Revenue Cycle Manager

CLS Health PLLC•Webster, TX

6d•Onsite

About The Position

CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! The Revenue Cycle Manager oversees and optimizes the revenue management processes within the company. The Revenue Cycle Manager must have a deep understanding of healthcare billing, coding, reimbursement, and compliance regulations, coupled with strong leadership and analytical abilities.

Requirements

Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech).
Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid).
Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights.
Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams.
Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders.
Bachelor's degree in healthcare administration, finance, business, or related field.
Minimum of 5 years of experience in revenue cycle management, preferably in a healthcare setting.

Nice To Haves

Master's degree preferred.
Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) certification preferred.

Responsibilities

Directs and oversees Revenue Cycle Team.
Conducts performance evaluations that are timely and constructive.
Develop and implement strategies to streamline revenue cycle processes, including billing, coding, claims management, and collections, to maximize revenue and minimize delays.
Ensure accurate and compliant coding practices according to industry standards (e.g., ICD-10, CPT), payer guidelines, and regulatory requirements (e.g., HIPAA, CMS).
Oversee the timely submission, tracking, and resolution of claims to minimize denials and optimize reimbursement. Implement effective denial management strategies to address claim rejections and appeals.
Analyze revenue cycle performance metrics, identify trends, and generate insightful reports to monitor key performance indicators (KPIs) and inform decision-making processes.