Revenue Cycle Operations Manager

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

📋 Description

• Managing operational performance across essential revenue cycle functions.

• Ensuring precise claim submissions, compliant billing practices, prompt reimbursements, and optimal financial outcomes.

• Offering leadership and oversight for middle-cycle and back-end revenue cycle operations, which includes charge entry, coding coordination, claim submissions, billing, payment posting, denial management, patient collections, and revenue integrity initiatives.

• Collaborating with clinical, operational, and finance leaders to enhance reimbursement results, operational efficiency, revenue capture, and overall financial performance.

• Acting as the primary point of contact and relationship manager for all outsourced Accounts Receivable vendors and business partners.

• Setting performance expectations, service level agreements (SLAs), and key performance indicators (KPIs).

• Conducting regular performance assessments of vendors focused on cash collections, aging reduction, denial resolution, productivity, quality, and turnaround times.

• Monitoring and analyzing performance metrics of AR vendors, identifying trends, risks, and opportunities for enhancement.

• Delivering executive-level reports and recommendations concerning vendor performance, AR trends, and opportunities for optimizing the revenue cycle.

⛳️ Requirements

• A Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field is preferred.

• Professional certifications such as CPB, CPC, CRC, or CHAM are preferred but not mandatory.

• A minimum of 5 years of experience in healthcare revenue cycle management.

• At least 2 years of leadership or supervisory experience.

• Experience in a physician practice or specialty clinic is preferred.

• Familiarity with AthenaOne, NextGen, eClinicalWorks, or similar practice management systems is preferred.

• Extensive knowledge of healthcare revenue cycle operations, including patient access, charge capture, billing, payment posting, accounts receivable, and patient financial services.

• Understanding of payer reimbursement methodologies, including Medicare, Medicaid, and commercial insurance plans.

• Acquaintance with CPT, HCPCS, and ICD-10 coding principles and claim submission requirements.

• Insight into point-of-service collections, patient financial counseling, and insurance benefit structures.

• Strong analytical skills to interpret revenue cycle performance metrics and operational data.

• Experience with healthcare EMR and practice management systems (e.g., AthenaOne, eClinicalWorks, NextGen) and payer portals.

• Knowledge of healthcare compliance requirements, including HIPAA, documentation standards, and billing regulations.

• Excellent communication, collaboration, and problem-solving abilities to facilitate cross-functional operational improvements.

🏝️ Benefits

• Comprehensive benefits package available from day one.