Manager Revenue Cycle

Houston Methodist•Katy, TX

About The Position

The Manager Revenue Cycle is responsible for daily management of staff and operations in one or more revenue cycle areas, such as medical coding, insurance billing, collections, patient account resolution, appeals and denials, customer service, cash applications, or revenue integrity. The manager monitors and improves revenue cycle measures, including accounts receivable days, cash collections, denials, avoidable write-offs, staff productivity and work quality, and credit balances. The role manages daily work activities and supports quality, productivity, functional excellence, efficiency, and strategic and operational objectives. It provides staff guidance and oversees staffing, budget compliance, staffing decisions, employee coaching and counseling, and development and implementation of policies and procedures. The manager also implements training, monitoring, and operational initiatives to support ethical and legal business practices and compliance with accreditation, regulatory, and government requirements. The position leads employee selection, scheduling, supervision, retention, evaluation, development, and mentoring. It organizes department operations, schedules, priorities, service standards, training, and communication, while ensuring timely and accurate responses to internal and external requests. The manager supports a safe and effective workplace, maintains staff competency and credentials, monitors compliance and quality, and reports key performance metrics to the director. Financial responsibilities include assisting with budget development, managing expenses and staffing plans, optimizing productivity and cash collections, reducing denials and write-offs, and analyzing charges, payments, accounts receivable, and operational trends. The manager collaborates with internal teams, payors, vendors, and other external partners to support billing compliance and optimal reimbursement. The role also identifies and implements process improvements, supports change initiatives, builds cross-functional relationships, and contributes to staff development and new or revised procedures.

Requirements

Bachelor's degree in business, healthcare, or a related field, or an additional four years of experience in lieu of the degree.
Five years of revenue cycle or other applicable experience in the assigned area, such as a call center, medical billing, or insurance collections.
Two years of supervisory or management experience.
If overseeing revenue integrity-related functions, two years of supervisory or management experience in revenue cycle management.
Demonstrated skills and competencies necessary to safely perform the assigned job, as assessed through ongoing competency assessments and performance evaluations.
Sufficient English speaking, reading, and writing proficiency to perform essential job functions, particularly those affecting patient or employee safety or security.
Ability to communicate effectively with patients, physicians, family members, and coworkers using a customer-service focus and positive language.
Ability to build trust, gain acceptance of ideas or plans, and adapt interpersonal approaches to the tasks, situations, and people involved.
Leadership, critical thinking, initiative, self-direction, and effective interpersonal and oral and written communication skills.
Ability to identify and understand issues and opportunities, compare information from different sources, draw conclusions, and select appropriate actions or solutions.
Ability to work effectively in a fast-paced environment and demonstrate flexibility and adaptability.
Ability to serve as a subject matter expert in the assigned area and support staff.
Knowledge of the full revenue cycle.
Track record of effective management and achieving desired results.
Skill in coaching, mentoring, and developing staff, and ability to lead cross-functional teams within Revenue Cycle.
Advanced Excel skills, including VLOOKUP and pivot tables, and ability to manipulate large amounts of data.
Familiarity with managed care terminology and payor adjudication, including Inpatient and Outpatient Prospective Payment Systems.
Ability to stay informed about Medicare, Medicaid, and commercial payor updates and regulations and adjust processes and procedures with support from the Director.

Nice To Haves

CPC - Certified Professional Coder (AAPC) or equivalent certification if overseeing revenue integrity-related functions.

Responsibilities

Manage daily staff activities and operations for one or more revenue cycle functions.
Monitor and improve revenue cycle metrics, including accounts receivable days, cash collections, denials, avoidable write-offs, productivity, work quality, and credit balances.
Manage employee selection, scheduling, supervision, retention, evaluation, coaching, corrective counseling, recognition, development, and mentoring.
Organize department operations, schedules, priorities, functional standards, training, meetings, resources, and equipment.
Promote service standards and customer or patient satisfaction, and ensure timely, accurate responses to internal and external requests.
Participate in entity committees and build relationships with physicians, staff, third-party vendors, payors, and other partners.
Maintain a safe and effective working environment, monitor safety and regulatory requirements, and ensure staff credentials and competencies are maintained.
Use information systems and data analysis to support operations and performance improvement; monitor workflow, quality, and policy compliance.
Report key performance metrics to the director in a timely manner.
Assist with department budget development and manage expenses, staffing plans, productivity, resources, and financial targets within approved parameters.
Partner with Internal Audit, Business Practices, Health Information Management, Patient Access Services, and Utilization Review to support billing compliance.
Optimize timely cash collections and reimbursement while reducing denials, write-offs, aging accounts, and problematic activity.
Analyze financial and operational information related to charges, payments, accounts receivable, billing, and revenue performance.
Meet with payors or Managed Care regarding aged accounts, adjudication timeframes, and erroneous denials.
Initiate revenue enhancement and special projects based on revenue cycle analysis.
Identify, recommend, and implement sustainable workflow and process improvements and new or revised procedures.
Support change initiatives, build strategic cross-functional relationships, and identify development needs for self and staff.