Revenue Cycle Manager

Job Summary 

The Revenue Cycle Manager will be a motivated, data-driven individual who will lead our dedicated and high-performing Revenue Cycle team. The Revenue Cycle Manager directs all functions of the organization’s billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. You will be responsible for leading the overall strategy and optimization of Revenue Cycle for ActiCare Health Inc. This includes revenue operations, systems, policies & procedures, as it pertains to insurance reimbursement, contracts, collections, and patient experience. The Revenue Cycle Manager reports directly to the CFO. 

Job Responsibilities 

• Manage and oversee all aspects of the Accounts Receivable with history of results. The key areas of experience are in: Insurance, Patient, and Facility billing. 
• Addresses and communicates Denial Trends to Service Line Leaders to eliminate avoidable denials to reduce the negative impact to accounts receivable. 
• Develops and implements Revenue Cycle Management (RCM) initiatives, strategic goals, and key performance indicators consistent with the organizational vision. 
• Coaching and bringing out the best in our team members and ensuring that they develop as professionals. 
• Improving processes and being adept at mapping processes, identifying improvement opportunities and mechanisms, and reducing errors. Leads change management to implement new and best practice approaches to business processes. 
• Strategy alignment and execution in a manner that emphasizes communication, transparency of progress, and accountability with organizational goals. 
• Other responsibilities as determined by the CFO 

Skills and Qualifications Requirements 

• 10 years’ experience in medical billing and revenue cycle management with minimum of 5 years in a supervisory role. 
• Knowledge of professional fee billing, reimbursement and third-party regulation and medical terminology is required. 
• Demonstrated experience with Medicare, and Managed Care regulatory billing, compliance, contracting, reimbursement issues and analytics. 
• Strong problem solving, analytical, planning, and reasoning skills. 
• Strong leadership, and interpersonal skills with excellent and adaptable written and verbal communication skills. 
• Ability to simultaneously manage multiple projects and timelines at various stages. 
• Able to handle highly sensitive, confidential, and non-routine information. 
• Experience in management within a customer service focused environment. 
• Experience working in high-growth environments. 
• Proven experience with continuous process improvement. 

Education Requirements 

Bachelor’s Degree in Business, Healthcare Administration, or equivalent. 

Physical Requirements 

• Prolonged periods of sitting at a desk and working on a computer. 
• Must be able to lift 15 pounds at times. 
• Must be able to access and navigate each department at the organization’s facilities. 

Job Type: Full-time 

Pay: $100,000 to 120,000 per year 

Benefits: 

401(k) 

Dental Insurance 

Health Insurance 

Paid time off 

Vision insurance 

Schedule: 

Day shift 

Monday to Friday 

Ability to commute/relocate: 

Livermore, CA 94551: Reliably commute or planning to relocate before starting work (Required) 

Experience: 

Medical billing and Revenue Cycle Management: 10 years (Required) 

Supervisory: 5 years (Required)