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Senior Revenue Cycle Operations Manager

2 months ago

Springfield, Oregon, United States Oregon Urology Institute Full time
Job Overview

Position Summary:

The Senior Revenue Cycle Operations Manager plays a pivotal role in overseeing the billing department's activities. Collaborating closely with the Chief Financial Officer, this position directs and manages the billing and collection strategies for the Oregon Urology Institute.

Core Responsibilities:

  • Oversee and manage the daily operations of the billing department.
  • Plan and direct patient insurance documentation, workload coding, billing, and data processing to ensure precise billing and effective account collection.
  • Analyze billing and claims for accuracy and completeness, submit claims to appropriate insurance entities, and collaborate with denial teams to resolve discrepancies. Engage with insurance companies and clients to recover outstanding balances.
  • Audit existing procedures to enhance the efficiency of billing operations.
  • Ensure compliance of billing operations with federal, state, and payer regulations, guidelines, and requirements. Communicate necessary changes to the leadership team and implement process adjustments as required.
  • Maintain ethical standards for the follow-up of overdue accounts and ensure procedural requirements are met.
  • Supervise staff and manage the daily functions of the billing and collections team.
  • Handle accounts receivable and the filing of patient claims.
  • Ensure accuracy in coding, billing, and collections.
  • Collaborate with insurance companies and clients to secure all outstanding balances.

Minimum Qualifications:

  • A minimum of 5 years of experience in the healthcare revenue cycle environment, with a strong grasp of medical billing principles.
  • Experience in the implementation, configuration, and assessment of revenue cycle systems, along with familiarity with medical records information systems and medical terminology.
  • Ability to interpret, analyze, and evaluate data, conducting research to develop plans and solutions.
  • Comprehensive knowledge of medical coding, billing, follow-up, collection processes, and familiarity with CPT and ICD-10 coding systems.
  • Proficiency in handling confidential and sensitive information with discretion, while collaborating effectively with administrators, physicians, and peers.

Preferred Qualifications:

  • Ability to develop, analyze, implement, and monitor productivity levels and quality improvement strategies, with effective communication skills.
  • A Bachelor's or Associate's degree in business administration, healthcare administration, finance, or accounting is preferred.
  • CPC certification is preferred.