• Experience with commercial and government payer requirements payer contracts reimbursement methodologies and value-based reimbursement.
• Experience developing and monitoring revenue cycle dashboards KPIs and financial performance reports.

Knowledge Skills & Abilities

Successful candidates should demonstrate:

• Ability to interact effectively with others both verbally and in writing.
• Strong influencing and leadership skills and the ability to collaborate in a team environment.
• Ability to set and meet deadlines and manage multiple priorities.
• Proven understanding of the commercial and government payer landscape.
• Strong organizational skills with strong cycle-time management capabilities.
• Exceptional problem-solving and research capabilities with a strong analytical mindset.
• Forward-thinking and self-directed approach to work.
• Familiarity with and adherence to HR policies and procedures.
• Ability to support the development of CPH culture and overall team building and promote the mission and vision as a department leader.
• Ability to maintain confidentiality professionalism accountability and respectful working relationships.

What Success Looks Like

Success in this position means consistently achieving the expected outcomes of the role while demonstrating the organizations values and standards.

Key Success Measures:

• Grace and Respect: Demonstrates grace and respect towards patients and staff by seeking to understand and acknowledging their needs
• Positivity: Create a positive work environment and atmosphere through treatment of others and by attitude
• Sincerity: Sincere and genuine approach with patients and peers
• Trustworthy and Accountable: Trustworthy and accountable within the team and for patients
• Adaptability: Display adaptability with varying patient interactions and day-to-day circumstances

Performance Indicators/KPIs if applicable:

• Gross collections: Start at 75% by December 2026 increasing to 90% by June 2027
• A/R over 90 days: Maintain at 15% or less
• Missing slips: Maintain under 75 per provider
• Holds: Maintain under $50000 per bucket
• Charge lag: Maintain at 23 days

Success measures are intended to establish clear performance expectations and may be adjusted as operational needs organizational priorities or regulatory requirements change.

Schedule & Work Environment

• Typical Schedule: Monday- Friday
• Hours Per Week: 40
• Weekend Requirements: No
• Holiday Requirements: No
• On-Call Requirements: No
• Travel Requirements: None
• Work Setting: Office

Mental & Physical Requirements:
Must possess the physical and mental abilities to perform the tasks normally associated with an office position that involves standing sitting reaching manual dexterity to operate office machines stooping bending to handle files and supplies and mobility to complete errands or deliveries. May work at computer monitors for prolonged periods with potential for eye strain and muscle pain. Periodic stress occurs from handling multiple priorities deadlines calls and requests.

Working Conditions:
The position requires the ability to work under pressure with a diverse population including staff physicians clients patients applicants insurance companies vendors and other members of the public on a regular basis. Due to the nature of the business the position may cause exposure to communicable diseases and other conditions common to a clinical environment.

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.

Compensation & Benefits

Cedar Point Health offers competitive pay and comprehensive benefits to full-time employees including medical dental vision AFLAC employee life and accidental death insurance 401k and Paid Time Off including sick time.

Benefit eligibility and coverage are subject to the terms of the applicable benefit plans and company policies.

Equal Employment Opportunity

Cedar Point Health is an equal opportunity employer. Employment decisions are made based on qualifications merit and business needs and in accordance with applicable federal state and local laws.

Salary Description

$70000-$80000/yr

This position is required to work in person. Commuting to other Cedar Point Health locations within a 75-mile radius may be requested.

#LI-Onsite

Benefits

The base compensation range for this position is:

Compensation ranges could be hourly or salary depending upon the exempt status of the posted position.

Beginning compensation is determined based on objective factors such as location qualifications skills certifications and experience. Typically a candidate is hired in the lower to midpoint of the range; the top end of the range is reserved for candidates with extensive specialized experience and mastery within the role. Compensation may increase over time based on performance experience and tenure.

Compensation is only part of Ovations total compensation package. Some additional benefits offered to full-time associates are:

• Comprehensive health and wellness benefits such as medical dental vision life insurance short and long-term disability coverage
• HSA with employer contributions flexible spending accounts for health care and dependent care accounts
• Wellness platform with premium incentives
• Employee assistance support and additional voluntary supplemental plans including accident critical illness hospital indemnity and child disability insurance
• Robust and flexible paid time off offerings and company paid holidays
• 401(k) plan with discretionary employer match opportunities
• Professional development opportunities
• Company issued equipment

Required Experience:

Manager