Revenue Cycle Manager

GI Associates•Wausau, WI

16h

About The Position

We are seeking a solutions-focused leader who is committed to fostering a positive team environment and strengthening department operations. This individual will provide clear direction, support staff development, and confidently lead through change, bringing consistency, accountability, and a focus on teamwork to a dynamic and evolving department. The Revenue Cycle Manager is responsible for overseeing the healthcare business office functions, including coding, billing, claims processing, and patient financial services, while ensuring accuracy, efficiency, and compliance across the revenue cycle. This role plays a key part in driving operational performance, monitoring key metrics, and supporting the financial health of the organization. As a member of the leadership team, the Revenue Cycle Manager will partner across departments, contribute to strategic initiatives, and help lead ongoing improvements that support a high-quality experience for patients, providers, and staff. This is an exciting opportunity for a collaborative leader to make a meaningful impact by enhancing processes, and supporting the continued growth and success of our organization!

Requirements

Bachelor's Degree in Healthcare Administration, Management, or related field required, or equivalent experience.
Working knowledge of practice management software; insurance, medical coding rules and billing practices.
Five to ten years of progressive experience in healthcare business office/management is required.
Knowledge of organizational leadership philosophies and a willingness to continue striving for greater leadership learning.
Working knowledge of medical and insurance terminology, billing and coding processes, CPT, HCPCS, and ICD-10 coding.
Working knowledge of governmental and healthcare third party billing regulations and reporting requirements.
Knowledge of duties of all supervised roles and ability to fill in as necessary.
Legal considerations when dealing with employment-related matters.
Possesses interpersonal, communication, and listening skills necessary to deal effectively and courteously with physicians, coworkers, vendors and all levels of staff.
Problem-solving skills, considering all aspects of issue and assessing objectively prior to responding.
Attention to detail, submitting work with confidence in its accuracy.
Proficient computer skills working in an Electronic Medical Record (EMR), Practice Management software, and Microsoft Outlook, Word, and Excel.
Demonstrates professionalism and respect in all forms of communication and correspondence.
Possesses effective critical thinking and project management skills.
Ability to prepare and present adult learning materials, and successfully train adult learners as evidenced by successful use of systems.
Exhibits professionalism and sound judgment in all matters as a member of leadership in the organization.
Ability to practice integrity by showing an uncompromising adherence to strong moral and ethical principles and values.
Ability to maintain strict confidentiality of personnel, fiscal, and health information.
Maintain calm atmosphere and offer guidance to staff in a variety of situations.
Ability to establish priorities, complete tasks, and delegate responsibility based on skill level of individuals involved.
Ability to work in a fast paced, multi-tasking environment and cope with rapidly changing demands while working as a team member.

Nice To Haves

Certification through AAPC highly preferred.

Responsibilities

Provides effective leadership and promotes a team atmosphere in the Business Office.
Establishes clear performance goals and conducts regular staff meetings that foster team alignment and problem solving focused on achieving performance targets and goals.
Responsible for workload management, including assigning daily tasks and developing and monitoring key performance metrics, to assure timely and efficient completion.
Provides daily performance support for staff.
Participates in the staff interview and selection process; development of role specific training and orientation, ongoing performance feedback and completion of annual performance reviews.
Ensures patient account maintenance, coding, charge entry, payment posting, and refund processing are completed timely and accurately and in accordance with established organizational procedures and governmental, and regulatory and third party requirements.
Establishes annual and department goals and objectives; establishes priorities, defines resource limitations, participates directly in various projects, monitors progress and evaluates results.
Analyzes and makes recommendations with the fee schedule.
Participates in service profitability analysis.
Reviews patient account balances, recoupment requests, and provider level balance (PLB) offsets for accuracy and initiates refunds to the appropriate party.
Provides leadership for project planning and implementation of practice management software to ensure overall project success.
Works closely with IT, vendors, consultants, and Systems Specialist.
Actively participates in compliance and quality reporting activities.
Participates in investigations and conducts audit of billing practices to ensure business office is in compliance.
Oversees initial provider enrollment and recertification/revalidation for Medicare, Medicaid, and all insurance carriers not supported by Aspirus Network, Inc. (ANI) credentialing and completes periodic review of provider enrollment records to ensure accuracy.
Monitors and communicates key information from ANI meetings, websites, communications, etc.
Member of the organizational leadership team.
Contributes to operational goals, strategic business planning, and corporate integrity.
Provides backup coverage in any business office function as necessary.
Performs other duties as assigned.