The Revenue Cycle Operations Manager is responsible for managing and tracking the productivity of the team and to ensure that billing and collection activities are timely and accurate. The position supports the company’s objective of efficiently and effectively providing management, oversight and assurance that collections, adjustments and accounts receivable balances are accurate and meet benchmarks and expectations. In addition, the Revenue Cycle Operations Manager will review monthly reports, analyze outcomes, identify trends, and ensure timely and proactive communication to team.

Day in the Life of a Revenue Cycle Operations Manager

• Prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
• Initiate and maintains direct contact with CTC field staff, engaged in proactive resolution of issues and timely response to questions and concerns.
• Delivers timely required reports to the RCM Director; initiates and communicates the resolution of issues, such as payor denial trends, inaccurate or incorrect charges, vendor input and implementation.
• Meet regularly with staff; in-person and as a group to review updates.
• Track AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure company expectations are met.
• Professionally interact with CTC team and patients to resolve questions and concerns.
• Provide training and mentoring to staff; ensure policy and procedures are followed and improvements occur.
• Stay current with company’s policies and procedures regarding charge activity such as, reviewing month end reports, identifying trends.
• Analyze reports to determine when, how and why decrease in clients’ AR; includes denials, unbilled, credit issues; holds; communicate with client and staff to resolve.
• Analyze and address staff performance, conduct and other problems in a timely and professional manner; offering counseling, correction and discipline as appropriate.
• Maintain standardized operational workflows to ensure efficiencies, quality outcomes and maximized revenue.
• Effectively use developed dashboard reporting to maintain and use to demonstrate performance.
• Perform period reviews to mentor and give constructive feedback to improve performance.
• Handle and manage internal staffing issues as regards time clock, time-off, covering workloads, training and answering questions on subordinates’ duties and responsibilities.
• Effectively use standard issue tracking tool to be used in agendas, minutes and as a historical reference of issues resolved and decision agreed upon with RCM Director.
• Other duties as assigned.

​*_Schedule and Travel*_

• Travel to headquarters in South Carolina is required bimonthly
• Typical 8-hour schedule, Monday through Friday. Specific hours can be discussed.

Education and Licensure Requirements

• Must have had at least 4 years EDI resolution experience.
• General Knowledge of HCPCS, CPT-4 and ICD9-10 coding and/or medical terminology.
• Familiar with CMS guidelines and regulations for claim submission and reimbursement.
• College or University degree preferred.
• 5 years of experience in same/related field.
• Accounting skills preferred.

Position Benefits

• Medical, Dental, and Vision Insurance
• PTO
• Variety of 401K options including a match program with no vesture period
• Annual Continuing Education Allowance (in related field)
• Life Insurance
• Short/Long Term Disability
• Paid maternity/paternity leave
• Mental Health Day
• Calm subscription for all employees

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• Weekends as needed

Ability to Commute:

• Greenville, SC 29601 (Required)

Work Location: Hybrid remote in Greenville, SC 29601