Revenue Cycle Manager Collections

SIGNATURECARE EMERGENCY CENTER MASTER • 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 coordinates collections work, monitors accounts receivable and team performance, resolves barriers to timely and accurate claims processing, and reports trends and improvement needs to senior leadership. The role is expected to demonstrate outstanding communication, integrity, responsiveness, and customer service.

Requirements

• Associate's or Bachelor’s degree preferred.
• At least 8 years of experience in Billing Management, Revenue Cycle, and/or Finance, including hospital billing.
• Knowledge of insurance reimbursement processes for 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 manner that builds confidence and rapport.

Nice To Haves

• Associate's or Bachelor’s degree preferred.

Responsibilities

• Coordinate the assigned Collections team’s work with other managers and leadership to achieve departmental collection and other goals.
• Take responsibility for team outcomes and empower team members to share that responsibility.
• Monitor collections follow-up activity and hold team members accountable to established targets and thresholds.
• Direct team members’ work efforts.
• Assist with the transition and management of tasks allocated to the back office and resolve issues affecting collections.
• Manage collections and provide upstream reporting on accounts receivable health.
• Meet production, quality, and overall performance goals.
• Develop reporting to proactively monitor accounts receivable and identify and resolve issues affecting collections.
• 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, understand, and communicate trends by payer, facility, and year, including production, denials, no activity, collection rate, and overturned claims.
• Analyze trends affecting collections and take appropriate action to realign the team and revise policies.
• Audit team members’ workflows and follow-up practices, updating them as necessary and promptly addressing improvement areas.
• Review and update medical record documentation as necessary to support the collections workflow.
• Provide detailed reports to senior leadership outlining improvement areas 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 collection team members.
• Stay current 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.
• Company-paid life insurance and long-term disability.
• 401(k) contributions starting 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 holidays.

What This Job Offers

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