Revenue Cycle Senior Manager

Full job description

Senior Revenue Cycle Manager

Are you ready to lead and innovate in the dynamic world of healthcare finance? Join us as a Senior Revenue Cycle Manager and spearhead the transformation of financial operations, driving efficiency, maximizing revenue, and ensuring financial health for our organization. If you're a seasoned leader with a passion for revenue optimization and a track record of success, we want to hear from you!"

Summary: The Revenue Cycle Senior Manager will have financial and operational accountability over NextMed's revenue capture system, including but not limited to, claims, coding, prior authorization, verification of benefits, accounts receivable, and all other revenue cycle operations. This individual will provide leadership, administration, supervision, organization, planning and direction over all activities of the Revenue Cycle to ensure accomplishment of the organization's objectives.

The Revenue Cycle Senior Manager supports all revenue cycle functions and contributes to overall organizational and financial health by leveraging metric and performance-driven strategies, lean methodologies and a variety of data mining and interpretation to develop sound solutions, support business-critical systems, design and implement workflows in accordance with best practices, and proactively audits revenue cycle workflows and outcomes to optimize financial health.

The Senior Manager will deliver comprehensive reporting to senior executives that communicates relevant trends, KPIs, and analytical insight into performance. The Senior Manager will work closely with leaders and teams across the continuum of care to streamline processes, explain drivers and variance among Key Performance Indicators (KPIs), and identify holistic solutions for the best patient, provider, and financial outcomes.

The Revenue Cycle Senior Manager leads by example, serves as a key contact and supports enterprise-wide projects and initiatives that relate to strategic priorities, health care legislation and compliance, systems redesign, integrations, revenue optimization, and cost reduction.

The Senior Manager reports to the Director of Finance and works closely with organization leadership to create a comprehensive and seamless revenue cycle system.

Responsibilities include, but are not limited to:

• Direct supervision of Revenue Cycle department manager.
• Directs all aspects of revenue cycle for professional services, ancillary services and Ambulatory Surgery Center (ASC) services.
• This Senior Manager role is both strategic and tactical, developing short- and long-term strategies for optimal KPI's.
• Reviews and approves Revenue Cycle FTE and operating budgets.
• Develops policies and procedures across the system for greater efficiency, lean management, best practices, optimal KPI's, reduced variation, and increased patient satisfaction.
• Prepares and delivers executive level reports, summaries and presentations outlining progress toward meeting annual goals and objectives, including KPI reports.
• Analyzes the cost benefit of programs. Synchronize processes, systems, policies and workflows across Registration, Prior Authorization, Coding, Accounts Receivable and Coding & Billing for best throughput, best practices, and efficiency.
• Work collaboratively with Director of Finance, on revenue cycle performance to meet strategic goals and develop guidelines and procedures using data analysis, with a goal of revenue enhancement in mind.
• Monitors A/R, large outstanding balances, Month End Reports, charge reconciliation and collections.
• Identify claim denial trends, communicate with appropriate staff, and coordinate projects to respond.
• Hold regular meetings with managers and staff to review issues, reports, expectations and provide updates.
• Stay up to date with current coding, billing, payer requirements and federal and state regulations related to billing and collections.
• Manages staff as assigned and helps staff develop performance and training goals and objectives. Evaluates performance and recommends merit increases, promotions, and disciplinary actions to Human Resource Officer.

Required Knowledge

• Expert in facility (ASC) coding, billing, collecting.
• Expert in managing a team of coders, collectors, billers, patient advocates (entire facility-side revenue cycle)
• Expert knowledge of CMS/Medicare/Medicaid/Private rules and conventions.
• Knowledge of principles and practices, planning and management essential to manage, direct, and coordinate the revenue cycle of an ASC.
• Expert knowledge of ICD-10-CM and CPT Coding principles and guidelines.
• Knowledge of revenue cycle for Ambulatory Surgery Center required.
• Knowledge of AAPC standards of medical billing and coding a plus.
• Expert knowledge of management software and applications.
• Proficient with Microsoft Office, including Word, PowerPoint, Excel, and Outlook.
• Able to exercise a high degree of initiative, judgment, discretion, and decision-making.
• Demonstrated expertise in financial analysis and reporting.
• Demonstrated expertise in gathering and interpreting data, analyzing situations, and taking appropriate action.
• Strong communication and critical thinking skills.

Required Education and Experience

• Bachelor's degree in business or healthcare administration required.
• 5-10 Years of revenue cycle experience in a leadership position.
• Minimum of five years of medical billing management experience in such areas as medical office/hospital administration and/or healthcare receivables management, or related experience is required. The position requires the knowledge that would normally be acquired through a minimum of five years' experience as a manager which requires demonstrated knowledge of physician coding, billing, reimbursement and statistical reporting.
• Experience in revenue cycle for Ambulatory Surgery Center required.
• Demonstrated critical thinking and problem-solving skills, and the ability to use data to drive decisions.
• Ability to organize, prioritize and execute to meet established goals.
• Ability to work collaboratively with all levels and across organization functions.
• Proactive and a team player.

BENEFITS:

• COMPETITIVE pay
• ANNUAL BONUS Program
• BENEFIT options including medical, dental, vision, company matched 401k
• VACATION and SICK time
• VALUES-based work environment

*NextMed is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, age, veteran status, disability, genetic information, or any other protected characteristic.

#NextMedJobs

Job Type: Full-time

Pay: $90,000.00 - $130,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Bachelor's (Required)

Experience:

• Revenue cycle management: 5 years (Required)
• Revenue Cycle for ASC: 1 year (Required)

Ability to Commute:

• Tucson, AZ 85710 (Required)

Work Location: In person

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