Manager, Business Office

Description

About MEDRVA Healthcare 

We are an independent, not-for-profit healthcare organization committed to delivering high-quality healthcare services to the community. With two state-of-the-art outpatient surgery centers, sixteen operating and procedure rooms, an imaging center, the region's only low vision center, and the MEDRVA Foundation, we provide comprehensive and compassionate care to our patients.  This position will promote the mission, vision and values of our Ambulatory Surgery Centers here in Richmond, VA. 

Position Summary 

The Revenue Cycle Manager is responsible for overseeing the end-to-end revenue cycle operations, ensuring optimal financial performance and compliance. This role will manage the internal business office team and collaborate with external medical billing vendors to drive excellence in billing, collections, and revenue reporting. The ideal candidate will be a strategic leader with a strong understanding of revenue cycle processes and a commitment to delivering a seamless patient financial experience. 

Key Responsibilities 

Leadership and Team Management 

• Manage and mentor the internal business office team, fostering a culture of accountability and professional growth. 
• Conduct regular performance reviews, set clear goals, and provide constructive feedback to team members. 
• Act as a liaison between the internal team and external billing vendor, ensuring alignment and efficiency. 

Revenue Cycle Oversight 

• Partner with the external medical billing vendor to monitor and optimize billing, coding, collections, and accounts receivable processes. 
• Analyze revenue cycle performance metrics and identify opportunities for improvement. 
• Ensure timely and accurate claim submissions, follow-ups, and resolution of denials. 

Process Improvement 

• Develop and implement policies and procedures to enhance revenue cycle efficiency and compliance. 
• Collaborate with clinical and administrative teams to address revenue-related challenges and streamline workflows. 
• Stay updated on industry trends, payer policies, and regulatory changes to ensure best practices are in place. 

Financial Reporting and Analysis 

• Prepare and present regular revenue cycle performance reports to senior leadership. 
• Track key performance indicators (KPIs) such as days in accounts receivable (AR), collection rates, and denial rates. 
• Work with the CFO to forecast revenue and develop financial strategies to support organizational goals. 

Compliance and Patient Experience 

• Ensure adherence to all federal, state, and payer-specific regulations, including HIPAA and billing compliance. 
• Partner with the patient access team to enhance the patient financial experience, from pre-registration to final payment. 
• Address patient billing inquiries and disputes with a focus on customer service and resolution. 

Qualifications 

• Education: Bachelor’s degree in Healthcare Administration, Business, or related field (Master’s preferred). 
• Experience: 
• Minimum 5 years of experience in healthcare revenue cycle management. 
• Experience managing teams and working with external billing vendors. 

Skills: 

• In-depth knowledge of revenue cycle processes, including billing, coding, collections, and AR management. 
• Strong leadership, communication, and analytical skills. 
• Proficiency in revenue cycle systems and tools (e.g., EMR, EHR, and practice management systems). 

Competencies 

• Collaboration: Build effective relationships with internal teams, external vendors, and leadership. 
• Problem-Solving: Proactively identify challenges and implement solutions to enhance revenue cycle outcomes. 
• Attention to Detail: Ensure accuracy in all revenue cycle processes and reporting. 
• Adaptability: Thrive in a fast-paced environment with evolving priorities and regulations.