Revenue Cycle Manager – Practice Performance

Company Overview

Our client is the largest and fastest growing on-site radiology practice in the US.   It is an innovative practice focused on transforming how radiologists provide consistently exceptional services to hospitals, imaging centers, referring physicians and patients.  With state-of-the art clinical technology, specialized expertise, access to capital, and retention of top physician talent, it exceeds the expectations of its clients, patients, and partners.  It serves its clients with an operational focus, and, above all, a commitment to quality patient care.

Position Summary

The Revenue Cycle Manager will responsible for transitioning new billing teams into our client's Revenue Cycle operations. This involves analyzing daily metrics to ensure billing teams are able to maintain service quality and standards post-transition; identifying opportunities and implementing special projects for Revenue Cycle process improvement; and establishing clear lines of communication between the billing team and other teams such as coding, analytics, and IT. The Manager of Revenue Cycle will report to the VP, Revenue Cycle and will focus on building relationships with focal points on various billing teams to foster collaboration and drive results.

Position Duties and Responsibilities

• Develop and maintain strong relationships with contacts on various billing teams; this position will manage multiple billing teams at once
• Monitor performance of billing teams at many different levels to ensure they understand and execute according to performance standards and expectations
• Review daily, weekly and monthly key AR performance metrics to identify trends or areas of focus; work with billing teams to develop, document and implement action plans, as appropriate, to address client issues and ensure claims are submitted and paid in a timely manner
• Coordinate resolution of issues and concerns regarding claims processing and billing issues
• Ensure integrity and compliance in all collections-related processes
• Analyze data to identify trends related to denials and rejections; develops and executes plans to avoid, reduce and resolve denials and rejections
• Collaborate with billing teams and track implementation of process improvement initiatives
• Creatively use technology and innovation to solve issues and improve processes
• Direct and ensure the timely completion of project/work plans
• Maintain knowledge of and ensure compliance with state and federal laws, regulations for Medicare, Medicaid, managed care and other third party payers
• Work with billing teams to solve difficult payment and associated business office problems including claims processing and billing issues across the revenue cycle as well as escalated patient complaints and audits problem accounts

Desired Skills and Experience

• A. or B.S. in Business Administration or related field from a four year College or University and 7 or more years of related experience; or an equivalent combination of education and experience
• 4-5 years of supervisory experience in revenue cycle in a fast paced, high volume, managed care environment
• Demonstrated knowledge of Healthcare reimbursement/collections, medical billing, CPT/ICD9/ICD10 coding, financial reporting and management, with a strong knowledge of the collections process
• Radiology Revenue Cycle and Billing experience is preferred
• Experience in billing system and payor setup / configuration
• Ability to adapt to changes in the work environment and manage competing demands
• Excellent inter-personal, verbal, and written communication skills
• Advanced computer skills and proficiency in MS Excel and PowerPoint required; intermediate skills in MS Word and Outlook required
• Demonstrated ability to successfully lead process improvement projects
• Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups
• Effectively thinks big picture and also has ability to drill down into the details
• Strong communications skills; ability to listen attentively and to communicate information clearly and effectively
• Self-starter with high degree of drive, initiative, and follow through