Revenue Cycle Manager Professional
7 days ago
Job Overview
RemoteRaven is seeking an experienced Financial Operations Director to oversee and optimize all aspects of the revenue cycle, from patient registration to final account resolution. This role ensures efficient billing, collections, and reimbursement processes while maintaining compliance with healthcare regulations.
Main Responsibilities
- End-to-End Revenue Cycle Operations: Manage coding, billing, claims submission, payment posting, denial management, and collections.
- Process Improvement Strategies: Identify inefficiencies and implement workflows to streamline operations, reduce claim denials, and improve cash flow.
- Compliance & Regulations Adherence: Ensure adherence to Medicare, Medicaid, and commercial payer policies, as well as HIPAA and other healthcare regulations.
- Trend Analysis and Reporting: Analyze trends in claim denials and outstanding accounts receivable, developing corrective action plans to optimize collections.
- Patient Communication and Billing: Oversee patient billing procedures and ensure clear communication regarding financial responsibilities.
- Reporting & Insights: Generate and analyze revenue cycle reports, providing insights and recommendations to leadership on financial performance.
- Team Leadership and Training: Train and supervise billing and coding staff, fostering a culture of accountability and efficiency.
- EHR Optimization: Work with RemoteRaven's electronic health records (EHR) and billing systems to ensure seamless integration and accurate data management.
Required 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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