Revenue Cycle Manager Job in Southern Pines, North Carolina

The Revenue Cycle Manager will provide strong leadership and directly manage all aspects of billing including electronic submissions, manage payer edits, and collections, and indirectly influence all functions that impacting the full revenue cycle. The Revenue Cycle Manager’s objective is to maximize cash flow while maintaining and improving internal and external payer and customer relations. The Revenue Cycle Manager will contribute to the day-to-day operations on all issues related to the revenue cycle process, provide analysis, create written processes and procedures and develops and implements a cross functional revenue cycle team.

Essential Duties and Responsibilities:

 Oversee the entire revenue cycle process such as account management, charge reconciliation, communication with insurance providers, collections, cash posting, contract analysis, and billing. Review daily, weekly and monthly key accounts receivables performance metrics to identify trends and areas in need of specific attention. Ensure accurate month-end accounts receivable balances are recorded. Analyze data to identify trends related to denials and rejections; develop and execute plans to avoid, reduce and resolve denials and rejections. Create and communicate revenue cycle policies and procedures. Plan and structure department workflow and staffing. Develop quantifiable goals and metrics for the department. Manage, hire, train, develop, coach and support staff. Understand and interpret insurance explanation of benefits/payment. Ensure that all billing related inquiries from patients, guarantors, staff and payers are responded to in a professional and timely manner. Maintain knowledge of and ensure compliance with state and federal laws/regulations for Medicaid and all other payers. All other duties as assigned by Practice Administrator or Partners.

Qualifications/Education:

Bachelor’s Degree in Accounting, Finance, Business Administration, Health Care Administration or related field. Minimum of three years’ experience in a healthcare billing and managing business office staff. Previous experience in a pediatric facility is preferred.