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Revenue Cycle Director

2 months ago

Sacramento, California, United States LHH Full time
Revenue Cycle Manager

LHH is seeking a seasoned Revenue Cycle Manager to lead our medical billing and coding office. This critical 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 the 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.

Key Responsibilities:

  • Develop and implement effective billing processes, 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.
  • Collaborate 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.
  • Work closely with physicians and other departments to streamline coding procedures and resolve any issues promptly.

Requirements:

  • 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.
  • Strong organizational, planning, and communication skills; ability to multitask and prioritize effectively.
  • Bilingual in Spanish is a plus.