Revenue Cycle Manager

The Revenue Cycle Manager plays a crucial role in optimizing the financial processes of healthcare organizations. This position is responsible for overseeing the entire revenue cycle, from patient registration and insurance verification to billing and collections. By managing cross-departmental communication and implementing best practices, this role directly affects the organization’s cash flow and financial health. The Revenue Cycle Manager collaborates closely with the finance, patient services, and clinical teams to ensure a streamlined process that enhances patient satisfaction and maximizes revenue opportunities.

• •Revenue Cycle Optimization

  Develop and implement strategies to improve financial performance by optimizing all stages of the revenue cycle, from patient registration to final payment collection and reporting.

• •Team Leadership and Development

  Lead, develop, and manage revenue cycle staff, ensuring continuous performance improvement through training and mentorship, boosting team efficiency and morale.

• •Billing and Claims Management

  Oversee timely and accurate claim submissions to insurance companies, follow-up on unpaid claims, and handle claim denials to maximize reimbursement rates.

• •Financial Reporting

  Prepare and analyze detailed financial and operational reports, providing insights and recommendations to senior management on revenue cycle performance and trends.

• •Compliance and Audit Oversight

  Ensure compliance with federal, state, and payer-specific regulations. Conduct regular audits to identify process improvements and ensure adherence to industry standards.

• •Patient Billing and Collections

  Manage patient invoicing and collections processes, ensuring transparency and accuracy while addressing patient inquiries and resolving billing disputes efficiently.

• •Technology Utilization and Integration

  Evaluate and enhance the use of health information systems and technology to streamline revenue cycle processes and improve data accuracy and workflow efficiency.

• •5+ years of experience in revenue cycle management within a healthcare setting
• •Strong understanding of healthcare billing practices and insurance regulations
• •Experience in data analysis and performance improvement methodologies