Revenue Cycle Manager
Jupiter, Florida, United States
Job Summary:
- A Manager of Revenue Cycle is responsible for overseeing and optimizing the insurance claim pipeline. This role typically involves managing claims from the date of submission through finalization of denials or payments to ensure economic efficiency and compliance.
- This role is in office 3 days per week and remote 2 days per week.
- Oversight of accounts receivable and ensuring timely reimbursement from Commercial, Medicaid, and Medicare payers
- Identifying trends, performing tactical planning, and carrying out strategic plans; demonstrates consistent monitoring of staff assignments; completing root-cause analyses on all issues
- Identifying and triaging EHR issues and resolutions; collaborating with EHR support team for timely resolution of issues
- Optimizing staff productivity, ensuring compliance with healthcare regulations, and enhancing operational efficiency through effective management of resources and processes
- Supervision of direct reports including management of time cards, PTO requests, team education, work assignments, and regular audits
- Implementing and training procedures and policies; collaborating with Senior Manager and Director on policy and procedure updates
- Collaborating with front-end Revenue Cycle Manager on issues that stem from pre-submission processes
- Maintaining the chargemaster and payer fee schedules
- Reviewing claim escalations as needed
- Education: Bachelor’s degree in healthcare administration, finance, business, or a related field
- Experience: Significant experience in staff and project management with a proven track record of leadership in a healthcare setting; 2 years of revenue cycle management experience preferred
- Skills: Strong analytical, problem-solving, and decision-making skills; excellent communication and interpersonal abilities.
- Knowledge: In-depth understanding of healthcare billing, coding, and reimbursement processes, as well as relevant regulations and compliance requirements.
- Certifications: Professional certifications such as CPC or CPB may be advantageous.
- This role is crucial for ensuring the financial health of a healthcare organization by effectively managing the revenue cycle and supporting overall business objectives.
- 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
- 11 paid holidays
- Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
- Company contributions to dependent premiums at higher than market rates (65%)
- 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
- 401k + 4% discretionary matching
- Healthcare & dependent care Flexible Spending Accounts (FSA)
- Health Savings Accounts (HSA)
- Employee assistance program, complete with financial coaching and counseling sessions
- Professional development allowance for healthcare providers
- Opportunities for professional development and growth within the company
- Fully remote roles company-wide
- Vibrant, employee-driven cultural initiatives including multiple ERG groups
- Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations
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ApplyJob Profile
In-office 3 days Remote 2 days
Benefits/Perks11 paid holidays 12 Weeks Paid Parental Leave 5 weeks PTO Comprehensive health Comprehensive health insurance Floating Holidays Mental Health Days Paid parental leave Professional development Vision Insurance
Tasks- Collaborate with EHR support
- Ensure timely reimbursement
- Implement procedures
- Manage accounts receivable
- Monitor staff assignments
- Optimize staff productivity
- Oversee insurance claims
- Perform root-cause analyses
- Review claim escalations
- Supervise direct reports
Addiction recovery Analytical Billing Coding Communication Compliance Decision making EHR Financial Management Harm reduction Healthcare Healthcare administration Healthcare Billing Interpersonal Problem-solving Project Management Reimbursement processes Revenue Cycle Management Substance Use Disorder Telemedicine
Experience2 years
Education Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9