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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: The Center for Orthopedic and Research Excel is a premier healthcare provider specializing in comprehensive orthopedic care. With a commitment to excellence, we have expanded our reach and now operate numerous specialty locations, employing a diverse team of healthcare professionals dedicated to patient care.

We pride ourselves on fostering a supportive work environment, making our organization a place where employees thrive.

Benefits: We offer a competitive benefits package designed to support our employees, including:

  • Comprehensive Health, Pharmacy, Vision, and Dental Plans
  • Disability and Protective Benefits
  • Health Savings Account with company contributions
  • 401(k) plan with employer matching
  • 24/7 Employee Assistance Program
  • Benefits eligibility starting on the first of the month following the hire date

Key Responsibilities:

  • Oversee daily operations of the billing department to optimize revenue and cash flow while ensuring compliance with established policies.
  • Monitor accounts receivable processes and implement corrective actions as necessary.
  • Report performance metrics and action plans to senior management.
  • Develop strategies to achieve key revenue cycle indicators, including accounts receivable days and cash collections.
  • Analyze financial data and present trends and insights to leadership.
  • Regularly review billing workflows to ensure equitable distribution of tasks and achievement of departmental goals.
  • Address complex issues involving patients and providers as needed.
  • Manage self-pay receivables and vendor relationships to facilitate resolution of accounts receivable.
  • Establish and refine policies and procedures for operational efficiency.
  • Engage with payers to resolve issues and ensure compliance with contract terms.
  • Supervise hiring, training, and performance evaluations of billing staff.
  • Maintain in-depth knowledge of third-party billing requirements and reimbursement practices.
  • Conduct staff meetings to discuss reimbursement methodologies and updates in insurance guidelines.
  • Stay informed on compliance regulations and ensure the billing team is educated on relevant standards.
  • Meet deadlines set by senior leadership.
  • Investigate and resolve discrepancies promptly.

Qualifications:

  • Required: Coding Certification or equivalent experience.
  • Preferred: Bachelor's degree in Business Administration, Accounting, Finance, or related field.

Experience:

  • Minimum of five years in a leadership role within healthcare revenue cycle operations.
  • Experience in orthopedic specialties is preferred.
  • Prior managerial experience with a proven ability to lead and motivate teams.

Skills:

  • Effective communication skills with various stakeholders.
  • Thorough understanding of the Revenue Cycle Management process.
  • Proficient in financial data analysis.
  • Strong interpersonal skills, including conflict resolution.
  • Proficient in Microsoft Office Suite, particularly Excel.
  • Organized and capable of meeting deadlines.
  • Ability to manage large teams and streamline workflows.
  • Knowledge of claims processing and regulatory requirements.
  • Familiarity with coding systems and medical terminology.
  • Commitment to maintaining patient confidentiality.
  • Ability to multitask in a dynamic environment.
  • Strong attention to detail and problem-solving skills.