May 07, 2024

Revenue Cycle Manager

  • Peak ENT Associates
  • Hybrid
  • $70,000 - $110,000 yearly
Full Time (CPC) Certified Professional Coder (CCS-P) Certified Coding Specialist - Physician Based

Job Description

About Peak ENT Associates: Peak ENT Associates is a leading medical practice specializing in Ear, Nose, and Throat (ENT) care in Utah County. Our dedicated team of healthcare professionals is committed to providing top-quality patient care, including diagnostic evaluations, medical treatments, and surgical interventions. We are currently seeking a highly qualified and experienced Revenue Cycle Manager to join our team and continue the development of our high standards of revenue cycle excellence.

Job Summary: As the Revenue Cycle Manager at Peak ENT Associates, you will play a crucial role in overseeing and managing the smooth and timely workflows of coding, billing, and collections functions to ensure that our practice maintains smooth cash flow and a high level of operational and regulatory excellence. The successful candidate will possess an associate's degree or higher, along with significant experience in healthcare revenue cycle billing, coding, payer, and compliance.

Key Responsibilities:

  1. Revenue Cycle Oversight: Direct and oversee all revenue cycle activities, including patient registration, insurance verification, coding, billing, timely claims processing, collections, and accounts receivable management.
  2. Performance Monitoring: Monitor key performance indicators (KPIs) related to revenue cycle metrics, such as clean claim rates, days in accounts receivable, denial rates, and revenue collection, and implement strategies to optimize performance and achieve financial goals.
  3. Process Improvement: Continuously evaluate revenue cycle processes and identify opportunities for improvement, efficiency gains, and cost savings. Develop and implement initiatives to streamline workflows, reduce denials, and enhance revenue capture.
  4. Compliance: Ensure compliance with all relevant healthcare regulations, including HIPAA, Medicare, and Medicaid guidelines, as well as coding and billing standards. Stay abreast of regulatory changes and industry best practices to maintain compliance and mitigate risks.
  5. Team Leadership: Provide leadership, guidance, and mentorship to the revenue cycle team, including billing specialists, coders, and revenue cycle coordinators. Foster a culture of accountability, collaboration, and professional development.
  6. Vendor Management: Collaborate with external vendors, such as collection agencies and revenue cycle software providers, to optimize services, resolve issues, and ensure alignment with organizational goals and objectives.
  7. Financial Analysis: Conduct financial analysis and reporting related to revenue cycle performance, trends, and projections. Prepare regular reports and presentations for senior leadership to inform strategic decision-making.
  8. Customer Service: Maintain a high standard of customer service excellence in all revenue cycle interactions, both internal and external. Address patient inquiries, concerns, and complaints related to billing and financial matters promptly and professionally.

Qualifications:

  • Associates degree in healthcare administration, business administration, finance, or related field (Bachelor's or Master's degree preferred).
  • Minimum of 2 years of progressive experience in revenue cycle management within a healthcare setting, preferably in otolaryngology or a related specialty.
  • In-depth knowledge of healthcare billing and reimbursement processes, including CPT, ICD-10, HCPCS coding, and third-party payer regulations.
  • Strong understanding of revenue cycle software systems, electronic health records (EHR), and practice management systems.
  • Proven leadership and management skills, with the ability to motivate and develop a high-performing team.
  • Excellent analytical, problem-solving, and decision-making abilities.
  • Exceptional communication, interpersonal, and customer service skills.
  • Certified Professional Coder (CPC), Certified Coding Specialist – Physician Based (CCS-P), or Certified Revenue Cycle Professional (CRCP) certification preferred.

Required Experience Level

Manager Level

Minimum Education

Associate's Degree

Minimum Experience Required

2-4 years

Required Travel

Less than 10%

Applicant Location

US residents only