Revenue Cycle Manager

Curalta Foot & Ankle; Rochelle Park (NJ); On-site; USD 85,000 - 100,000; Full time

Job summary

Curalta Health in Rochelle Park, NJ is seeking a Revenue Cycle Manager to oversee end-to-end revenue cycle operations, from verification and coding to submissions and collections. The role includes leading a team, driving denials management, and ensuring payer and regulatory compliance within a patient-centered care environment.

The position requires a minimum of 5 years in healthcare revenue cycle, proficiency with Modernizing Medicine and EHRs, and strong communication skills.

Qualifications

• Bachelor’s degree in finance or business preferred or equivalent experience
• Minimum 5 years Revenue Cycle experience in healthcare or medical office supervisory experience
• Experience with insurance company procedures, regulations, and billing requirements
• Experience with medical terminology and coding
• Experience with facility credentialing and managed care contracting
• Experience with billing software Modernizing Medicine preferred
• Experience with Podiatry billing a plus
• Strong oral and written communication skills

Responsibilities

• Manage end-to-end revenue cycle including insurance verification, coding and claim submissions
• Respond to patients, doctors, and field staff inquiries via phone or email
• Serve as a point of contact for resolving issues by troubleshooting and finding effective resolutions
• Analyze denials, identify trends, implement strategies to reduce, fix and prevent denials
• Monitor metrics such as Days in AR, collection rates, coding errors and reporting to leadership
• Supervise, train, mentor staff to improve efficiency and accuracy and evaluate performance
• Ensure compliance with state/federal regulations (including Medicare and Medicaid) and develop internal policies for billing accuracy
• Complete annual performance reviews for direct report employees
• Utilize EHR and practice management systems (Modern Medicine)
• Assist VP of Revenue Cycle in various projects and responsibilities as needed
• Apply DRH Standards of Behavioral and exhibit behavior consistent with DRH core values
• Other special projects as assigned

Skills

Time management

Organization

Communication skills

Multitasking

Independent worker

Education

Bachelor's degree in finance or business

Tools

Microsoft Office

Modernizing Medicine

EHR systems

Practice management software

Job description

Curalta Health is the largest and foremost network of podiatrists in the Northeast, focused on delivering high-quality, complete foot and ankle care. Curalta’s providers combine decades of experience with a forward-thinking, innovative approach to treatment in order to maximize patient outcomes and experiences across all lower extremity conditions. Curalta delivers exceptional service to patients by offering best-in-class administrative support to its practices and providers.

This opportunity is for a Revenue Cycle Manager in our Rochelle Park, NJ offices.

The Revenue Cycle Manager is responsible for managing the overall functions of Revenue Cycle for Curalta Health LLC. Responsible for maximization of revenue and cash flow. This includes oversight of all the revenue cycle from the initial billing, coding, follow-up, appeals through the collections process. Responsible for maximizing revenue and ensuring timely billing, steady cash flow. Lead teams to analyze and maintain key performance metrics, resolve denial and rejections, establish escalation protocols, maintain payer portals, provide direction for the team, and ensure compliance with regulations.

Essential Functions, Job Duties & Responsibilities

• Manage the end-to-end revenue cycle, including insurance verification, coding and claim submissions
• Responding to all patients, doctors, and field staff inquiries in a timely manner via various channels (phone or email)
• Serves as a point of contact for resolving issues by troubleshooting problems, handling complaints, and finding an effective resolution
• Analyze denials, identify trends, implement strategies to reduce, fix and prevent denials
• Monitor metrics such as Days in AR, collection rates, coding errors and reporting to leadership
• Supervise, train, mentor staff to improve efficiency and accuracy and evaluate performance of employees
• Ensure compliance with state/federal regulations (including Medicare and Medicaid) and develop internal policies for billing accuracy
• Completes annual performance reviews for direct report employees
• Utilize Electronic Health Records (EHR) and practice management systems (Modern Medicine)
• Assist VP of Revenue Cycle in various projects and responsibilities as needed
• Apply DRH Standards of Behavioral and exhibit behavior consistent with DRH core values
• Other special projects as assigned

Education & Experience

• Bachelor’s degree in finance or business preferred or a combination of education and experience
• Minimum 5 years of Revenue Cycle experience, healthcare, or medical office supervisory experience required
• Experienced with insurance company operating procedures, regulations, and billing requirements required
• Experience with computer accounting programs, spreadsheets, and applications required
• Experience with medical terminology and coding required
• Experienced with facility credentialling and managed care contracting required
• Experience with billing software required Modernizing Medicine experience preferred
• Experience with Podiatry billing a plus
• Strong oral and written communication skills required

Skills And Abilities

• Knowledge of current medical terminology to communicate with staff and patients
• Time Management & excellent organization are very important for this position
• Proficient computer skills, including working knowledge of Microsoft Office (Work & Excel to use daily) e-mail systems, and web-based programs
• Detail oriented with the ability to prioritize, organize, troubleshoot and problem solve
• Excellent time management skills and multitasking skills
• Strong oral, written and interpersonal communication skills
• Motivated self-starter and ability to work independently and in a team setting

Physical Requirements

• Prolonged periods of sitting or standing at a desk and working on a computer
• Must be able to lift up to 15 pounds at times

This job description may not be inclusive of all assigned duties, responsibilities or aspects of the job described, and may be amended at any time at the sole discretion of the employer.

The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable the employee with disabilities to perform the essential functions of the position, absent undue hardship.

Pay Range: $85,000 - $100,000 per year