Finance

Revenue Cycle Manager

Looking to hire your next Revenue Cycle Manager? Here’s a full job description template to use as a guide.

About Vintti

At Vintti, we specialize in providing US businesses with staffing solutions that feel local. By connecting companies with Latin American professionals operating in compatible time zones, we ensure that work schedules align naturally with US business hours. This temporal harmony facilitates immediate response times, efficient project management, and a cohesive team dynamic regardless of physical location.

Description

A Revenue Cycle Manager is a crucial role within healthcare organizations, responsible for overseeing the entire financial process related to patient services. This position ensures that the revenue cycle runs efficiently from patient registration and scheduling to billing and collections. Key responsibilities often include optimizing reimbursement methods, analyzing financial data, and implementing strategies to reduce billing errors and claim denials. The Revenue Cycle Manager works closely with various departments to improve financial performance, enhance patient satisfaction, and ensure compliance with healthcare regulations and standards.

Requirements

- Bachelor’s degree in healthcare administration, finance, business, or a related field.
- Minimum of 5 years of experience in healthcare revenue cycle management.
- Strong knowledge of billing processes, accounts receivables, and healthcare reimbursements.
- Familiarity with healthcare regulations and industry standards.
- Proficiency in revenue cycle management software and healthcare information systems.
- Excellent analytical skills for data analysis and trend identification.
- Strong organizational and multitasking abilities.
- Outstanding communication and interpersonal skills.
- Ability to develop and implement effective policies and procedures.
- Experience in staff training and performance evaluation.
- Detail-oriented with a focus on accuracy.
- Ability to work collaboratively with healthcare providers and departments.
- Knowledge of medical coding and claim denial resolution.
- Experience coordinating with external auditors during financial audits.
- Up-to-date with changes in healthcare regulations and payer requirements.

Responsabilities

- Oversee and manage the entire billing process for accuracy and timeliness.
- Monitor and maintain efficient workflow of the revenue cycle team.
- Analyze revenue cycle data for trends and implement corrective actions.
- Ensure compliance with regulatory and industry standards.
- Reconcile billing issues with the finance department and resolve discrepancies.
- Develop and implement revenue cycle policies and procedures.
- Conduct staff training and performance evaluations.
- Collaborate with healthcare providers to streamline communication and service delivery.
- Review and follow up on accounts receivables and outstanding claims.
- Manage software systems for tracking and reporting revenue cycle metrics.
- Prepare and present revenue cycle performance reports to senior management.
- Address patient inquiries and concerns regarding billing and insurance claims.
- Identify and resolve coding issues to prevent claim denials.
- Coordinate with external auditors during financial audits.
- Stay updated on changes in healthcare regulations and payer requirements.

Ideal Candidate

The ideal candidate for the role of Revenue Cycle Manager is a highly experienced professional with a minimum of five years in healthcare revenue cycle management and a strong educational background, holding at least a Bachelor's degree in healthcare administration, finance, business, or a related field. They possess an in-depth knowledge of billing processes, accounts receivables, healthcare reimbursements, and are well-versed in healthcare regulations and industry standards. Proficient in revenue cycle management software and healthcare information systems, they demonstrate excellent analytical skills to analyze data and identify trends, coupled with a strategic mindset focused on continuous improvement. The candidate is detail-oriented, ensuring accuracy in all tasks, and exhibits outstanding organizational and multitasking abilities. With exceptional communication and interpersonal skills, they can effectively collaborate with healthcare providers and departments, ensuring streamlined communication and service delivery. Their leadership capabilities allow them to conduct staff training and performance evaluations, fostering a productive team environment. High emotional intelligence, strong negotiation skills, and the ability to handle high-pressure situations calmly set them apart, along with their proactive, results-oriented mindset. They maintain high levels of integrity and ethical standards, are adaptable and flexible in a dynamic environment, and have a strong customer service orientation. Their ability to develop and implement effective policies and procedures, address patient inquiries, resolve coding issues, and coordinate with external auditors showcases their comprehensive understanding of the revenue cycle management process.

On a typical day, you will...

- Oversee and manage the entire billing process, ensuring timely and accurate processing of invoices.
- Monitor daily operations of the revenue cycle team to maintain workflow efficiency.
- Analyze revenue cycle data to identify trends and implement corrective actions as needed.
- Ensure compliance with all regulatory requirements and industry standards.
- Work closely with the finance department to reconcile billing issues and resolve discrepancies.
- Develop and implement policies and procedures to optimize revenue cycle functions.
- Conduct staff training and performance evaluations to enhance team productivity.
- Collaborate with healthcare providers and departments to streamline communication and improve service delivery.
- Review accounts receivables and follow up on outstanding claims and payments.
- Utilize and manage software systems for tracking and reporting revenue cycle metrics.
- Prepare and present regular reports on revenue cycle performance to senior management.
- Address patient inquiries and concerns related to billing and insurance claims.
- Identify and address coding issues to prevent claim denials and optimize reimbursement.
- Coordinate with external auditors during financial audits and ensure accurate reporting.
- Stay updated with changes in healthcare regulations and payer requirements.

What we are looking for

- Strong leadership capabilities
- Excellent problem-solving skills
- High level of integrity and ethical standards
- Strong attention to detail
- Proactive and results-oriented mindset
- Ability to manage time effectively and prioritize tasks
- Strong customer service orientation
- Adaptability and flexibility in a dynamic environment
- High emotional intelligence
- Strong negotiation skills
- Ability to work independently and as part of a team
- Strategic thinker with a focus on continuous improvement
- Ability to handle high-pressure situations calmly
- Exceptional organizational skills
- High level of competence in written and verbal communication skills

What you can expect (benefits)

- Competitive salary range based on experience
- Comprehensive health benefits including medical, dental, and vision insurance
- 401(k) retirement plan with employer match
- Paid time off (PTO) and holiday leave
- Flexible work schedule options
- Remote work opportunities
- Professional development and continuing education support
- Tuition reimbursement programs
- Employee wellness programs and incentives
- Life and disability insurance
- Employee assistance program (EAP) for personal and professional support
- Career advancement opportunities within the organization
- Performance-based bonuses and incentives
- Collaborative and inclusive work environment
- Access to cutting-edge revenue cycle management tools and technology

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