
Revenue Cycle Manager
Posted Sep 18

Posted Sep 18
This is a fully remote position, open to applicants in Gabon.
• Oversee and enhance the entire revenue cycle process, which includes claims submission, payment posting, denial management, and collections.
• Supervise daily billing activities and resolve payment or denial discrepancies.
• Analyze claims data to detect financial leaks and devise recovery strategies.
• Manage hourly revenue cycle management personnel, including scheduling, task delegation, and performance assessments.
• Offer training, mentorship, and professional development opportunities.
• Establish performance benchmarks and ensure accountability among staff.
• Administer and sustain RCM systems and platforms, ensuring integration with EMR and billing software.
• Resolve system issues by coordinating with IT or vendors.
• Keep track of software upgrades and advancements in healthcare technology.
• Perform billing and coding audits to ensure compliance with contractual, payer, and regulatory standards.
• Work with compliance teams to implement necessary corrective actions.
• Ensure the integrity and quality of the patient clinical database.
• Evaluate staffing requirements and collaborate with Human Resources for recruitment, onboarding, and training.
• Lead educational initiatives aimed at enhancing coding and billing accuracy.
• Partner with finance and business office leadership to optimize processes.
• Deliver exceptional customer service to patients, staff, and representatives from third parties.
• Engage with stakeholders regarding RCM objectives and payer necessities.
• A Bachelor’s degree in Healthcare Administration, Finance, or a related discipline is required.
• Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is highly preferred.
• A minimum of 3-5 years of experience in healthcare revenue cycle management is essential.
• At least 1-2 years of experience in a supervisory or managerial capacity.
• Proven background in managing billing systems, conducting audits, and overseeing claims analysis.
• Familiarity with daily billing requirements, staffing coordination, and operational workflows within a healthcare environment.
• Strong leadership capabilities with the ability to inspire and manage hourly staff.
• Proficiency in RCM systems, EMR, and billing software, with skills in troubleshooting and optimizing platform performance.
• Excellent analytical and organizational capabilities.
• Comprehensive knowledge of healthcare regulations, including HIPAA, CMS standards, and payer-specific requirements.
• Exceptional communication skills.
• Capability to lift up to 50 pounds and exert up to 50 pounds of force when pushing or pulling heavy objects.
• Ability to sit or stand for prolonged periods.
• Proficiency in using fine motor skills to operate office equipment and/or machinery.
• Skill in receiving and understanding instructions both verbally and in writing, along with logical reasoning for problem-solving.
• Willingness to travel to multiple locations as needed.
• Competitive salary and performance-based incentives.
• Comprehensive health insurance plans.
• Retirement savings options with employer matching.
• Paid time off and flexible scheduling.
• Opportunities for professional development and continuing education.
• Supportive work environment fostering teamwork and collaboration.
Mercor
ICF
ICF
The Cigna Group
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