Manager, Revenue Cycle

Shriners Children's • Lexington, KY

5d

About The Position

Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Revenue Cycle Manager is the primary resource to facilitate daily revenue cycle specific needs and communications between the Medical Center, SHC Headquarters, and External Business Office Vendors.

Requirements

• Minimum High School Diploma/GED
• 2 years management/supervisory experience

Nice To Haves

• 4 years management/supervisory experience preferred
• Bachelors Degree
• Managerial/Supervisory experience in one or more of the following areas: Patient Access (Scheduling, Registration, Financial Counseling and Authorization/Referral Management,) HIM/coding, Case Management, or Patient Financial Services (Billing and Collections)
• Knowledge of managed care policies and medical terminology
• Experience with healthcare or physician practice EMR

Responsibilities

• Ensure QA on registrations for all areas of Patient Access
• Facilitate oversight and activity for the daily resolution of pre-bill edits and denials.
• Analyze Key Performance Indicator (KPI) data and coordinate revenue cycle analytics for key functions, utilizing available data; quantify expected revenue impact and other characteristics supporting prioritization decisions.
• Participate in internal and SHC system-wide Revenue Cycle meetings designed to improve revenue cycle processes.
• Interact with department directors in key clinical areas, as well as Physicians, to obtain necessary documentation to support clinical services provided, in efforts to clear pre-bill edits.
• Investigate denial trends and initiate communication with root cause owners and action owners to prevent future claim edits, denials and report these issues in a timely manner to local Leadership as well as the Corporate Director of Patient Financial Services.
• Maintain, create, and analyze QA statistics and reports.
• Complete bi-weekly and monthly reports for Corporate Director, PFS and RCC as required
• Review the quality of patient registration document.
• Monitor to ensure all Patient Access policies are followed
• Maintain Patient Access Policies and Procedures
• Contribute to meeting and exceeding A/R goals for Patient Registration.
• Promptly report any system changes or enhancements to IS and/or Corporate Director, PFS as appropriate
• Maintain and develop a high degree of expertise in revenue cycle operations, technical process and reports
• Analyze and communicate financial and operational data for decision-making and strategic planning
• Manage various personnel functions including, but not limited to: hiring, performance appraisals, promotions, transfers and vacation schedules

Benefits

• All employees are eligible for medical coverage on their first day!
• upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service
• Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected.
• Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more!
• Coverage is available to employees and their qualified dependents in accordance with the plans.
• Benefits may vary based on state law.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED