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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 Manager of Revenue Cycle is tasked with overseeing and directing the billing department's operations. Collaborating closely with the CFO, this role spearheads the billing and collection strategies for the Oregon Urology Institute.

Key Responsibilities:

  • Manage and supervise the billing department's daily operations.
  • Plan and oversee patient insurance documentation, workload coding, billing, and data processing to guarantee precise billing and effective account collections.
  • Evaluate billing and claims for accuracy and completeness, submit claims to appropriate insurance entities, and coordinate with denial teams to resolve discrepancies. Engage with insurance providers and clients to recover outstanding balances.
  • Conduct audits of 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 adherence to procedural requirements and uphold ethical standards in the follow-up of overdue accounts.
  • Supervise the billing and collections team and manage their daily activities.
  • Oversee accounts receivable and the filing of patient claims.
  • Ensure accuracy in coding, billing, and collections processes.
  • 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 solid understanding 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, as well as conduct research to develop plans and solutions.
  • Knowledge of medical coding, billing, follow-up, and collection processes, as well as familiarity with CPT and ICD-10 coding.
  • Proficiency in handling confidential and sensitive information with discretion, and collaborating effectively with administrators, physicians, and peers.

Preferred Qualifications:

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