Revenue Cycle Manager

Medical Advantage Recruiters • Evergreen Park, IL

407d • Onsite

About The Position

The Revenue Cycle Manager is responsible for overseeing the billing area, provider credentialing process, and clinical support functions related to claims processing, payments, and patient revenue generation at a healthcare clinic in Evergreen Park, IL. This role is crucial for supporting the growth of the health center through collaboration with clinical, administrative, and billing teams, ensuring efficient revenue cycle operations and compliance with healthcare regulations.

Requirements

• Bachelor's degree in Finance, Business, or equivalent.
• Five or more years of progressive leadership experience in medical billing and collections.
• Strong knowledge of medical insurance billing and collections, including CPT, ICD-10, and HCPC coding.
• Proficiency in Microsoft Office (Outlook, Excel, Word, Access, PowerPoint).
• Strong analytical, organizational, and interpersonal skills.

Nice To Haves

• Experience with managed care products (MCO's, PPO, etc.).
• Ability to work independently with minimal supervision.

Responsibilities

• Coordinate processes related to physicians/providers credentialing, patient insurance verification, and pre-authorization.
• Maintain timely processing of physicians/providers credentialing information in the State of Illinois IMPACT system.
• Identify and resolve issues with credentialing documentation to ensure timely processing of applications.
• Monitor and communicate credentialing status changes to executive leadership.
• Maintain contact with insurance companies to ensure all necessary documents are provided.
• Analyze claims denials and develop solutions to improve cash flow and reduce A/R days.
• Overhaul billing policies and procedures to standardize processes and eliminate gaps.
• Collaborate with management and clinical teams to establish key performance indicators for revenue cycle operations.
• Utilize statistical reports to track claims and ensure timely payments are collected.
• Implement systems and process improvements for efficient revenue cycle operations.
• Conduct random charge/coding audits and resolve problems affecting claim submissions.
• Provide education sessions to improve non-financial staff understanding of financial statements.
• Train physicians/providers on correct coding and documentation compliance.
• Develop and monitor performance measures for the billing team.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Relocation assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree