Revenue Cycle Manager - Healthcare Organization - South of Tucson

  • Northeast Healthcare Recruitment
  • Sierra Vista, AZ, USA
  • Dec 07, 2018

Job Description

Large Healthcare organization located south of Tucson is seeking an experienced Revenue Cycle Manager.


Essential Job Duties:

  • Manages Billing and Coding Staff and Operations

·        Directs and oversees all billing and coding staff, to include hiring, training, evaluating, and conducting disciplinary actions and other personnel actions as required.

·        Facilitates and promotes orientation, operational training, hands-on coaching, and other staff development tools and resources for all billing and coding staff, and monitors performance.

·        Gathers and reports accurate data to facilitate and support leadership requests, and internal and external audits as required.

·        Provides data and develops dashboards comprised of graphs utilizing both billing, coding and charges utilizing the data for the CFO to assist in overall financial decision making.

·        Directs, develops and implements policies and procedures regarding billing and coding operations.

·        Engages in tactical and strategic planning activities and implements tactical and strategic decisions into operational plans.

·        Attends and participates in Management, Continuous Quality Improvement, and other staff meetings as needed. 

·        Assists in system administration of NextGen by reviewing and editing billable service items and other menu items and templates that affect billing.

·        Conducts revenue cycle CQI and regular operational staff meetings routinely.


  • Assists in Maintaining Financial Strength

·        Ensures that Month End closings are completed in a timely and accurate manner.

·        Reviews the End of Month balances of Patient Accounts Receivable for accuracy.

·        Analyzes aging of patient Accounts Receivable on a monthly basis and directs billing staff to improve payment statuses and collections.

·        Ensures that charges and payments are posted daily.

·        Manages claim denials to identify causes, corrective actions and ensures timely resubmission.

·        Manages patient accounts regarding payment arrangements, collections and resolution of complaints and correction of errors.

·        Conducts routine internal audits of charges, payments, denials, resubmissions and adjustments.

·        Ensures that unbilled encounters and un-submitted charges are addressed.

·        Assists in negotiation and renegotiation of contracts.

·        Assists with various projects in support of Leadership.


Required Education, Experience, Certificates & Licenses:

·        Bachelor’s degree in healthcare administration, public health, business management or a related field required, Master’s degree preferred.

·        Four or more years of supervisory experience required..

·        Three or more years of healthcare related experience in revenue cycle activities such as; billing, coding, charges, denials and/or adjustments.

·        Certified Professional Coder Certification is a plus.

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