Revenue Cycle & Patient Access Manager at MEDRVA Healthcare

Richmond, Virginia, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Oct, 26

Salary

105000.0

Posted On

08 Jul, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Patient Access, Medical Billing, Medical Coding, Accounts Receivable, Insurance Verification, Denial Management, Financial Performance Monitoring, Team Leadership, Compliance Auditing, Patient Registration, EHR Systems, Practice Management Systems, Analytical Skills, Organizational Skills, Communication Skills

Industry

Hospitals and Health Care

Description

Description The Revenue Cycle & Patient Access Manager is responsible for the day-to-day leadership and operational performance of the Ambulatory Surgery Center's revenue cycle and patient access functions. This position oversees patient registration, authorizations, insurance verification, billing, coding, accounts receivable, collections, and related revenue cycle activities to ensure timely reimbursement, exceptional patient service, and compliance with applicable regulations. The Manager leads a high-performing team focused on operational excellence, process improvement, financial performance, and an outstanding patient experience while partnering closely with clinical, administrative, and finance leaders to support organizational goals. Key Responsibilities Revenue Cycle Operations Manage the daily operations of the revenue cycle, including patient registration, insurance verification, coding, billing, collections, payment posting, denials, and accounts receivable. Ensure timely and accurate claim submission, reimbursement, and follow-up activities. Monitor key revenue cycle metrics and develop action plans to improve financial performance. Identify operational inefficiencies and recommend process improvements to increase productivity and reduce denials. Patient Access Leadership Oversee front desk and registration operations to ensure an exceptional patient experience. Ensure accurate patient registration, insurance verification, demographic collection, and financial responsibility discussions. Develop workflows that improve patient access while supporting clean claims and revenue integrity. Team Leadership Lead, coach, and develop Revenue Cycle and Patient Access team members. Conduct performance evaluations and provide ongoing coaching and professional development. Foster accountability, collaboration, customer service, and continuous improvement. Assist with hiring, onboarding, training, scheduling, and retention of team members. Financial Operations Oversee billing, coding coordination, payment posting, denial management, and accounts receivable processes. Review aging reports and monitor collection performance. Collaborate with physicians, coders, and clinical leadership to improve documentation and reimbursement accuracy. Ensure timely resolution of payer issues and reimbursement delays. Compliance & Quality Ensure compliance with payer requirements and federal and state regulations. Maintain knowledge of Medicare, Medicaid, commercial payer requirements, and ASC reimbursement guidelines. Monitor coding and billing accuracy through regular audits and quality reviews. Assist with external audits and regulatory reviews. Performance Improvement Monitor and report key performance indicators including: Days in A/R Net Collection Rate Clean Claim Rate First Pass Resolution Rate Denial Rate Registration Accuracy Point-of-Service Collections Recommend and implement operational improvements that increase efficiency and financial performance. Support technology optimization and workflow automation initiatives. Collaboration Partner with clinical leadership, finance, scheduling, registration, and physicians to resolve operational issues. Work closely with the Chief Growth & Revenue Officer to implement departmental priorities and achieve organizational goals. Serve as a resource for staff regarding billing, reimbursement, registration, and payer requirements. Requirements Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field, or equivalent combination of education and experience. Five to seven years of progressively responsible experience in healthcare revenue cycle management, preferably within an Ambulatory Surgery Center, physician practice, or outpatient setting. Two or more years of leadership or supervisory experience. Strong knowledge of: Medical billing Coding fundamentals Insurance reimbursement Accounts receivable Revenue cycle best practices Experience with electronic health record (EHR) and practice management systems. Excellent analytical, organizational, communication, and leadership skills. Preferred Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Specialist (CRCS), Certified Revenue Cycle Executive (CRCE), CPC, or similar certification. Experience with ASC reimbursement methodologies and payer contracting. Range: Minimum: $85,000 Maximum: $105,000

Responsibilities

Lead the daily operations of the revenue cycle and patient access functions for an Ambulatory Surgery Center. Oversee billing, coding, collections, and registration to ensure financial performance and an exceptional patient experience.