Revenue Cycle Manager

VisionFirst Eye Care; Louisville (KY); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

ESOP

401k

PTO

Health insurance

VISION eye exam and glasses

Life insurance

Disability insurance

Job summary

VisionFirst Eye Care in Louisville, KY manages all billing and revenue cycle activities to maximize cash flow while maintaining strong payer relations and customer service. You will lead the Regional Billing Office, oversee staff, and drive process improvements across the revenue cycle.

The role requires 3–5 years in medical billing and 2+ years in a leadership role, with a college degree or certification preferred. Competitive benefits include ESOP, generous PTO, and health coverage.

Qualifications

• A minimum of three to five years of experience in medical billing is required.
• A minimum of two years of leadership experience with proven results is required.
• College degree or certification preferred, or equivalent education/experience.

Responsibilities

• Provide day-to-day management of the Regional Billing Office.
• Oversee authorization, billing, and collections staff and payer relations.
• Ensure compliance with billing regulations and data management; coordinate credentialing.
• Prepare and analyze reports; monitor AR, revenues, and staff productivity.
• Hire, train, and develop billing staff; evaluate performance and delegate tasks.

Skills

Leadership

Medical Billing

Payer Relations

Process Improvement

Regulatory Compliance

Education

College degree or certification

Tools

Billing software

Job description

We have an opportunity for a Revenue Cycle Manager to join our growing employee-owned company. This role manages all functions of the organization's billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. Key functions of this position include but are not limited to:

Provides day-to-day management of the Regional Billing Office.

• Manages the authorization, billing, and collections staff in handling payer relations, and handles complex complaints and issues.
• Oversees all Billing Department operations including the data entry process, coding and documentation, claim preparation and submission, Accounts Receivable with account follow-up, posting of payments and denials, the collections process, customer service, and appeals operations.
• Plans and allocates resources as needed.
• Participates in the hiring of new employees and provides ongoing training and development resulting in a well-rounded, cross-trained billing team.
• Evaluates employee performance and delegates tasks and work assignments appropriately.
• Communicates effectively with leadership and location managers.
• Recommends process improvements that increase team efficiency and maximize results.

Oversees all billing activities.

• Coordinates all activities of the Regional Billing Office; and assures compliance with all Federal, State, and local regulations in regards to billing and data management.
• Evaluates reimbursements to ensure amounts received are consistent with amounts expected.
• Maintains up-to-date expertise and knowledge of healthcare billing laws and regulations. Provides information and recommendations necessary for the organization to make informed business decisions.
• Oversees the credentialing process.
• Evaluates and recommends changes to policies and procedures related to all aspects of the revenue cycle process.
• Understands MACRA/MIPS guidelines and implements necessary revisions each year. Files annual reporting to avoid payment reduction.
• Oversees the records requests process.

Prepare, analyze, and maintain reports to help ensure maximum profitability.

• Monitors financial management by reviewing all necessary reports. Identifies discrepancies in the data and research/recommend solutions.
• Creates and monitors reports to monitor staff productivity, AR buckets, and adjustments.
• Tracks and reports on revenue cycle metrics. Ensures timely reporting of reports and metrics to the Finance Director and leadership team.

A successful candidate will have the following qualities:

A minimum of three to five years of experience in medical billing is required. A minimum of two years of leadership experience with proven results is required. College degree or certification preferred, or equivalent education/experience.

Benefits Include:

• Employee Stock Ownership Program (ESOP) and 401k
• Generous paid time off including up to 3 weeks of PTO in the first year and 7 paid holidays
• Medical and Dental Insurance, including up to a $500 employer contribution to your HSA
• Company-paid life insurance with supplemental plans available
• Long-term and short-term disability insurance
• Free eye exam and glasses