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Revenue Cycle Manager

Next code placement
Sacramento, CA Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 4/26/2025

Overview
We are seeking a detail-oriented and motivated Revenue Cycle Specialist to join our dynamic team. The ideal candidate will play a crucial role in managing the revenue cycle processes, ensuring accuracy and compliance throughout the billing and collections phases. This position is essential for maintaining financial health and optimizing cash flow within our organization.

Responsibilities

  • Manage the end-to-end revenue cycle process, including billing, collections, and accounts receivable management.
  • Review and verify patient information to ensure accurate billing and coding.
  • Collaborate with healthcare providers to resolve discrepancies and ensure timely payment.
  • Analyze claims data to identify trends, denials, and opportunities for process improvement.
  • Prepare and submit claims to insurance companies in accordance with established guidelines.
  • Follow up on unpaid claims, ensuring prompt resolution of issues.
  • Maintain accurate records of all transactions, communications, and follow-up actions taken.
  • Stay updated on industry regulations and payer policies to ensure compliance.

Experience

  • A minimum of two years of experience in revenue cycle management or a related field is preferred.
  • Strong knowledge of medical billing, coding practices, and insurance reimbursement processes is essential.
  • Proficiency in using electronic health record (EHR) systems and billing software is highly desirable.
  • Excellent analytical skills with attention to detail for identifying discrepancies and resolving issues effectively.
  • Strong communication skills to interact with patients, providers, and insurance representatives professionally.
  • Ability to work independently as well as collaboratively within a team environment.

Must Have:

  • Minimum of 8 years in medical insurance and healthcare billing
  • Must have clinic/private practice experience
  • Highly prefer Cardiovascular experience
  • Management Experience: At least 5-10 direct reports

Nice to Have:

  • Certifications: Certified Coder

Job Type: Full-time

Pay: $95,131.00 - $100,490.00 per year

Benefits:

  • 401(k)

Schedule:

  • 8 hour shift

Experience:

  • healthcare billing: 8 years (Required)
  • medical insurance: 8 years (Required)
  • clinic/private practice: 7 years (Preferred)

Work Location: On the road

Salary : $95,131 - $100,490

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