Revenue Cycle Manager Collections

ROUND TABLE MEDICAL CONSULTANTS LLC • Houston, TX

6d • $85,000 - $88,000 • Onsite

About The Position

The Revenue Cycle Manager – Collections provides executional leadership and supports the billing and collections team. This role manages reimbursement transactions and provides day-to-day oversight, training, and performance management for billing and collections functions. The manager is expected to demonstrate strong communication, integrity, responsiveness, and a customer-service approach.

The position coordinates and supervises collections personnel, monitors accounts receivable and collection performance, identifies barriers to timely claims processing, and reports trends and areas for improvement to senior leadership. It also coordinates with related teams, maintains confidentiality in accordance with HIPAA requirements, and performs other job-related duties as assigned.

Requirements

• Minimum of 8 years of experience in Billing Management, Revenue Cycle, and/or Finance, including hospital billing.
• Knowledge of the insurance reimbursement process for both in-network and out-of-network claims.
• Experience with NSA/IDR/TDI and third-party negotiations.
• Understanding of medical ICD-10, CPT, DRG, and Revenue codes.
• Knowledge and understanding of insurance Explanation of Benefits.
• Ability to work with minimal direction and oversight.
• Ability to work independently and as part of a team.
• Ability to prioritize and manage multiple daily, weekly, and monthly tasks.
• Ability to relate to people in a way that builds confidence and rapport.
• Associate’s or bachelor’s degree preferred.

Nice To Haves

• Associate’s or bachelor’s degree.

Responsibilities

• Coordinate the assigned Collections team’s efforts independently and alongside other managers and leadership to achieve departmental collection and other goals.
• Take responsibility for team outcomes and empower team members to take responsibility for their work.
• Monitor collections follow-up activity and hold team members accountable to established targets and thresholds.
• Direct the work of team members.
• Assist with the transition and management of tasks allocated to the back office and resolve issues affecting collections.
• Manage general collections and provide upstream reporting on accounts receivable health.
• Meet defined production, quality, and overall performance goals.
• Develop reporting to proactively monitor accounts receivable and identify and resolve collection issues.
• Track, identify, and resolve barriers to timely and accurate processing of facility and physician claims.
• Coordinate with Coding, Payment Posting, and Patient Collections to resolve barriers or provide assistance.
• Monitor and communicate trends by payer, facility, and year to the Director of Operations, including production, denials, no activity, collection rate, and overturned claims.
• Analyze trends affecting collections and take appropriate action, including realigning the team and revising policies.
• Audit each team member’s workflows and follow-up practices; identify improvement areas and address them with the team member.
• Review and update medical record documentation as necessary to support the collections workflow.
• Provide detailed reports to senior leadership outlining areas for improvement needed to support timely accounts receivable collection.
• Supervise Collections personnel, including work allocation, training, and problem resolution.
• Provide, oversee, or coordinate training for new and existing collections team members.
• Stay updated on collection and insurance benefit changes for insurance carriers.
• Maintain strict confidentiality and adhere to HIPAA guidelines and regulations.
• Meet performance goals for efficiency, accuracy, quality, member satisfaction, and attendance.
• Perform other miscellaneous job-related duties as assigned.

Benefits

• Health benefits start on the first of the month after hire.
• Medical, dental, and vision plans with sliding-scale premiums.
• 100% coverage for preventive health services.
• HSA and FSA options available.
• Company-paid life insurance and long-term disability.
• 401(k) contributions start after 30 days, with a 100% match on the first 4% and full vesting after 3 years.
• Exclusive employee discounts on travel, fitness, shopping, and more.
• Paid Time Off.
• Paid Holiday.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree