Revenue Cycle Manager

Waterbury Surgery Center•Prospect, CT

9h•$70,000 - $90,000•Onsite

About The Position

The Business Office Manager, Revenue Cycle for Waterbury Surgery Center is responsible for overseeing and optimizing all aspects of the medical revenue cycle, ensuring efficient billing, collections, coding compliance, and reimbursement processes. This role manages business office staff, maintains regulatory compliance, and drives financial performance through effective revenue cycle operations.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (preferred)
Equivalent experience in ASC or surgical revenue cycle management may be considered
5+ years of experience in medical revenue cycle, with direct ASC or surgical billing experience strongly preferred
2+ years in a supervisory or management role
Hands-on experience with ASC systems, EHRs, and surgical billing platforms
Certified Ambulatory Surgery Center Administrator (CASA) (Preferred)
Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) (Preferred)
Certified Revenue Cycle Representative (CRCR) (Preferred)
Deep knowledge of ASC billing, coding, and reimbursement structures
Understanding of Medicare ASC fee schedules and commercial payer contracts
Strong analytical and financial management skills
Leadership and staff development capabilities
Excellent communication skills, especially working with surgeons and clinical teams
High attention to detail and ability to manage complex surgical billing scenarios

Responsibilities

Oversee and manage the full ASC revenue cycle, including scheduling interface, insurance verification, prior authorizations, charge capture, coding, billing, and collections
Ensure accurate billing of facility fees, implants, supplies, and anesthesia-related components (as applicable)
Coordinate closely with coders, clinical staff, and surgeons to ensure Monitor A/R performance, focusing on surgical case reimbursement timelines
Analyze aging reports and prioritize high-dollar surgical claims
Implement strategies to improve cash flow and reduce outstanding balances
Ensure compliance with CMS ASC conditions for coverage and billing rules
Maintain adherence to HIPAA and payer-specific requirements
Conduct periodic internal audits of coding, billing, and documentation
Stay current on ASC regulatory changes, reimbursement updates, and payer policies
Supervise business office staff, including surgical billing specialists, coders, and A/R representatives
Provide training specific to ASC procedures, billing nuances, and payer updates
Collaborate with clinical leadership, surgeons, and anesthesia groups to align documentation and revenue practices
Foster a high-performance, accountability-driven team environment
Produce and analyze ASC-specific KPIs such as: Net revenue per case, Case mix index, Denial rates for surgical claims, Days in A/R, Implant/supply cost vs reimbursement
Identify trends and recommend operational and financial improvements
Prepare reports for administrators, physicians, and ownership groups
Develop and maintain ASC-specific billing policies and workflows
Identify opportunities to improve efficiency in scheduling, documentation, and billing processes
Optimize use of ASC management systems and EHR platforms