Facility Revenue Manager, Ambulatory Surgery Centers

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Oversee revenue cycle operations which encompass charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, scheduling, registration, check-in, and collections.

• Create and utilize reports to monitor financial and operational performance throughout the revenue cycle.

• Evaluate and suggest updates to the charge master and charge capture documents to optimize reimbursement and ensure precise billing.

• Detect revenue cycle issues, analyze data, choose alternatives, and apply improvement strategies.

• Provide education and training for providers and staff on coding, charge capture, payer requirements, and revenue cycle challenges.

• Act as a liaison between PRMO, DUHS, Duke Health Integrated Practice, clinical and administrative leadership, Maestro Care teams, and third-party payers.

• Design, redesign, test, validate, and maintain Maestro Care clinical and business workflows and application functionalities relating to charge capture and billing.

• Handle revenue cycle inquiries, ServiceNow tickets, charge reviews, claim edits, follow-up work queues, and charge corrections.

• Track key performance indicators, denial rates, write-offs, deleted charges, reimbursement, and metrics from scheduling to collections.

• Investigate payer regulations and coordinate the implementation of changes in authorization, billing, claims, and LCD requirements.

• Facilitate revenue cycle collaboration, strategic planning, workgroups, meetings, communications, and training sessions.

• Oversee revenue enhancement and compliance projects, including action plans, timelines, root-cause analyses, and cross-functional resources.

• Manage system setups and modifications for new services, including master files, charge codes, charge capture methods, charge router logic, claim logic, and post-go-live validation.

• Lead multidisciplinary teams in formulating sustainable solutions to revenue cycle challenges.

⛳️ Requirements

• A Bachelor’s degree is required.

• A minimum of 6+ years of relevant healthcare experience is necessary, preferably in Charge Integrity/Revenue Management.

• Proven leadership skills and the ability to inspire, motivate, and work collaboratively with hospital leadership.

• Exceptional oral and written communication abilities.

• Strong problem-solving, analytical, and technical troubleshooting skills.

• Capacity to prioritize and manage multiple projects simultaneously.

• Flexibility to work on varying schedules.

• Strong research and documentation capabilities.

• Ability to work independently.

• Intermediate to expert proficiency in Microsoft Excel, PowerPoint, Teams, Word, Visio, and Outlook.

• Coding certification such as CCS, CPC, RHIA, or RHIT is preferred.

• HFMA CHFP certification is preferred.

• CRCR certification is preferred.

• BSN RN is preferred.

🏝️ Benefits

• Equal Opportunity Employer.

• Information regarding reasonable accommodation and provisions for requests.

• A community fostered on collaboration, innovation, creativity, and a sense of belonging.