RevCycle Mgr-Med Billing

Trilogy Health Services•Lyndon, KY

About The Position

The Revenue Cycle Manager is responsible for leading and optimizing revenue cycle operations to ensure accurate billing, timely reimbursement, regulatory compliance, and achievement of organizational financial goals. This position provides leadership, coaching, and development to revenue cycle staff while overseeing accounts receivable performance, denial management, collections, and reimbursement processes across multiple payer sources. The Revenue Cycle Manager partners with operational and clinical leaders to drive process improvements, implement system enhancements, monitor key performance indicators, and promote a culture of accountability, collaboration, and continuous improvement.

Requirements

Associate Degree
5-8 years experience
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours.
Must be able to lift at least 50lbs.
Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

Responsibilities

Directs the development, implementation, and communication of systems, policies, and procedures related to accounts receivable and billing operations.
Supervises, coaches, and develops billing staff through performance management, training, and succession planning initiatives.
Maintains expertise in multiple payer types, including Medicare, Medicaid, commercial insurance, and other reimbursement programs.
Manages the preparation, review, and submission of claims using appropriate billing software, including electronic and paper claim processing.
Oversees follow-up on unpaid claims within established billing cycle timeframes and verify insurance payments for accuracy and compliance with contractual agreements.
Conducts regular billing and revenue cycle audits to ensure compliance with payer, regulatory, and organizational requirements.
Oversees denial management activities, performs root cause analysis, and implements corrective action plans to reduce future denials.
Oversee the identification and billing of secondary insurance carriers and coordination of benefits activities.
Directs the appeals process and research denied or underpaid claims to maximize reimbursement.
Analyzes reports to prioritize collection activities and ensures the effectiveness of collection efforts within established timeframes.
Monitors and reports key performance indicators (KPIs), including A/R aging, collection rates, denial rates, cash collections, and days in accounts receivable.
Identifies opportunities for workflow automation and process improvement to increase efficiency, reduce errors, and improve cash flow.
Maintains billing software, including billing code tables, fee schedules, and payer information, to ensure accurate billing and collections.
Supports the implementation, optimization, and enhancement of revenue cycle, billing, and EHR systems to improve operational efficiency and accuracy.
Develops and distributes billing and collections reports, trend analyses, and performance dashboards for leadership review.
Other duties as assigned.