Senior Manager of Revenue Cycle

TaraVista Behavioral Health•Devens, MA

13d•Onsite

About The Position

The Senior Manager of Revenue Cycle provides strategic leadership and oversight for all revenue cycle operations at the Vista Hospital System. This position is responsible for optimizing the end-to-end revenue cycle process – including patient access, billing, collections, and compliance – to ensure timely, accurate, and compliant reimbursement for services, for Multi-site Revenue Cycle, including Outpatient Services. The Senior Manager ensures adherence to Massachusetts specific regulations, federal healthcare laws, and payer requirements.

Requirements

Bachelor’s Degree in business or related field preferred.
Minimum of 7-10 years of experience in the patient access, patient accounting/business office environment.
Minimum of 5 years supervisory/leadership experience.
Experience with various technologies and systems used in patient accounting.
Proficient knowledge of all Microsoft office products, especially Excel and Access.

Responsibilities

Monitor the integrity of end-to-end revenue cycle functions including insurance verification, claims processing and follow up, denials management, and credit balance management.
Monitor and manage in metric-driven environment using KPIs such as AR days, cash collections, denial rates, and bad debt; implement performance improvement plans as needed.
Ensure accurate charge capture, billing, and reimbursement in accordance with Medicare, Mass Health and commercial payer regulations.
Completes monthly Medicare Bad Debt Log
Completes monthly Denial Log in partnership with Utilization Management
Responsible for weekly AR Team Meetings and monthly presentation to Leadership
Ensure compliance with all federal, state, and local laws including HIPAA, EMTALA, CMS billing rules, and Mass Health Policies
Stay current on changes to reimbursement methodologies and payer contract terms.
Work closely with the CFO to identify and mitigate risk.
Drive automation and process improvements to reduce denials, improve clean claim rates, and enhance patient financial experience.
Develop and manage department forecasts.
Analyze financial reports and implement corrective actions to improve revenue capture and reduce revenue leakage.
Oversee vendor relationships related to revenue cycle (e.g., third-party collections, outsourced coding or billing services).
Coordinate with Finance and Accounting on effective revenue recognition practices during month-end close and year-end audits.
Oversee day-to-day operations of Revenue Cycle department.
Monitor metrics and KPI’s and improve procedures
Supervise OP Billing Supervisor
Supervise Credentialing position to ensure all providers are credentialed with Medicare and Medicaid, and Commercial payors