Revenue Cycle Manager

Robert C. Byrd Clinic • Lewisburg, WV

6h • Onsite

About The Position

The Robert C. Byrd Clinic, on the campus of the West Virginia School of Osteopathic Medicine, is seeking a Revenue Cycle Manager. This position is responsible for overseeing all aspects of the revenue cycle, ensuring efficient and accurate billing, coding, claims processing, and collections. This role focuses on optimizing revenue capture, minimizing denials, and ensuring compliance with healthcare regulations and payer requirements.

Requirements

• Proficiency in Microsoft Office Suite (Excel, Word, Outlook) is required.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities.
• Strong attention to detail.
• Demonstrated leadership skills.
• Minimum of five years of experience in healthcare revenue cycle operations and management.
• Experience using electronic health record (Athena) and practice management software is required.
• Knowledge of HIPAA regulations and rural health clinic billing practices.
• At least one year of experience supervising staff.

Nice To Haves

• Associate’s or bachelor’s degree in health care administration, management, or a related business discipline preferred.
• Coding certification (Certified Professional Coder – CPC or Certified Coding Specialist - CCS) is highly preferred.

Responsibilities

• Manage the end-to-end revenue cycle process, including coding, billing, collections, and payment posting.
• Develop and implement policies and procedures to improve revenue cycle efficiency and reduce claim denials.
• Monitor key performance indicators (KPIs) related to revenue cycle management, including days in accounts receivable (A/R), denial rates, and collection percentages.
• Confirm deposits for payments from payers based on Explanation of Benefits (EOBs).
• Oversee clearing account activity to ensure accurate reconciliation of payments and adjustments.
• Manage postings and revenue reporting to ensure financial accuracy.
• Manage and evaluate payor contract’s annually to ensure proper compliance and align with fee setting policies and procedures.
• Update fee schedules in accordance with contract changes and reimbursement rates.
• Participate in financial audit preparations and cost report activities.
• Collaborate with the Director of Patient Services and the Patient Services Supervisor to ensure all necessary information is accurately collected during patient registration and scheduling processes, including eligibility verification and front-end Point of Service (POS) collections such as copays, deductibles, and co-insurance.
• Ensure accurate coding and documentation for all services rendered, working closely with billing staff and providers.
• Stay up-to-date with regulatory changes (e.g., Medicare, Medicaid, commercial payers) and ensure compliance with industry standards such as HIPAA and CMS guidelines.
• Conduct audits and provide training to staff to maintain accurate coding and billing practices.
• Act as a resource for complex billing issues and collaborate with providers, staff, and external entities to resolve challenges.
• Monitor healthcare industry updates from carrier websites, newsletters, and funding entities; implement changes as needed.
• Oversee the submission of clean claims and ensure timely follow-up on unpaid or denied claims and manager holds.
• Analyze denial trends and implement corrective actions to prevent recurring issues.
• Collaborate with insurance companies to resolve disputes and maximize reimbursement.
• Supervise collection efforts to ensure effective accounts receivable management and minimize outstanding balances.
• Oversee the sliding fee discount program, ensuring compliance and proper implementation.
• Direct provider credentialing and enrollment with payers, ensuring timely approval and maintenance of provider records.
• Manage provider enrollments in Athena, ensuring all required information is submitted and updated.
• Work with the Physician Hospital Organization (PHO) to ensure proper provider participation and credentialing compliance.
• Serve as the primary revenue cycle contact for Athena.
• Work with clearinghouses and third-party vendors to ensure smooth claim submission and payment processing.
• Supervise and train revenue cycle staff, ensuring accountability and efficiency.
• Work closely with providers, administration, and finance teams to align revenue cycle processes with clinic goals.
• Prepare financial reports and present revenue cycle performance data to leadership.
• Perform other duties as assigned.

Benefits

• Comprehensive benefits package including health, dental, vision, life insurance, employer-paid long-term disability, retirement savings and match plan
• Paid vacation, sick leave, and holidays
• Qualifying employment for the Public Service Loan Forgiveness (PSLF) Program
• On-campus workout facility that features a regulation basketball court, cardiovascular machines, resistance machines, weights, lockers, and shower facilities
• Collegial team-based work environment
• Opportunity for a balanced professional and personal life

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree