JOB DESCRIPTION JOB TITLE: Manager of Revenue Cycle Management DEPARTMENT/DIVISION: Billing STATUS: Full time, Exempt REPORTS TO: Director of Revenue Cycle Management POSITION SUMMARY The Manager of Revenue Cycle Management provides leadership, training, and management for the staff within the revenue cycle department areas of responsibility, including credentialing, charge capture, billing, payment posting, collections and follow up, denials management, and billing audits. The manager collaborates with Revenue Cycle Leadership to enhance revenue cycle performance, ensure compliance with payer requirements, achieve short-term strategic goals, adapt to the evolving healthcare landscape, and monitor key performance indicators (KPIs) to maintain and improve organizational performance across multiple areas. This position requires current, in-depth knowledge of governmental and commercial insurance rules and regulations, including regulatory compliance requirements. Strong analytical skills, the ability to interpret data to identify areas for improvement, and a highly collaborative nature to effect change will be important for success. DUTIES & RESPONSIBILITIES + Provides guidance and direction to team across all RCM functions (including credentialing, charge capture, billing, payment posting, collections and follow up, denials management, and billing audits) to achieve optimal area performance and staff productivity goals. + Ensures staffs carry out duties and responsibilities in an effective manner, which in turn promotes maximized reimbursement based upon services delivered. + Focuses efforts of staffs on proactive practices, which includes coordinating with other departments as necessary to resolve issues. + Fosters an environment of collaboration, continuous improvement, and innovation. + Supports development of policies and procedures for all points of the revenue cycle including, but not limited to, charge capture, data entry, payment posting, insurance follow up, collections and denials management. + Identifies and implements solutions to problems and issues affecting teams + Identifies and participates in continuous quality improvement initiatives to streamline processes + Participates in the redesign of processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes + Reviews and tracks trends and makes recommendations for problem and issue resolutions based upon staff findings; reports findings to leadership + Prepares service level metrics and explanatory summaries for leadership + Develops and implements evaluation tools and measures staff efficiency and effectiveness. + Lead, manage, and mentor revenue cycle leads and their supporting teams, ensuring a high level of engagement and productivity. + Evaluates potential new staff and makes recommendations for hiring + Assists with identifying training needs and coordinating with department trainer to develop and conduct training programs, including on-the-job training. + Assists with establishing performance standards. Monitors and tracks staff activities against established performance standards and provides immediate feedback to achieve performance improvement. + Adheres to all department and organization policies, procedures, and best practices + Maintains working knowledge of applicable Federal, State, and local laws and regulations + Completes other duties as needed and assigned EDUCATION & EXPERIENCE + Bachelor’s degree in health administration or related field or minimum of five years progressive related experience; or equivalent combination of education and experience. + ​At least 5 years of experience within the healthcare industry, including but not limited to physician practice, health system, biomedical, pharmaceutical, or similar. + At least 2 years of supervisory or team leader experience. QUALIFICATIONS & REQUIREMENTS + Extensive knowledge of Medicare, Medicaid, Managed Care required. + Strong computer skills with knowledge of various EHR systems. + Strong analytical skills with the ability to identify trends and present information in a succinct, actionable manner. + Strong written and verbal communication skills. Ability to communicate effectively and work with all levels of staffs to expedite revenue cycle processes while supporting customer service. + Demonstrated supervisory skills that emphasize team building and strong leadership with the ability to provide clear oversight, coordinate department services, and coach and mentor teams. + Effective critical thinking and problem-solving skills. Ability to analyze data and prepare related reports and summaries. Premier Medical Group is an Equal Opportunity Employer