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Revenue Cycle Manager

2 months ago


Silver Spring, Maryland, United States Community Clinic Inc. Full time
Job Title: Revenue Cycle Manager

We are seeking a highly skilled Revenue Cycle Manager to join our team at Community Clinic Inc. (CCI). As a key member of our finance department, you will be responsible for overseeing and managing the entire revenue cycle process, ensuring efficient and accurate billing, and providing high-quality, cost-effective, and culturally sensitive services in accordance with all Federal, State, and Local agency policies and procedures.

Key Responsibilities:
  • Transform the Central Billing Office (revenue cycle department) into a high-performing team, working closely with the Chief Financial Officer (CFO) to achieve this goal.
  • Collaborate with billing management and accounting personnel to ensure timely and accurate submission of claims, collections, reporting, and reconciliation between billing and accounting systems.
  • Analyze trends in revenues, adjustments, and visits, and prepare and present monthly revenue cycle reports to management, highlighting key data and insights.
  • Facilitate, coordinate, and effectuate contract relationships with payers, including contract negotiations, and review financial hardship applications.
  • Conduct research and analysis of receivables to identify opportunities for improvement and initiate process improvements in collaboration with other stakeholders.
  • Participate and coordinate receivable and revenue cycle aspects of the annual audit to ensure timely finalization with positive outcomes.
Managerial Responsibilities:
  • Supervise and orient billing staff, assign work, develop work schedules, and instruct proper billing procedures.
  • Develop and revise departmental billing processes and procedures, monitor staff performance, and provide feedback.
  • Responsible for supervision of staff scheduling, paid time off, time clock management, and timesheet submission to payroll.
  • Conduct regular meetings with staff, ensure staff expectations are consistent with the goals of CCI-Finance, and ensure each staff member understands their job description, desired results, and available resources.
  • Ensure all annual performance evaluations are completed by due dates.
Requirements:
  • Bachelor's degree in accounting, finance, business administration, healthcare administration, or a related field.
  • 5-10 years of management experience in a healthcare revenue cycle space, preferably with a Federally Qualified Health Center.
  • Experience with electronic health records (EHRs) and medical office software.
  • Proven experience in healthcare billing, sound knowledge of health insurance providers, and strong interpersonal, organizational, and negotiating skills.
  • Excellent customer service skills, ability to work in a fast-paced environment, and ability to work on-site.
Why Work at CCI?
  • Comprehensive benefits package, including generous PTO plan, nine paid federal holidays, and 403B and 457 Retirement Plan(s) with employer match.
  • Tuition reimbursement, continuing education assistance, and approved FQHC for the NHSC loan repayment program for certain clinical positions.