Healthcare Revenue Management Specialist

2 weeks ago


Manila, National Capital Region, Philippines RemoteRaven Full time

About the Role

We are seeking a highly skilled Financial Operations Director to join our team at RemoteRaven. As a key member of our revenue cycle management team, you will be responsible for overseeing and optimizing all aspects of the revenue cycle, from patient registration to final account resolution.

Responsibilities

  • Manage end-to-end revenue cycle operations, including coding, billing, claims submission, payment posting, denial management, and collections.
  • Develop and implement process improvement strategies to streamline workflows, reduce claim denials, and improve cash flow.
  • Ensure compliance with Medicare, Medicaid, and commercial payer policies, as well as HIPAA and other healthcare regulations.
  • Analyze trends in claim denials and outstanding accounts receivable, developing corrective action plans to optimize collections.
  • Oversee patient billing procedures and ensure clear communication regarding financial responsibilities.
  • Generate and analyze revenue cycle reports, providing insights and recommendations to leadership on financial performance.
  • Train and supervise billing and coding staff, fostering a culture of accountability and efficiency.
  • Work with RemoteRaven's EHR and billing systems to ensure seamless integration and accurate data management.

Qualifications

  • Bachelor's degree in healthcare administration, finance, or a related field preferred.
  • Minimum of 3-5 years of experience in medical billing, coding, and revenue cycle management, preferably in a sleep medicine or specialty practice.
  • Strong knowledge of insurance payers, CPT/ICD-10 coding, and reimbursement policies.
  • Experience with EHR and practice management systems (experience with Athena is a plus).
  • Excellent analytical, problem-solving, and communication skills.
  • Ability to lead a team and work collaboratively across departments.


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