Revenue Cycle Operations Manager

4 weeks ago


New York, New York, United States HHA eXchange Full time
Job Title: Revenue Cycle Manager

HHAeXchange is a leading technology platform for home and community-based care. Our mission is to transform the healthcare space by building a comprehensive end-to-end homecare solution. We are seeking an experienced Revenue Cycle Manager to oversee our billing operations and ensure timely and accurate claims billing for customers.

Key Responsibilities:
  • Oversee the billing services process and ensure accurate and timely billing and claims management of Cashe Software customers.
  • Manage a team of billing specialists and provide leadership and support as needed.
  • Develop and maintain billing policies and procedures to ensure compliance with regulatory requirements.
  • Keep apprised of upcoming payor related changes that impact successful transmission of claims.
  • Identify opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals.
  • Review and analyze billing data to identify trends and areas for improvement.
  • Establish Key Performance Indicators to maintain oversight and management of billing department and individual biller workload.
  • Regularly review account status with billing services customers to ensure that all expectations, commitments and requirements are being met.
  • Collaborate with other departments to ensure smooth and efficient billing operations and that billing process is optimized with current system capabilities.
  • Respond to billing inquiries and resolve billing issues as needed.
  • Prepare and present billing reports to senior management.
Requirements:
  • Minimum of 5 years of experience in billing and/or claims management.
  • Bachelor's Degree preferred.
  • Strong leadership and management skills, including at least 2 years prior experience managing a team of billing specialists.
  • Excellent attention to detail and analytical skills.
  • Proven experience in process improvement and standardizing billing operations.
  • Familiarity and prior experience with Medicaid claims billing and MCO billing through Clearinghouses for MN Home & Community Based Services is required.
  • Strong communication and interpersonal skills.
  • Ability to work under pressure and meet deadlines.
  • Proficient in MS Office (especially Excel).
  • Knowledge of regulatory requirements related to Medicaid claims billing.
  • Experience with Medicaid billing in various states outside of MN a plus.
What We Offer:
  • Competitive salary range: $80,000-$100,000.
  • Benefits-eligible position with competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, and other company-sponsored programs.
  • Equal-opportunity employer with a commitment to diversity and inclusion.


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