Patient Service and Revenue Manager

Carrell Clinic, a DIivision of OrthoLoneStar; Dallas (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Carrell Clinic, a Division of OrthoLoneStar, seeks a Patient Service & Revenue Manager to lead all front-end revenue cycle operations, ensuring an excellent patient experience while maximizing financial performance. You will supervise patient access, registration, insurance verification, referrals, and authorizations to support clean claims and accurate billing.

The role requires strong leadership, healthcare administration knowledge, and experience in pediatric/orthopedic practice settings.

Qualifications

• Bachelor's degree in a related field preferred.
• Five+ years in physician practice operations or revenue cycle.
• Experience leading front-end revenue cycle and patient access teams.

Responsibilities

• Oversee front-end revenue cycle operations and patient access workflows.
• Lead registration, insurance verification, referrals, and authorizations.
• Monitor clean claim generation and reduce denials related to front-end processes.
• Collaborate with RCM to align operations and resolve issues onsite.
• Provide financial counseling and patient estimates; assist with time-of-service collections.
• Train and mentor staff; develop standardized workflows.

Skills

Leadership

Patient Access

Revenue Cycle

Process Improvement

Customer Service

Education

Bachelor's degree in Healthcare Administration or related field

Healthcare leadership experience considered

Tools

EHR systems (Epic)

Practice Management Systems

Medical Billing Software

Job description

Patient Service & Revenue ManagerReports to Chief Executive OfficerPosition SummaryThe Patient Service & Revenue Manager is responsible for leading all front-end revenue cycle operations within theorthopedic practice to ensure an exceptional patient experience while maximizing financial performance. This positionoversees patient access processes including registration, insurance verification, referrals, authorizations, point-of-servicecollections, patient estimates, and front office workflows that directly impact clean claims and revenue capture.The manager serves as the primary liaison between the practice and the Revenue Cycle Management (RCM) department,ensuring operational alignment, resolving front-end billing issues, and providing onsite support to patients and staffregarding insurance and financial questions.Essential ResponsibilitiesThe essential duties of the position include the following. Other duties may be assigned.Patient Access Operations• Oversee daily operations of front office check-in and check-out processes.• Ensure accurate patient registration and demographic information.• Monitor workflows to improve efficiency, patient satisfaction, and revenue integrity.• Ensure timely and accurate collection of required documentation.Revenue Integrity• Ensure clean claim generation through accurate front-end processes.• Monitor registration accuracy, insurance verification, and documentation requirements.• Reduce claim denials related to registration, eligibility, authorizations, and referrals.• Partner with RCM to identify trends and implement corrective action plans.Insurance Verification, Referrals & Authorizations• Oversee insurance eligibility verification processes.• Ensure appropriate referrals and prior authorizations are obtained before services.• Supervise staff responsible for prior authorizations.• Serve as the subject matter expert for payer requirements and insurance-related questions.Patient Financial Services• Ensure accurate patient estimates are generated.• Oversee surgery estimates and collections.• Ensure appropriate time-of-service collections are obtained.• Assist patients with estimate questions and straightforward account balance inquiries.• Escalate complex billing concerns to Revenue Cycle when appropriate.Training & Staff Development• Train and mentor front office staff and management regarding:o Insurance coverageo Referral requirementso Prior authorizationso Patient estimateso Collection policieso Financial counseling basicso Registration accuracy• Develop standardized workflows and educational resources.• Monitor staff competency and provide ongoing coaching.Revenue Cycle Collaboration• Serve as the operational liaison between clinic leadership and the Revenue Cycle department.• Participate in revenue cycle meetings and initiatives.• Communicate payer changes and workflow updates to clinic staff.• Assist with implementation of new revenue cycle processes.• Help resolve front-end billing issues before they become claim denials.Patient Experience• Provide onsite assistance for patients with:o Estimate questionso Insurance coverage questionso Time-of-service payment expectationso Basic account balance inquiries• Promote a positive financial experience through clear communication and compassionate service.Performance Monitoring• Monitor key performance indicators including:o Clean claim rateo Front-end denial trendso Point-of-service collection rateso Authorization completiono Estimate accuracyo Registration accuracyo Patient satisfaction related to access and financial services• Develop action plans to improve operational performance.QualificationsEducation• Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred.• Equivalent healthcare leadership experience may be considered.Experience• Five or more years of experience in physician practice operations, revenue cycle, patient access, or medical officemanagement.• Orthopedic practice experience preferred.• Supervisory or leadership experience preferred.KnowledgeStrong understanding of:• Medical insurance plans• Commercial and government payers• Prior authorizations• Referrals• Medical terminology• Patient financial counseling• Revenue cycle operations• Medical billing fundamentals• Point-of-service collections• Clean claim principles• Practice management systems and electronic health recordsSkills• Strong leadership and coaching abilities• Excellent customer service and communication skills• Ability to resolve patient concerns professionally• Strong analytical and problem-solving skills• Ability to collaborate across departments• Detail-oriented with excellent organizational skills• Ability to manage multiple priorities in a fast-paced clinical environmentSuccess MeasuresSuccess in this position will be demonstrated by:• Improved clean claim rate• Reduced front-end claim denials• Increased point-of-service collections• Timely completion of authorizations and referrals• High patient satisfaction with financial communication• Well-trained, knowledgeable front office staff and management• Strong collaboration between clinic operations and Revenue Cycle• Consistent compliance with payer requirements and organizational policies