Director Revenue Cycle

emergemarket.com; Philadelphia (Philadelphia County); Hybrid; USD 95,000 - 145,000; Full time

Job summary

Emerge Market in Philadelphia is seeking a Revenue Cycle Manager to lead the department, oversee billing, posting, deposits, and collections, and drive operational efficiency.

You will design training plans, ensure policy adherence, and partner with insurers and vendors to optimize workflows and financial sustainability.

Qualifications

• Bachelor’s degree or higher in a relevant field.
• 7+ years’ experience in healthcare billing, revenue cycle, or collections.
• Proficient with Microsoft Office and EHR software.
• Strong understanding of health insurance processes and Payer relations.
• Ability to lead, train, and coordinate cross-functional teams.

Responsibilities

• Manage departmental matters including personnel, resources, reporting, training, and organizational requirements.
• Develop training plans and facilitate staff training on policies, procedures, and EHR systems.
• Create work standards, monitor quality, and ensure policy communication.
• Oversee revenue cycle processes from charge posting to patient accounts adjunction and collections.
• Analyze performance, identify opportunities, and implement automation for improvements.
• Partner with Health System Administrators to optimize system configuration.
• Act as liaison with insurers, practice management systems, and third-party vendors.
• Generate revenue cycle KPIs and report activities to executive management.

Skills

Leadership

Staff training

Analytical skills

Communication

Interpersonal skills

Problem solving

Education

Bachelor’s Degree in finance, Business Administration, Healthcare Administration, or related field

Tools

Microsoft Office

EHR systems

Job description

• Manage all departmental matters including personnel, resource management, reporting, training, and other organizational requirements
• Develop training plans, facilitate staff training on policies/ procedures, EHR software, other relevant software, systems, metrics, compliance related to the revenue cycle process
• Creates work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administrated consistently
• Management of all business-related functions of the patient visit from point of charge posting, billing, payment posting, deposits, and accurate adjunction of the patient’s accounts. Ensures all services performed are billed/collected for
• Analyzes, troubleshoots, and measures performance for the processes affecting the revenue cycle. Identify all opportunities and all missed opportunities
• Implement reliable solutions for improvement; continually identifying opportunities to automate processes and maximize collections
• Works in partnership with the Health Systems Administrators to ensure optimal system configuration is maintained
• Ensures patient credit balances are handled promptly and appropriately
• Acts as the liaison between the health center and health insurance plans, practice management systems, and third-party vendors
• Collaborates with all levels of the organization to drive results in the above areas. Makes strategic recommendations to improve workflow
• Builds and runs reporting out of the electronic health records o facil ite collections and to build workflow with other departments
• Manages outsourced collection efforts
• Supports the internal QA program by developing, tracking, and improving revenue cycle KPI's
• Reports all revenue cycle activities to executive management for strategic goal building and financial sustainability

Qualifications:

• Bachelor’s Degree in finance, Business Administration, Healthcare Administration, or related field OR 7+ Years’ experience in Healthcare Billing, Collections, and/or Revenue Cycle Management
• Proficient in all Microsoft Office applications as well as medical office software
• Proficient in electronic Health Record Systems
• Proven experience in healthcare billing
• Sound knowledge of health insurance providers
• Strong interpersonal and organizational skills
• The ability to work in a fast-paced environment

Equal Opportunity Employer
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