Revenue Cycle Manager (RCM)

Virtual Agent • Memphis, TN

312d

About The Position

We're looking for an experienced Revenue Cycle Manager (RCM) to oversee the billing and collections process and drive efficiency in revenue cycle operations. If you have a passion for healthcare finance and optimizing revenue processes, we want to hear from you!

Requirements

• 5+ years of experience in revenue cycle management, with at least 2 years in a leadership role
• Bachelor's degree in Healthcare Administration, Business, or Finance
• Strong knowledge of outpatient medical billing, insurance verification, and coding
• Deep understanding of HIPAA regulations and healthcare reimbursement models

Nice To Haves

• Certification in Healthcare Revenue Cycle Management (preferred)

Responsibilities

• Oversee the daily operations of the revenue cycle process for outpatient services, including patient registration, insurance verification, coding, billing, and collections.
• Develop and implement policies and procedures to enhance revenue cycle performance.
• Lead and manage a team of billing and coding professionals, providing guidance, training, and performance evaluations.
• Ensure compliance with healthcare regulations, payer guidelines, and industry standards.
• Collaborate with clinical and administrative teams to streamline processes, enhance workflow efficiency, and ensure accurate patient information.
• Identify and resolve billing discrepancies and denials, working closely with insurance carriers and patients to facilitate prompt payment.
• Monitor key performance indicators (KPIs) and implement strategies to improve revenue cycle metrics, including reducing days in accounts receivable (AR) and minimizing claim rejections.
• Stay current with healthcare industry trends, payer policies, and changes to billing and coding standards.
• Develop and maintain relationships with insurance payers, negotiating payment terms and resolving escalated billing issues as needed.
• Provide regular reporting to senior management on revenue cycle performance, trends, and opportunities for improvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administrative and Support Services
• Education Level: Bachelor's degree