Revenue Cycle Manager

Virtual Agent-posted 10 months ago
Full-time • Mid Level
Memphis, TN
Administrative and Support Services
Resume
Match Score
Upload and Match ResumeTrack Jobs with Teal

We are seeking a dynamic and detail-oriented Revenue Cycle Manager (RCM) to oversee the daily operations related to the revenue cycle process within our outpatient services. The RCM Manager will be responsible for managing the entire process from patient registration to final payment, ensuring financial efficiency, compliance with healthcare regulations, and optimizing revenue cycle performance. This role requires a proactive leader with a deep understanding of outpatient medical billing, coding, insurance processes, and healthcare financial operations.

  • Manage all aspects of the revenue cycle for outpatient services, including patient registration, insurance verification, coding, billing, and collections.
  • Develop and implement policies, procedures, and best practices to optimize revenue cycle efficiency and financial performance.
  • Lead and manage a team of billing and coding professionals. Provide guidance, mentorship, training, and conduct performance evaluations to enhance team productivity.
  • Ensure adherence to healthcare regulations, payer guidelines, and industry standards, including HIPAA and reimbursement models.
  • Work closely with clinical and administrative teams to streamline processes, improve workflow efficiency, and ensure the accuracy of patient information.
  • Identify and resolve billing discrepancies, denials, and rejections, collaborating with insurance carriers and patients to ensure timely payments.
  • Monitor key performance indicators (KPIs) related to the revenue cycle, implementing strategies to reduce days in accounts receivable (AR), minimize claim rejections, and improve overall revenue cycle metrics.
  • Provide regular reporting to senior management on revenue cycle performance, emerging trends, and opportunities for process improvements.
  • Develop and maintain relationships with insurance payers. Negotiate payment terms and resolve escalated billing issues efficiently.
  • Stay informed about healthcare industry trends, payer policies, and updates to billing and coding standards to ensure ongoing compliance and optimization of revenue cycle operations.
  • Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
  • Minimum of 5 years of experience in revenue cycle management.
  • At least 2 years of experience in a supervisory or managerial role.
  • Strong knowledge of outpatient medical billing, coding (CPT, ICD-10, HCPCS), and insurance verification processes.
  • In-depth understanding of healthcare reimbursement models, payer processes, and HIPAA regulations.
  • Strong leadership abilities, with experience managing and motivating teams effectively.
  • Exceptional verbal and written communication skills, with the ability to collaborate professionally with patients, staff, and external stakeholders.
  • Excellent analytical, organizational, and problem-solving skills.
  • Certification in healthcare revenue cycle management (e.g., CHC, CPC, or AAPC) preferred.
Track Jobs with Teal

Job Search Resources

•
Resume Builder
•
Revenue Cycle Consultant Resume Examples
•
Cover Letter Examples

Tools

Career Hubs

Guides

Company

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service