Revenue Cycle Manager

Foothills Neurology; Phoenix, Northern (AZ, KY); Hybrid; USD 95,000 - 130,000; Full time

Benefits offered by this job

Health Insurance

Dental & Vision

Retirement plan with company match

Paid time off

Professional development

Job summary

Foothills Neurology in Phoenix is seeking a Revenue Cycle Manager to oversee billing, coding, credentialing and denials management. You will lead a team to streamline processes and ensure compliant, timely reimbursement.

The role requires a Bachelor's in healthcare administration, 5+ years in revenue cycle, strong CPT/ICD-10 knowledge, and proficiency with RCM software and EHR. This on-site position offers competitive benefits and growth opportunities.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, or related field (Master’s preferred).
• Minimum of 5 years of experience in revenue cycle management, with a strong background in credentialing processes within a healthcare setting.
• Strong knowledge of medical billing, coding (CPT, ICD-10), and reimbursement methodologies.
• Excellent analytical skills with a focus on financial metrics and performance improvement.
• Proficient in revenue cycle management software and electronic health record (EHR) systems.
• Exceptional leadership and communication skills.

Responsibilities

• Oversee the revenue cycle from patient registration through claims processing and collections.
• Ensure timely and accurate billing and coding of services rendered.
• Oversee the credentialing process for all providers and maintain documentation.
• Supervise and mentor billing, coding, and credentialing staff; drive continuous improvement.
• Conduct regular training on best practices and regulatory changes.
• Monitor KPIs, analyze trends, and prepare financial reports for leadership.

Skills

RCM leadership

Credentialing

Billing & coding

Regulatory compliance

EHR systems

Analytical skills

Communication skills

Education

Bachelor's degree in Healthcare Administration

Master's degree preferred

Tools

RCM software

EHR systems

Payer portals

Job description

About Us:

We are a leading private neurology practice in the Phoenix area, dedicated to providing exceptional patient care and innovative neurological solutions. Our team is committed to excellence, and we are looking for a skilled Revenue Cycle Manager to join our administrative team.

Position Overview:

The Revenue Cycle Manager will oversee all aspects of the revenue cycle process, ensuring the practice operates efficiently and effectively. This role involves managing billing, collections, coding, compliance, and credentialing to maximize revenue and maintain a high standard of financial integrity.

Key Responsibilities:

• Revenue Cycle Oversight:
  
  
  
  • Manage the entire revenue cycle process, from patient registration through claims processing and collections.
  
  
  • Ensure timely and accurate billing and coding of services rendered.
  
  
  
  


• Credentialing Management:
  
  
  
  • Oversee the credentialing process for all providers, ensuring compliance with state and federal regulations.
  
  
  • Maintain up-to-date documentation for all provider credentials, licenses, and certifications.
  
  
  • Work with insurance companies to ensure timely enrollment and re-credentialing of practitioners.
  
  
  
  


• Supervise and mentor billing, coding, and credentialing staff, fostering a culture of continuous improvement and professional development.


• Conduct regular training sessions to keep staff updated on best practices and regulatory changes.


• Monitor and analyze key performance indicators (KPIs) to identify trends and areas for improvement.


• Prepare regular financial reports for practice leadership, highlighting revenue trends, denials, and outstanding accounts.


• Compliance and Regulations:
  
  
  
  • Ensure compliance with all federal, state, and payer regulations related to billing and credentialing practices.
  
  
  • Maintain up-to-date knowledge of coding changes, payer policies, and regulations affecting revenue cycle management.
  
  
  
  


• Address patient inquiries related to billing and payment processes, ensuring positive patient experiences.


• Collaborate with clinical staff to resolve any billing discrepancies or issues.


• Denial Management:
  
  
  
  • Develop and implement strategies to reduce claim denials and improve collections.
  
  
  • Work closely with payers to resolve billing issues and appeals.
  
  
  
  


• Comprehensive health, dental, and vision insurance. Employer pays first 90% of the base plan for employee coverage only.


• Employee paid Short Term Disability, Long Term Disability, Critical Care


• Employer paid Life Insurance


• Employee Assistance Program


• Retirement savings plan with employer match.


• Paid time off and holidays.


• Opportunities for professional development and continuing education.

Requirements

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, or related field (Master’s preferred).


• Minimum of 5 years of experience in revenue cycle management, with a strong background in credentialing processes within a healthcare setting.


• Strong knowledge of medical billing, coding (CPT, ICD-10), and reimbursement methodologies.


• Excellent analytical skills with a focus on financial metrics and performance improvement.


• Proficient in revenue cycle management software and electronic health record (EHR) systems.


• Exceptional leadership and communication skills.