Strategic Remote Revenue Cycle Manager

S4CH; New York, Northern (NY, KY); Hybrid; USD 72.000 - 108.000; Vollzeit

Benefits dieser Stelle

Life and disability coverage

Retirement savings plan

Commuter and transit benefits

Employee assistance program (EAP) with

Access to confidential support and 100

Employee discount program

Provider incentive compensation

License, certification, and DEA fee Re

Career development opportunities

Zusammenfassung

Solutions 4 Community Health (S4CH) is seeking a full-time Manager of Revenue Cycle to oversee all revenue cycle functions, maximize reimbursement, and ensure regulatory compliance. The role leads billing supervisors and staff, partners with physicians, payers, and executives to optimize performance across practices.

The Manager will ensure accurate, timely billing, investigate denials, manage cash reconciliation, and drive process improvements while maintaining strong client relationships.

Qualifikationen

• Certified Professional Coder (CPC) certification.
• Bachelor’s degree in healthcare administration, business administration, finance, or related field preferred.
• Five to seven years of progressive healthcare revenue cycle experience.
• Minimum three years of leadership or management experience in physician billing or revenue cycle operations.
• Extensive knowledge of medical billing, reimbursement methodologies, payer regulations, CPT, ICD-10, ADA coding, and revenue cycle best practices.
• Experience with electronic health records and practice management systems (prefer eCW).
• Proficiency with reporting and analytics platforms including Cognos, Spotfire, FISS, and clearinghouse systems.
• Strong analytical, organizational, and communication skills.

Aufgaben

• Direct and oversee all aspects of the revenue cycle, including charge capture, claim creation, claim submission, payment posting, denial management, appeals, accounts receivable, and cash reconciliation
• Monitor client accounts receivable and key financial metrics on a weekly and monthly basis to identify revenue leakage, aging trends, and billing opportunities
• Ensure claims are created, split, submitted, and billed accurately, timely, and in compliance with payer and regulatory requirements
• Ensure denials are investigated, worked, appealed, and resolved while partnering with client leadership to reduce denial rates and improve reimbursement
• Oversee filing limits and ensure appeals are submitted within payer deadlines
• Identify and implement strategies to maximize client cash collections and improve revenue cycle performance
• Monitor automated billing processes to ensure files process accurately and completely
• Ensure timely posting of all electronic and manual payments, adjustments, and denials, including reconciliation of cash activity
• Oversee client cash reconciliation processes and ensure established protocols are consistently followed
• Provide direct leadership, coaching, and oversight to Revenue Cycle Supervisors and billing staff
• Manage daily departmental operations, including staffing, attendance coverage, workload distribution, and performance management
• Conduct employee performance evaluations and participate in disciplinary actions in accordance with Human Resources policies
• Foster a collaborative, accountable, and positive work environment focused on
• Participate in recruiting, interviewing, hiring, onboarding, and training of billing and supervisory staff
• Develop staff competencies through ongoing education, mentoring, and performance coaching
• Serve as the primary operational contact for assigned clients regarding revenue cycle performance
• Build and maintain strong client relationships through initiative-taking communication and issue resolution
• Participate in recurring client meetings to review operational performance, financial metrics, and improvement initiatives
• Collaborate directly with clients to resolve barriers affecting reimbursement, including registration, documentation, coding, and payer-related issues
• Review Executive Observation reports and provide actionable feedback and guidance to supervisors
• Maintain current knowledge of: CPT coding, ICD-10 coding, ADA coding, Medical billing regulations, Medicare and commercial payer guidelines, Fee schedules, Managed care contracts, Quality incentive programs
• Participate in quarterly coding audits and communicate findings and recommendations to clients
• Ensure compliance with organizational policies, payer requirements, and applicable federal and state regulations
• Maintain Certified Professional Coder (CPC) credential and promote coding accuracy throughout the organization
• Maintain expert knowledge of revenue cycle systems including: eCW, Cognos, Spotfire, FISS, Clearinghouse applications
• Ensure consistent configuration of client practice management systems across databases, including insurance classes, claim status, CPT groups, and payer setup
• Assist in implementation, optimization, and training related to revenue cycle technology
• Develop, maintain, and continuously improve departmental policies, procedures, and workflow documentation
• Identify opportunities for automation, process improvement, and operational efficiencies
• Participate in physician and staff education programs related to revenue cycle best practices
• Coordinate and participate in organization-wide audits and educational initiatives, including ASTI training
• Collaborate with Patient Benefit Coordinators and provide performance feedback to leadership
• Work directly with payers to resolve systemic reimbursement issues and elevate concerns when appropriate
• Promote collaboration across departments to improve patient financial outcomes and operational performance

Kenntnisse

Leadership

Client relationship management

Strategic planning

Process improvement

Communication

Ausbildung

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

Certified Professional Coder (CPC) certification

Tools

eClinicalWorks (eCW)

Cognos

Spotfire

FISS

Clearinghouse applications

Jobbeschreibung

Solutions 4 Community Health (S4CH) is seeking a full-time Manager of Revenue Cycle to oversee all revenue cycle functions, maximize reimbursement, and ensure regulatory compliance. The role leads billing supervisors and staff, partners with physicians, payers, and executives to optimize performance across practices.

The Manager will ensure accurate, timely billing, investigate denials, manage cash reconciliation, and drive process improvements while maintaining strong client relationships.