CPC - Medical Revenue Cycle Manager

3 weeks ago

San Fernando, Philippines Remote Raven Full time

Overview

The Medical Revenue Cycle Manager oversees the entire revenue cycle process—from patient registration and insurance verification to billing, coding, collections, and reimbursement. This role ensures financial viability by optimizing cash flow, reducing claim denials, and maintaining compliance with healthcare regulations.

Responsibilities
  • Lead and manage the revenue cycle team, including billing, coding, and collections staff
  • Monitor and improve billing accuracy, referrals/prior authorizations, claim submission, and denial prevention/management
  • Develop and implement strategies to accelerate revenue collection (including precollections) and reduce AR days
  • Collaborate with clinical and administrative departments to streamline workflows, including office visits, testing procedures, and DME
  • Analyze financial reports and present revenue cycle performance to leadership
  • Negotiate with payers on reimbursement issues, fee schedules, and resolution of escalated claims
  • Train and mentor staff on billing software, coding updates, and regulatory changes
  • Conduct internal audits to ensure coding accuracy and billing integrity
  • Maintain up-to-date knowledge of medical coding, payer policies, and industry trends
Qualifications
  • 5+ years of experience in outpatient clinic medical billing and revenue cycle management
  • Strong knowledge of Athenahealth EMR/EHR systems, billing software, and reports
  • Certification in medical coding (e.g., CPC, CCS) preferred
  • Excellent leadership, analytical, and communication skills
  • Proven ability to manage teams and drive performance metrics
Details

This is a 100% Remote Work

Full time

Up to $10/hr

#J-18808-Ljbffr

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