Revenue Cycle Manager - Full Time

Griffin Health Services•Derby, CT

About The Position

Griffin Health is an independent, not-for-profit healthcare system in Derby, Connecticut, dedicated to person-centered, high-quality care for over 130,000 residents. Anchored by Griffin Hospital—a 160-bed acute care community teaching hospital and Planetree International’s flagship facility—Griffin Health emphasizes kindness, respect, and active patient engagement. Recognized nationally and internationally for clinical excellence, patient satisfaction, and social responsibility, Griffin has earned honors such as Newsweek’s “World’s Best Hospital” list for the last 5 consecutive years, LOWN Institute’s top state ranking for outcomes, and Becker’s “100 Best Community Hospitals” designation, as well as Fortune's Magazine's "100 Best Companies to Work For". The organization fosters a supportive, wellness-focused work environment with programs like Griffin AgeLess, empowering caregivers to thrive physically, emotionally, and professionally. Through innovation, community outreach, health education, and food-security initiatives, Griffin Health advances whole-person healing and strengthens the communities it serves. Griffin’s suburban atmosphere offers an easy commute, away from congested cities with easy to find free parking. Employees can also take advantage of generous benefits and wellness programs that add distinct advantage in its employee compensation. CPC Certification required MAIN FUNCTION: Manage and oversee billing and coding staff in duties pertaining to patient billing, insurance, collections, cash posting, account management and contract analysis. Identify and review medical records for the purpose of reimbursement and compliance with local, state, and federal guidelines according to diagnosis, operation, and procedure using ICT-10-CM, CPT-4, HCPCs, and other recognized transaction code classification systems. Generate accurate, timely billing; maintain organized billing system while responding to payer request for additional information and utilizing the appeal process when needed. Assists with assessment of Accounts Receivable, specifically determine whether we are meeting benchmarks and developing plans to address issues. Continually monitor payer payments to ensure correct reimbursement is received.

Requirements

High School Diploma required
CPC Certification required
Five or more years' experience in physician coding and healthcare billing industry required.

Nice To Haves

Bachelors preferred
CRC & CPMA Certification preferred.

Responsibilities

Manage and oversee billing and coding staff in duties pertaining to patient billing, insurance, collections, cash posting, account management and contract analysis.
Identify and review medical records for the purpose of reimbursement and compliance with local, state, and federal guidelines according to diagnosis, operation, and procedure using ICT-10-CM, CPT-4, HCPCs, and other recognized transaction code classification systems.
Generate accurate, timely billing; maintain organized billing system while responding to payer request for additional information and utilizing the appeal process when needed.
Assists with assessment of Accounts Receivable, specifically determine whether we are meeting benchmarks and developing plans to address issues.
Continually monitor payer payments to ensure correct reimbursement is received.