Manager, Revenue Cycle Operations

Emory Healthcare•Decatur, GA

13d

About The Position

This position supports and coordinates clinic revenue cycle functions that include financial clearance, charge capture, billing, coding, follow-up, denial management, and customer service aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, and efficiency). The position reports to Patient Financial Services (PFS) leadership. This role is responsible for establishing, meeting and exceeding operational work flow, productivity and results standards related to the above functions. The position also organizes, manages, and monitors the performance of the revenue cycle. Supervises staff and manages employee performance. Attends educational in-services as appropriate. Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments. Mains and monitors revenue cycle metrics for assigned department(s). Provides and analyzes data and makes recommendations for improved efficiencies in the revenue cycle function for the respective department(s). Prepares operational reports and analyses reflecting progress, adverse trends and appropriate recommendations or conclusions. Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices. Liaisons between external customers/stakeholder and PFS on all revenue cycle related issues. Collaborates with other departments to improve clinic operations and revenue management.

Requirements

Bachelors Degree and five (5) years of healthcare experience or 3 years revenue cycle experience with coding certification, 2 of which must be supervisory OR any combination of equivalent education and experience; OR successful completion of the TEC Operations Development Program (ODP) plus 18 month of additional supervisory experience.
Demonstrated understanding in how to manage resources across an organization to maximize organization impact in multiple clinical specialties (shared resources).
Experience with ambulatory care environments and ability to translate and embed standard operating procedures and process into the clinical environment where appropriate.

Nice To Haves

Professional Certification as RHIA, RHIT, CPC, CCS, or CHDA is preferred.

Responsibilities

Supports and coordinates clinic revenue cycle functions
Establishes, meeting and exceeding operational work flow, productivity and results standards
Organizes, manages, and monitors the performance of the revenue cycle
Supervises staff and manages employee performance
Attends educational in-services as appropriate
Participates in professional activities and organizations
Maintains and monitors revenue cycle metrics for assigned department(s)
Provides and analyzes data and makes recommendations for improved efficiencies
Prepares operational reports and analyses
Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices
Liaisons between external customers/stakeholder and PFS on all revenue cycle related issues
Collaborates with other departments to improve clinic operations and revenue management