MGR CORP REV CYC OPTIMIZATION

Covenant Health•Knoxville, TN

20h

About The Position

The Corporate Revenue Cycle Optimization Manager is responsible for leading strategic initiatives that enhance the efficiency, accuracy, and financial performance of the revenue cycle. This role focuses on denials prevention, process improvement, and cross-functional collaboration to ensure optimal reimbursement and compliance. The manager will analyze trends, identify root causes of revenue leakage, and implement sustainable solutions across the organization.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, Finance or related field required; Master’s degree preferred.
Five (5) years of progressive experience in revenue cycle management, with a focus on denials and process improvement required.

Responsibilities

Develop and implement enterprise-wide strategies to reduce claim denials and improve first-pass resolution rates.
Collaborate with coding, billing, clinical documentation, and payer relations teams to identify denial trends and root causes.
Monitor payer policy changes and ensure proactive adjustments to workflows and documentation standards.
Lead denial mitigation projects, including appeals process optimization and staff education.
Identify and lead process improvement initiatives across all revenue cycle functions including patient access, charge capture, coding, billing, and collections.
Utilize Lean, Six Sigma, or other methodologies to streamline workflows and eliminate inefficiencies.
Develop KPIs and dashboards to monitor performance and drive accountability.
Partner with IT and analytics teams to enhance automation and system capabilities.
Manage cross-functional projects aimed at improving revenue cycle outcomes, including system upgrades, policy changes, and compliance initiatives.
Facilitate stakeholder engagement and change management to ensure successful implementation.
Track project milestones, deliverables, and ROI.
Analyze financial and operational data to identify trends, opportunities, and risks.
Prepare executive-level reports and presentations to communicate findings and recommendations.
Maintain knowledge of industry benchmarks and best practices.
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.