Revenue Cycle Manager - Lafayette, LA

The Revenue Cycle Manager is responsible for the comprehensive management of the revenue cycle process, from patient registration to final payment. This role involves leading a team of revenue cycle professionals, ensuring the accuracy and efficiency of billing, collections, and revenue optimization. The Revenue Cycle Manager will develop and implement strategies to improve financial performance, maintain compliance with healthcare regulations, and enhance patient satisfaction.

Efficiency

• Uses monthly reports and trends to identify opportunities to create efficiencies with revenue cycle processes, and works with the leadership team to enact material, meaningful process changes that support optimal cost to collect and quality of performance.
• Oversees the entire revenue cycle process, including financial intake, billing, coding, and collections.
• Manages the utilization of accounts receivable reports to monitor account balances and establish priorities for collection activities.
• Manages an established closing schedule and other guidelines/policies and procedures to facilitate billing timeliness.
• Monitor and analyze revenue cycle metrics to identify trends and areas for improvement.

Quality

• Ensures compliance with company, departmental, and regulatory policies and procedures.
• Maintains appropriate billing records to meet legal and regulatory requirements.
• Assists in the development and/or revision of departmental job descriptions, duties, and operating procedures.
• Implement best practices and process improvements to optimize revenue cycle performance.
• Ensures timely tracking of payer challenges and keeps appropriate team notified of changes and/or updates.
• Prepares any statistical reports as requested by upper management on an as needed basis; submits timely.
• Maintains a working knowledge of all billing policies, rules and regulations, updates appropriate team of changes in the insurance industry.
• Maintains a working knowledge of all Revenue Cycle Management computer systems; acts as a liaison with the software vendor(s) and communicates updates/revisions to appropriate team.
• Prepare and present financial reports to senior management.

People

• Ensures appropriate staffing levels; completes scheduled performance evaluations and engagement conversations.
• Acts as a liaison with assigned/select payer sources.
• Acts as a resource to assigned team for problem solving difficult accounts, information system issues, and specific training needs. Ensures that problem-solving occurs at the lowest level possible with positive outcomes.
• Facilitates training programs for assigned team members.
• Lead and develop a team, providing guidance and support.

Service

• Represents Revenue Cycle Management and actively participates on various external and internal forums, teams, and audits as needed.
• Trains appropriate team on new software/hardware features; reviews team understanding/working knowledge of changes.
• Collaborate with clinical and administrative departments to resolve revenue cycle issues.

Meets work schedule and attendance expectations.

• Completes special projects and other assignments, as deemed necessary.

Performs similar, comparable, or related duties as may be required or assigned.

• Formal Education
  
  
  
  • Bachelor's degree in healthcare administration, finance, or a related field, preferred.
  
  
• Experience
  
  
  
  • Minimum of 3-5 years of experience in revenue cycle operations.
  • Previous supervisory experience, required.
  
  

• Skills Requirements

Ability to learn a variety of systems and maneuver through them daily, including electronic medical record systems, clearinghouse systems, and carrier systems.

Excellent problem-solving skills and the ability to handle multiple tasks simultaneously.

Ability to work independently and prioritize responsibilities daily to complete all assignments timely and accurately.

Strong computer skills with Microsoft Office knowledge and experience.

Ability to work in a fast-paced, continuously changing environment.

Superior customer service and written/verbal communication skills.

• Excellent organizational and analytical skills.
• Excellent interpersonal skills.
• Ability to work effectively as a member of interactive teams.
• Excellent oral and written communication skills.
• Strong leadership skills.
• Knowledge of rules and regulations governing third party payors.
• In-depth knowledge of healthcare billing and reimbursement processes.