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Revenue Cycle Operations Supervisor

2 months ago

Newtown Square, Pennsylvania, United States Center for Orthopedic and Research Excel Full time
Job Overview

Center for Orthopedic and Research Excel is seeking a Revenue Cycle Manager to lead our centralized billing operations.

About Us: We are a comprehensive orthopedic practice dedicated to delivering exceptional care for a variety of orthopedic conditions. Our collaboration with leading healthcare organizations has enabled us to expand our services and enhance patient outcomes.

We take pride in our workplace culture, fostering an environment where over 1000 professionals thrive and contribute to our mission.

Benefits:

  • Comprehensive Health, Pharmacy, Vision, and Dental Plans
  • Disability and Protective Benefits
  • Health Savings Account with employer contributions
  • 401k retirement plan with company matching
  • 24/7 Employee Assistance Program
  • Eligibility for benefits begins on the first of the month following hire

Key Responsibilities:

  • Oversee daily operations of the billing department to optimize revenue and cash flow while ensuring compliance with established policies.
  • Monitor accounts receivable and implement corrective actions as necessary.
  • Report performance metrics and action plans to executive leadership.
  • Identify and enhance processes to meet critical revenue cycle objectives, including A/R days and cash collections.
  • Analyze financial data and present insights and trends to senior management.
  • Regularly review billing workloads to ensure equitable distribution and achievement of departmental goals.
  • Address complex issues involving patients and providers as required.
  • Manage self-pay receivables and vendor relationships to facilitate A/R resolution.
  • Develop and refine policies and procedures, evaluating new systems and recommending improvements.
  • Engage with payers to resolve issues effectively.
  • Supervise hiring, training, and performance evaluations of billing staff.
  • Maintain thorough knowledge of third-party billing requirements and reimbursement practices.
  • Conduct staff meetings to discuss reimbursement methodologies and changes in insurance guidelines.
  • Stay informed about compliance regulations and ensure departmental adherence.
  • Meet deadlines set by senior leadership.
  • Investigate and resolve discrepancies promptly.

Qualifications:

  • Coding Certification or equivalent experience is required.
  • A Bachelor's degree in Business Administration, Accounting, Finance, or a related field is preferred.

Experience:

  • At least five years of leadership experience in a healthcare billing department.
  • Experience in orthopedic specialties is preferred.
  • Prior experience with billing for physical therapy or ancillary services is a plus.
  • Demonstrated managerial skills with a positive and motivating leadership style.

Skills:

  • Effective communication with physicians, staff, patients, and external stakeholders.
  • Comprehensive understanding of the Revenue Cycle Management process.
  • Proficient in analyzing financial data.
  • Strong interpersonal skills, including conflict resolution.
  • Proficient in Microsoft Office Suite, particularly Excel.
  • Well-organized with the ability to meet deadlines.
  • Experience managing large medical billing teams and optimizing workflows.
  • Knowledge of claims processing systems and regulations.
  • Familiarity with medical coding and billing practices.
  • Ability to maintain confidentiality and manage multiple tasks in a fast-paced environment.
  • Strong attention to detail and ability to identify process improvement opportunities.