Revenue Cycle Manager
About The Position
Curalta Health is seeking a Revenue Cycle Manager for its Rochelle Park, NJ offices. This role is responsible for managing the overall functions of Revenue Cycle for Curalta Health LLC, aiming to maximize revenue and cash flow. The position involves oversight of the entire revenue cycle, from initial billing, coding, follow-up, and appeals through the collections process. The Revenue Cycle Manager will lead teams in analyzing and maintaining key performance metrics, resolving denials and rejections, establishing escalation protocols, maintaining payer portals, providing team direction, and ensuring regulatory compliance.
Requirements
- Bachelor’s degree in finance or business preferred or a combination of education and experience
- Minimum 5 years of Revenue Cycle experience, healthcare, or medical office supervisory experience required
- Experienced with insurance company operating procedures, regulations, and billing requirements required
- Experience with computer accounting programs, spreadsheets, and applications required
- Experience with medical terminology and coding required
- Experienced with facility credentialling and managed care contracting required
- Experience with billing software required
- Strong oral and written communication skills required
Nice To Haves
- Modernizing Medicine experience preferred
- Experience with Podiatry billing a plus
Responsibilities
- Manage the end-to-end revenue cycle, including insurance verification, coding and claim submissions
- Responding to all patients, doctors, and field staff inquiries in a timely manner via various channels (phone or email)
- Serves as a point of contact for resolving issues by troubleshooting problems, handling complaints, and finding an effective resolution
- Analyze denials, identify trends, implement strategies to reduce, fix and prevent denials
- Monitor metrics such as Days in AR, collection rates, coding errors and reporting to leadership
- Supervise, train, mentor staff to improve efficiency and accuracy and evaluate performance of employees
- Ensure compliance with state/federal regulations (including Medicare and Medicaid) and develop internal policies for billing accuracy
- Completes annual performance reviews for direct report employees
- Utilize Electronic Health Records (EHR) and practice management systems (Modern Medicine)
- Assist VP of Revenue Cycle in various projects and responsibilities as needed
- Apply DRH Standards of Behavioral and exhibit behavior consistent with DRH core values
- Other special projects as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
