Overview
The Revenue Cycle Operations Manager is responsible for the day-to-day operation, planning, oversight, and scheduling of the department. The primary function is to ensure efficient workflow processes, training & cross-training, work assignments, achievement of productivity metrics, coding compliance, and accurate, timely monitoring and management of care center billing cycles. The manager provides leadership and guidance for the Revenue Cycle staff to ensure best practices and that department goals are achieved.
Responsibilities
The Revenue Cycle Operations Manager responsibilities include but are not limited to:
- Day-to-day planning, oversight, and maintenance of Revenue Cycle workflow to achieve an efficient and effective billing process
- Provide leadership to team, manage personnel development and employee lifecycle
- Conduct trend analysis to identify profitable benchmarks and significant patterns of unprofitability
- Educate care centers and claims coordinators on the financial performance of the practice
- Develop and maintain policies and procedures, systems and best practice methods to improve efficiencies with workflow
- Work as needed with Account Management team to ensure care center satisfaction related to Revenue Cycle Operations
- Provide support and escalation for RCM issues presented to Account Management
Qualifications
- Bachelor’s degree in Healthcare Administration, Business Administration or related field
- A minimum of 6 years’ experience managing a team
- A minimum of 5 years' experience in interpreting insurance explanation of benefits
- A minimum of 3 years’ experience conducting healthcare trend analysis with ability to articulate results to division directors
- Ability to proactively analyze and recognize existing batch problems and identify opportunities for improvement
- Demonstrated thorough knowledge of medical coding and billing requirements
- Experience with Athena software a plus
- Experience communicating logically and clearly both orally and in writing
- Strong organizational skills with attention to detail in order to adapt to varied workflows, multiple tasks, deadlines, and changing priorities.
- Ability to think outside the box to solve problems and to escalate when appropriate
- Experience leading a team and taking responsibility for work outcomes
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