Senior Manager – Revenue Cycle

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

📋 Description

• Lead comprehensive revenue cycle operations, encompassing claims management, payment posting, denials and appeals, accounts receivable, and patient collections.

• Collaborate with clinical, finance, and risk adjustment teams to enhance cash flow, minimize revenue leakage, improve billing accuracy, and ensure compliance with regulations.

• Strategically plan, organize, and influence departmental activities.

• Supervise daily operations and ensure accuracy in the billing process.

• Monitor budgets and effectively utilize operational resources.

• Engage in billing process enhancements to maximize reimbursement opportunities.

• Manage charge capture and reconciliation, claims submission and editing, payment posting and reconciliation, denial management and appeals, accounts receivable management and collections, as well as credit balance resolution.

• Assess and refine Athena hold rules.

• Provide guidance and oversight to billing teams to guarantee accurate and timely billing.

• Assist in ensuring accurate and timely month-end closing activities.

• Report key performance indicators to finance and market leadership, identify trends and deficiencies, and implement corrective action plans.

• Supervise billing staff's work accuracy and hold the team accountable.

• Stay informed about hospital and government payer billing systems, laws, regulations, and reimbursement policies.

• Interpret contract terms to ensure appropriate payment processes.

• Develop and enforce operating policies and procedures.

• Audit procedures to enhance revenue cycle efficiency.

⛳️ Requirements

• Bachelor’s degree or equivalent educational background.

• Over 7 years of experience in revenue cycle management or healthcare.

• More than 3 years of experience in a billing leadership position.

• Proficiency in Athena is mandatory.

• Excellent critical thinking, organizational, and time management abilities.

• Strong attention to detail, accuracy, and commitment to follow-through.

• Proven capability to identify, resolve, and escalate issues that impact business outcomes.

• Comprehensive understanding of billing and collection processes for addressing complex outstanding claims.

• Exceptional verbal, written, and interpersonal communication skills.

• Strong decision-making abilities informed by analysis, experience, and judgment.

• Ability to work effectively in a collaborative team environment.

• In-depth knowledge of commercial and/or regulatory claims billing, as well as relevant federal, state, and local laws and regulations.

• Strong understanding of third-party reimbursement, government reimbursement regulations, patient billing, managed care agreements, account follow-up, account resolution, and cash applications.

• Extensive knowledge of EDI billing systems and management of third-party payor billing processes.

🏝️ Benefits

• Remote position.

• Occasional travel to Houston and Beaumont locations as required.

• National target pay range of $80,000 - $120,000 annually.