Revenue Cycle Manager

We are seeking a Revenue Cycle Manager to add to our team in Germantown, Tennessee, 38138, United States. Acting as a pivotal player in our operations, the Revenue Cycle Manager will be entrusted with the management of customer credit applications, maintenance of accurate records, resolution of customer inquiries, and oversight of customer accounts.

Responsibilities:

• Direct and enhance the revenue cycle process for outpatient services, incorporating patient registration, insurance verification, coding, billing, and collections.
• Formulate and implement strategies to augment revenue cycle performance.
• Spearhead a team of billing and coding professionals, offering direction, training, and performance assessments.
• Ensure adherence to healthcare regulations, payer guidelines, and industry standards.
• Cooperate with clinical and administrative teams to optimize processes, improve workflow efficiency, and guarantee accurate patient data.
• Detect and rectify billing discrepancies and denials, liaising closely with insurance carriers and patients to expedite payment.
• Evaluate key performance indicators (KPIs) and devise strategies to enhance revenue cycle metrics, including minimizing days in accounts receivable (AR) and reducing claim rejections.
• Keep abreast with healthcare industry trends, payer policies, and alterations to billing and coding standards.
• Cultivate and sustain relationships with insurance payers, negotiating payment terms, and resolving escalated billing issues as required.
• Regularly report to senior management on revenue cycle performance, trends, and avenues for improvement.
• Minimum of 5 years of experience in a similar role as a Revenue Cycle Manager
• Familiarity with Accounting Software Systems
• Experience with Customer Relationship Management (CRM) systems
• Familiarity with Epic Software
• Demonstrated experience in Accounting Functions
• Proficiency in managing Accounts Receivable (AR)
• Experience in Auditing
• Proficiency in Billing Functions
• Understanding of Budget Processes
• Experience in Medical Billing
• Knowledge of ICD-10 coding
• Proficiency in Medical Coding