Revenue Cycle Operations Senior Manager

Job Description

Job Description

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as Revenue Cycle Operations Senior Manager , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.

JOB SUMMARY

The Revenue Cycle Operations Senior Manager is responsible for providing strategic and operational management with a focus on optimization of productivity, performance and efficiencies within revenue cycle operations. Ensuring policies and procedures are updated and maintained to align with best practices and current objectives defined by the Revenue Cycle Operations division.

You will:

• Strategically plans, directs and evaluates revenue cycle operations functions to ensure consistent maximum cash flow to achieve operational efficiencies.
• Utilizing data analysis, strategically and continuously refine the revenue cycle operations and workflows to minimize denials and the slowdown of claims resolution; optimize performance and net cash collections; reduce days in accounts receivable status.
• Examines and provides recommendations for resource allocation, structure and benchmarking.
• Manage the completion of revenue cycle dashboards and work with leaders of other areas of revenue cycle to drive improvement.
• Measures and documents employee performance, reviewing monthly for staff development, recognition and goal achievement.
• Ensure productivity of the team by developing and/or updating processes, methods, policies, guidelines, best practices.
• Ownership of Compliance and Medicare contractor relationships regarding regulatory reviews and corrective action.
• Oversight for the resolution of BBB/OAG patient complaints specific to RCO; escalates to internal and external leadership as needed to ensure patient satisfaction and corrective actions are completed.
• Perform due diligence audits of selected criteria for acquisitions and provide feedback to the Strategy team.
• Investigate the root causes of revenue loss or regulatory inconsistencies, such as billing errors or payment disputes, and develop strategic solutions.

If You Are:

• Bachelor's Degree Required preferably in business, healthcare, accounting or finance or equivalent of education and experience required.
• Minimum of 5 years’ previous healthcare administration /revenue cycle, billing management experience.
• Working knowledge of full scope revenue cycle management process; patient registration, coding, billing, payment posting, revenue assurance, billing integrity, denial tracking/resolution, accounts receivable, medical terminology, payer contract familiarity with worker's compensation and no-fault billing.
• Comprehensive knowledge of CPT, HCPC, and ICD-10 codes and medical terminology.
• Radiology Certified Coder (RCC) certification, or, other equivalent coding certification.
• Strong proficiency in Microsoft office with advanced Excel skills.
• Strong analytical and problem-solving skills with ability to identify trends, opportunities for improvement and effectively communicate both orally and in writing and present information and respond to questions knowledgeably.

Ideal Candidate will possess:

• Team player who will lead by example and promote a positive work culture when partnering with internal/external business partners.
• Demonstrates initiative, self-awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
• Follows all local, state and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights and ADA.
• Follows OSHA regulations, RadNet and site protocols, policies and procedures.
• Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.
• Practices universal safety precautions.
• Promotes good public relations on the phone and in person.
• Adapts and is willing to learn new tasks, methods, and systems.

Pay Range: $80,000 - $95,000 per year

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