Revenue Cycle Manager at Rowan Diagnostic Clinic, PA

Salisbury, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Apr, 26

Salary

0.0

Posted On

20 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Coding Expertise, Accounts Receivable Management, Patient Billing, Customer Service, Credentialing Management, Team Leadership, Value-Based Care, Compliance, Regulatory Standards, Microsoft Office, Insurance Claims, Communication Skills, Mentoring, Performance Management, Education and Training

Industry

Medical Practices

Description

Job Details Job Location: Salisbury, NC 28144 ESSENTIAL FUNCTIONS: Revenue Cycle Leadership: Oversee the day-to-day activities that complete the revenue cycle management process, ensuring all facets—coding, billing, AR management, cash posting, patient access, and customer service—are efficient, accurate, and compliant with regulatory standards. Ensure timely revenue generation and payment processing. Coding Expertise & Compliance: Oversee the coding operations by ensuring that coding teams adhere to national coding guidelines (ICD-10, CPT, HCPCS) and payer-specific requirements. Monitor and enforce correct coding practices for accurate reimbursement, minimizing claim denials due to coding errors. Accounts Receivable (AR) Management: Oversee the management of the AR process, ensuring timely and accurate processing of all claims. Monitor AR metrics such as days in AR, denial rates, and collection percentages, working with the AR team to identify areas for improvement. Patient Billing & Customer Service: Oversee the patient billing process to ensure bills are clear, accurate, and processed in a timely manner. Ensure all insurance and patient payments are posted and reconciled timely and accurately. Collaborating with the operations and clinical leads to resolve patient inquiries, billing disputes, and concerns, ensuring the highest levels of customer satisfaction. Credentialing Management: Oversee provider credentialing process. Team Leadership & Development: Manage and mentor revenue cycle teams, work with DOO in setting clear expectations for performance and quality standards. Provide ongoing education and training opportunities to staff on coding changes, payer updates, and best practices in AR management. Foster a high-performance culture with a focus on accountability, accuracy, and efficiency. Value-Based Care & ACOs: Lead efforts to align the revenue cycle processes with value-based care models, ensuring the organization meets all performance and reporting requirements for Accountable Care Organizations (ACOs), risk-based contracts, and other alternative payment models. Compliance & Regulation: Ensure that the revenue cycle operations comply with all applicable local, state, and federal regulations, as well as payer-specific rules and guidelines. Keep the team updated on regulatory changes and their impact on billing, coding, and AR management practices. Other duties as assigned Qualifications Education: Bachelors Required in Business Administration, Finance, or Healthcare Management preferred. Experience : Accounts receivable: 2 years (Required) Leadership : 5 years (Required) License/Certifications: CPC or equivalent required Other Skills: Prior supervisory experience desired. Three years of insurance claims filing, or patient billing experience required. General working knowledge of Microsoft Office Products; specifically, Word, Excel, and PowerPoint required. Strong leadership and communication skills required. Expected Hours of Work: M – F (Saturdays as needed) Supervisory Responsibility: Yes - RCM will lead a team of 7Z Travel: Yes (to other offices as needed)

Responsibilities

Oversee the revenue cycle management process, ensuring efficiency and compliance across coding, billing, accounts receivable, and customer service. Lead efforts to align revenue cycle processes with value-based care models and ensure compliance with regulations.