Revenue Cycle & Payor Optimization Lead

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Health, dental, and vision coverage

401(k) with employer match

Professional development opportunities

Job summary

Omega Healthcare Management Services leads a critical role in revenue cycle management and payor reimbursement strategies, guiding a team across administrative and managerial staff. The Supervisor ensures accuracy in payments and strengthens payor relationships to optimize reimbursement.

The role emphasizes leadership, analytical insight, and collaboration with payors, while staying current with industry regulations and driving continuous improvement across the revenue cycle.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Minimum of 5 years of experience in revenue cycle management or a similar role.
• Proven leadership and management experience.
• Strong analytical skills with ability to interpret data and make informed decisions.
• Excellent communication and interpersonal skills.
• Proficiency in Microsoft Office, especially Excel, for data analysis and reporting.
• Knowledge of healthcare regulations and compliance standards, particularly related to revenue cycle.
• Ability to work independently and manage multiple projects simultaneously.
• Strong problem-solving skills and a proactive approach to issue resolution.

Responsibilities

• Provide leadership and expertise in revenue cycle management and payor reimbursement strategies.
• Analyze contract proposals and collaborate on payor projects for optimal reimbursement.
• Oversee the accuracy of payments received from all payors and resolve any payment issues.
• Manage relationships with payors, ensuring a collaborative approach to claims processing accuracy.
• Schedule and lead meetings with payors to discuss payment-related matters and track issues to resolution.
• Escalate complex payment issues to Payor Innovations for further assistance and resolution.
• Stay updated with industry trends and regulations, ensuring compliance in revenue cycle management.
• Mentor and develop team members, fostering a culture of continuous improvement and expertise.
• Collaborate with system services and affiliates to align on payment compliance and revenue cycle goals.
• Ensure timely and accurate reporting on payment compliance and revenue cycle performance.

Skills

EPSi

Epic

GAAP

Creative solutions

Analytical skills

Financial management

Education

Bachelor's degree in Healthcare Administration, Business Administration, or related field

Job description

Omega Healthcare Management Services leads a critical role in revenue cycle management and payor reimbursement strategies, guiding a team across administrative and managerial staff. The Supervisor ensures accuracy in payments and strengthens payor relationships to optimize reimbursement.

The role emphasizes leadership, analytical insight, and collaboration with payors, while staying current with industry regulations and driving continuous improvement across the revenue cycle.