Revenue Cycle Manager

Tenavi Staffing; Pittsburgh (Allegheny County); On-site; USD 144,200 - 265,600; Full time

Job summary

A healthcare staffing company is seeking a Revenue Cycle Manager in Pittsburgh, PA. This role involves supervising the revenue cycle processes, managing team performance, and ensuring efficient billing practices. Candidates should possess a Bachelor’s degree in finance or a related field and have 4-7 years of experience in healthcare management. Proficiency in Microsoft Office, especially Excel, along with strong analytical and communication skills, is essential. Join this organization to contribute to enhancing revenue efficiency in a dynamic healthcare environment.

Qualifications

• 4-7 years of experience in Healthcare Management.
• Solid knowledge of health insurance providers.
• Proficient in advanced Excel skills.

Responsibilities

• Supervise the revenue cycle data process for payment posting and adjustments.
• Monitor claims in portals for timely acceptance.
• Prepare and monitor revenue cycle dashboards.

Skills

Quantitative and analytical skills

Communication skills

Problem-solving initiative

Interpersonal skills

Organizational skills

Education

Bachelor’s degree in finance, accounting, business, healthcare, or related field

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Microsoft PowerPoint

Microsoft Access

Medical office software

Job description

Our client is seeking a Revenue Cycle Manager. Under direction of the Senior Director of Revenue Cycle Management, this position works to continually increase revenue in the most cost-effective and efficient manner.

Essential Duties and Responsibilities

• Supervising the revenue cycle data process for payment posting, adjustments, write offs, denials, appeals and refunds in EMR’s.
• Monitoring claims in payor and clearinghouse portals to ensure timely receipt and acceptance, ensuring claims are processed accordingly.
• Supervising payment posting and reconciling remittance posting in EMR to balance bank deposits.
• Managing month end close for billing purposes.
• Preparing and monitoring revenue cycle dashboards.
• Collaborating with Operations and Clinical teams to ensure receipt of accurate billing information.
• Implementing all new payors including rate/service types and contractual rules.
• Performing daily, monthly, and quarterly audits to confirm claim requirements are met for clean claim submission.
• Efficiently manages client complaints relating to billing and collections.
• Negotiate payment arrangements with private pay clients, sending statement letters on a weekly and monthly basis.
• Coordinates uncollectible accounts, sending them to the attorney or collection vendor as specified, for further collection options.
• Assists in training coordination and support between agencies for revenue cycle processes, providing insight and recommendations to optimize organizational efficiencies.
• Oversee the hiring and training of revenue department staff.
• Manages Team performance via ongoing feedback, one-on-one coaching, and on-going productivity metrics.
• Perform duties detailed in the Revenue Cyle Analyst and Revenue Cycle Team Lead job descriptions, as needed.
• Performs additional duties and responsibilities as assigned, including special projects, as deemed necessary.

Education and Experience

• Bachelor’s degree in finance, accounting, business, healthcare, or related field.
• Ability to travel and work on site at branch office(s) as needed.
• Minimum of 4-7 years of experience in Healthcare Management.
• Proficient in all Microsoft Office suite applications (Excel, Word, Outlook, PowerPoint, Access) as well as medical office software. Advanced Excel skills are highly preferred.
• Solid quantitative and analytical skills with initiative for problem-solving.
• Effective written and verbal communication skills.
• Experience working in a dynamic and fast-growing company environment a plus.
• Strong interpersonal and organizational skills.
• Proven experience in healthcare billing and sound knowledge of health insurance providers.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Accounting/Auditing

Industries

• Hospitals and Health Care

Locations and Compensation

Pittsburgh, PA $144,200.00-$265,600.00 2 weeks ago

Coraopolis, PA $141,000.00-$207,000.00 2 weeks ago