Revenue Cycle Manager

Responsibilities

• Provide leadership and strategic direction to the medical billing and coding office, ensuring optimal operations that maximize cash flow and support organizational goals.
• Oversee and manage all aspects of the billing cycle, including coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and denial management.
• Monitor and ensure strict compliance with Federal, State, and payer regulations, staying up-to-date with changes in medical billing laws and policies to mitigate risks.
• Develop, prepare, and analyze financial reports and accounts receivable metrics to track performance, identify trends, and make data-driven recommendations for improvements.
• Recruit, train, supervise, and mentor billing office personnel, fostering a collaborative and productive environment that ensures efficient billing and collection operations.
• Establish and implement best practices, workflows, policies, and procedures to improve accuracy, efficiency, and compliance in the billing process.
• Act as the primary liaison with payers and other external stakeholders to resolve billing issues, negotiate contracts, and maintain strong relationships.
• Collaborate with other departments, including finance and patient services, to streamline processes and enhance overall revenue cycle performance.
  
  

Required

• 5 years experience as a revenue cycle manager
• Healthcare Industry
• Bachelor's Degree perferred
  
  

Key Qualifications

• Industry Experience: A minimum of 8 years in medical insurance and healthcare billing, with demonstrated expertise in revenue cycle management.
• Leadership: Proven experience managing a team of at least 5-10 direct reports, with a focus on mentoring and driving team performance.
• Education: Bachelor’s degree in finance, accounting, healthcare administration, or a related field; equivalent experience may be considered.
• Technical Skills: Proficiency in Microsoft Office (Excel, Word, PowerPoint), medical billing software, and coding systems.
• Certifications: Certified Coder (CPC, CCS) or similar credential is highly preferred.
• Regulatory Knowledge: Comprehensive understanding of medical billing rules and regulations, including Medicare, Medi-Cal, private insurance, and payer-specific requirements.
• Analytical Skills: Strong ability to interpret and analyze financial data, accounts receivable trends, and operational metrics to support strategic decision-making.
• Communication: Excellent written and verbal communication skills, with the ability to effectively interact with staff, payers, and organizational leadership.
  
  

Skills: revenue cycle,communication,denial management,leadership,accounts receivable,financial reporting,healthcare,office,analytical skills,skills,data,coding,microsoft office,regulatory compliance,medical billing,coding systems,team leadership,medical billing software