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Revenue Cycle Manager

2 months ago


Sacramento, United States LHH Full time

We are seeking a dynamic Revenue Cycle Manager to lead our medical billing and coding office. This role is pivotal in optimizing our cash flow, enhancing relationships with patients, physicians, and other key stakeholders, and ensuring that our billing operations run smoothly and efficiently.

Your Impact:

As the Revenue Cycle Manager, you'll be the driving force behind our billing department, overseeing a range of critical functions, including medical coding, charge entry, claims submission, payment posting, accounts receivable follow-up, and reimbursement management. Your leadership will be instrumental in ensuring accurate billing, timely collections, and robust financial reporting, all while upholding the highest standards of compliance and patient service.

Responsibilities:

  • Serve as the go-to expert for all coding and billing processes, guiding your team to achieve peak performance.
  • Oversee the entire billing cycle, from patient insurance documentation to collections, ensuring accuracy and efficiency at every step.
  • Stay ahead of industry changes, ensuring our operations align with Federal, State, and payer regulations.
  • Monitor and analyze billing trends, adjusting staff and procedures to maximize efficiency and revenue.
  • Work closely with other departments to gather necessary patient information and facilitate smooth billing processes.
  • Prepare and analyze accounts receivable reports and financial statements, providing critical insights to the Practice Administrator.
  • Audit current procedures and implement new strategies to enhance the efficiency of our billing and collections operations.
  • Supervise, train, and motivate your team, fostering a culture of excellence and continuous growth.
  • Collaborate effectively with physicians and other departments to streamline coding procedures and resolve any issues promptly.

What You Bring:

  • Bachelor’s degree in finance or accounting (or equivalent experience).
  • A minimum of 8+ years in medical insurance and healthcare billing, with at least 5 years in a leadership role with 5-10 direct reports.
  • Deep understanding of medical billing rules and regulations, including CPT and ICD-10 codes, Medicare, Medi-Cal, and other insurance types.
  • Certified Coder certificate is a plus.
  • Proficiency in MS Office and Patient Management software (Centricity / Athena Healthcare); SQL experience and cardiac healthcare knowledge are major advantages.
  • Strong organizational, planning, and communication skills; ability to multitask and prioritize effectively.
  • Bilingual in Spanish is a plus.

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insuranc