Revenue Cycle Claims Manager

This is a fully remote position, open to applicants in Arizona, +12 more states.

📋 Description

• Oversee the daily operations of claims teams, which includes billing and insurance follow-up.

• Create and uphold department policies, procedures, training manuals, guides, and standard operating procedures.

• Lead or participate in huddles, staff meetings, payer meetings, clinical/support department meetings, and educational sessions.

• Analyze denial trends through audits, claim assessments, data analysis, research, and educational initiatives.

• Track revenue cycle metrics and implement solutions involving education, IT enhancements, departments, payers, and vendors.

• Act as the primary contact for claim-level escalations and provide solutions to stakeholders.

• Assist the Senior Director with budget formulation, monitoring, accountability, and achieving operational targets.

• Supervise interviewing, hiring, timekeeping, coaching, mentoring, and performance management activities.

• Guide, coach, and oversee direct reports while fostering a high-performance team environment.

• Ensure that direct reports comply with safety and regulatory requirements.

• Manage customer service delivery to ensure it is timely, efficient, accurate, and fosters goodwill.

• Collaborate on process enhancements utilizing Lean and Value Improvement Practice concepts and tools.

• Maintain a safe workplace and adhere to relevant laws, regulations, policies, procedures, and corporate integrity standards.

⛳️ Requirements

• A Bachelor's degree in a related field is required; however, a combination of education and relevant prior experience may be considered in place of a degree.

• A minimum of five years of relevant revenue cycle and/or patient financial services experience is required.

• Two years of finance experience may be counted as a substitute for two years of the required experience.

• At least one year of leadership experience is mandatory.

• Ability to wear required Personal Protective Equipment (PPE).

• Willingness to travel to business functions, training sessions, meetings, and all SCHS locations.

• Advanced understanding of the healthcare industry, billing and collection practices, revenue cycle processes, and payer reimbursement methods.

• Excellent communication skills, including public speaking and technical writing abilities.

• Proven research and problem-solving capabilities.

• Capacity to operate independently and make informed decisions.

• Experience in process improvement is beneficial.

• Intermediate proficiency in Microsoft Office applications: Excel, OneNote, Outlook, Teams, PowerPoint, and Word.

• Preferred: Experience with Epic and vendor management.

• Preferred: Relevant revenue cycle certification, including coding, compliance, and billing.

🏝️ Benefits

• Competitive Salary

• Comprehensive benefits package, including Medical, Dental, and Vision coverage for you and your immediate family.

• 403b plan with up to a 6% match on Retirement Contributions.

• Generous Earned Time Off policy.

• Opportunities for growth within the Healthcare sector.

• Option for remote work from an approved state.

• Travel for business functions, trainings, meetings, and visits to SCHS worksites.