Revenue Cycle Manager at Indiana Orthopedic Institute

Noblesville, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Jan, 26

Salary

0.0

Posted On

15 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Denial Management, Compliance, Financial Analysis, Payer Relations, Technology Management, Staff Leadership, Analytical Skills, Problem-Solving, Communication Skills, Organizational Skills, Healthcare Regulations, Team Management, Training and Development, Billing, Coding

Industry

Medical Practices

Description

Description The Revenue Cycle Manager oversees aspects of the revenue cycle process from patient registration through final payment collection. This role is responsible for optimizing revenue capture, reducing denials, improving cash flow, and ensuring compliance with healthcare regulations while maintaining high levels of patient satisfaction and collaborating with the clinic operations director for prior authorization and patient registration processes. Key Responsibilities: Revenue Cycle Operations Management Oversee end-to-end revenue cycle processes including charge capture, coding, billing, and collections. Collaborates on prior authorization and patient access processes. Monitor key performance indicators (KPIs) such as days in A/R, denial rates, clean claim rates, and collection ratios Develop and implement process improvements to maximize revenue and reduce cycle time Manage revenue cycle staff and provide ongoing training and development Denial Management & Appeals Lead denial prevention initiatives and root cause analysis Oversee appeals processes for denied claims and prior authorizations Collaborate with clinical staff to ensure proper documentation and coding Implement corrective action plans to reduce recurring denials Compliance & Audit Management Ensure compliance with healthcare regulations including HIPAA, Medicare/Medicaid guidelines, and payer requirements Coordinate internal and external audits related to revenue cycle activities Maintain documentation for compliance reporting and auditing purposes Stay current with changing regulations and payer policies Financial Analysis & Reporting Prepare detailed revenue cycle reports and analytics for senior leadership Monitor and analyze payer mix, reimbursement trends, and contractual adjustments Develop and track departmental budgets and financial targets Identify opportunities for revenue enhancement and cost reduction Payer Relations & Contract Management Manage relationships with insurance payers and clearinghouses Assist with payer contract negotiations and analyze contract terms Resolve payer disputes and payment issues Monitor payer performance and reimbursement patterns Technology & System Management Oversee revenue cycle management systems and electronic health records integration Evaluate and implement new technologies to improve efficiency Manage system upgrades, interfaces, and data integrity Coordinate with IT department on system issues and enhancements Staff Leadership & Development Supervise revenue cycle team members across multiple functions Conduct performance evaluations and provide professional development opportunities Recruit, hire, and train new staff members Foster a culture of continuous improvement and accountability Requirements Required Qualifications: Bachelor's degree in Healthcare Administration, Finance, Business, or related field 5+ years of experience in healthcare revenue cycle management Strong knowledge of medical billing, coding (CPT, ICD-10, HCPCS), and healthcare reimbursement Experience with electronic health records and revenue cycle management systems Professional certification preferred (CHAM, CHFP, CCS, or similar) Essential Skills: Advanced analytical and problem-solving abilities Strong leadership and team management skills Excellent communication and interpersonal skills Proficiency in Microsoft Excel, database management, and reporting tools Detail-oriented with strong organizational skills Knowledge of healthcare regulations and compliance requirements Ability to work under pressure and meet deadlines Preferred Experience: Experience with Athena, Epic, Cerner, or other major EHR systems Knowledge of value-based care and alternative payment models Experience in multi-location or health system environments Background in healthcare finance or accounting Physical Requirements: Ability to sit for extended periods at computer workstation Visual acuity for detailed computer work and document review Occasional travel to other facilities or meetings (less than 15%) Patient satisfaction scores related to billing processes

Responsibilities

The Revenue Cycle Manager oversees the revenue cycle process from patient registration to final payment collection, focusing on optimizing revenue capture and reducing denials. This role also involves managing staff, ensuring compliance with regulations, and collaborating with clinic operations.