Revenue Cycle Manager

3 weeks ago


Santa Clarita CA, United States Nearterm Corporation Full time

Join a mission-driven, community-focused health care provider that offers a warm, collaborative culture where employees feel supported, appreciated, and empowered to grow. Work in a supportive, mission-centered environment with leadership that truly invests in its team. Report to a seasoned Director of Revenue Cycle who grew through the organization and is eager to mentor the next leader. Lead a small, collaborative billing team and make an immediate impact on performance and systems. Oversee hands-on billing operations including claims submission, denial management, appeals, and payment posting. Monitor team productivity and provide coaching to improve accuracy and efficiency. Reduce AR backlog, strengthen denial follow-up, and improve KPIs such as AR days, denial rates, and first-pass acceptance. Identify claim issues before submission to minimize rework and refunds. Partner with providers on documentation and coding when needed. Desired Qualities, Skills and Experience: 2+ years of supervisory experience in full cycle healthcare revenue cycle operations. Has the experience monitoring a team to ensure that they're keeping up with the productivity for the day, and can help manage deadlines, is good at prioritizing their tasks, and who can also help improve KPIs such as AR days, denial rates, and first pass acceptance. High-level, well rounded RCM knowledge and understanding of billing, coding ethics, eligibility, denial management and workflows, making appeals and follow ups, and payer requirements. Someone who can understand why claims are denied. Preferably someone familiar with PPS wraparound payments, add-on codes, and modifier knowledge. A CPC or equivalent coding certification is preferred but not limited to AAPC; RAHIMA or other accredited credentials are acceptable. Understands coding for multiple specialties. Someone who isn't afraid to query providers, possibly meet with them if need be regarding their documentation. Experience with Epic and eClinicalWorks. Perks and Benefits: Relocation assistance Discretionary annual bonus based on organization's financial success Medical, dental, vision FSA, PTO, retirement plan Supportive culture with regular employee appreciation


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