Corp Managed Svcs RCMS - Senior Manager - Operate

Preferred Field(s) of Study:  

Minimum Year(s) of Experience (BQ) *: US 

12 years of experience 

Certification(s) Preferred:  

Preferred Knowledge/Skills *:  

Key Responsibilities: 

• Team Leadership and Management: 

• Lead and manage a team of revenue cycle specialists and analysts. 

• Foster a culture of collaboration, excellence, and continuous improvement within the team. 

• Provide mentorship, guidance, and support to team members to ensure performance goals are met. 

Revenue Cycle Optimization: 

• Develop and implement strategies to streamline revenue cycle processes from patient registration through to final billing and collections. 

• Identify and implement best practices to enhance revenue capture and minimize denials. 

• Monitor key performance indicators (KPIs) and metrics to track revenue cycle performance and ensure goals are achieved. 

• Financial Analysis and Reporting: 

• Analyze revenue cycle data to identify trends, issues, and opportunities for improvement. 

• Prepare and present regular reports to senior management on revenue cycle performance, including financial metrics, trends, and challenges. 

• Compliance and Risk Management: 

• Ensure compliance with regulatory requirements, payer policies, and internal policies related to revenue cycle operations. 

• Mitigate risks related to revenue integrity, billing accuracy, and compliance with industry standards. 

• Technology and System Integration: 

• Collaborate with IT and other departments to optimize revenue cycle management systems and technologies. 

• Implement upgrades, enhancements, and new software tools to improve operational efficiency and accuracy. 

• Training and Development: 

• Conduct training sessions for staff on revenue cycle processes, policies, and systems. 

• Keep abreast of industry trends and best practices in revenue cycle management and incorporate them into departmental operations. 

• Bachelor’s degree is a mandate. 

• Minimum of 12-15 years of experience in revenue cycle management, with at least 3 years in a managerial role. 

• Strong understanding of healthcare billing, coding, reimbursement methodologies, and revenue cycle operations. 

• Excellent leadership, communication, and interpersonal skills. 

• Proficiency in revenue cycle management software and analytics tools. 

• Ability to analyze complex data and financial information to drive decision-making. 

Additional Requirements: 

• Knowledge of healthcare regulations (HIPAA, Medicare, Medicaid) and compliance requirements. 

Working Conditions: 

• This position typically operates in a professional office environment. 

• Flexible to work in night shifts (US Time zone).