Revenue Cycle Process Optimization Manager at MedAmerica

Elk Grove, California, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Apr, 26

Salary

139535.0

Posted On

18 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Process Improvement, IDX System, Project Management, Data Analysis, Healthcare Billing, Coding, Reimbursement Methodologies, Lean Six Sigma, Change Management, Communication, Interpersonal Skills, Analytical Skills, Problem-Solving, Leadership, Documentation

Industry

Hospitals and Health Care

Description

Remote, Nationwide – Seeking Revenue Cycle Process Optimization Manager Everybody Has A Role To Play In Transforming Healthcare At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Lead the analysis and optimization of end-to-end revenue cycle workflows and processes, including patient access, charge capture, billing, coding, collections, denials management, and payment posting. Analyzing to identify inefficiencies, bottlenecks, and areas for improvement. Utilizing Revenue Cycle expertise to enhance automation, data accuracy and reporting capabilities. Lead and manage process optimization projects from planning through execution and evaluation. Collaborate with cross-functional teams including billing, coding, patient access, IT, and compliance to identify operational inefficiencies and implement sustainable solutions. Serve as the subject matter expert (SME) for IDX system functionality, configuration, and optimization. Develop and maintain documentation for new processes, workflows, and system enhancements. Monitor and analyze key performance indicators (KPIs) to assess impact and ensure continuous improvement with the generation of reports to track the impact of optimization efforts. Driving adoption of best practice with industry trends, regulatory changes, and fostering a culture of innovation and accountability. Enhance transparency and accountability in the revenue processes. Supports organizational goals through data-driven decision making. Partners with RCM Learning & Development team to develop/deliver training programs and educational materials to revenue cycle staff to ensure adherence to new or optimized processes. Lead root cause analysis and performance audits to identify inefficiencies, reduce rework, and improve reimbursement timelines and payer compliance. Develop and implement strategies to improve RCM KPIs such as AR days, first-pass resolution rate, denial rate, and net collection rate. Responsible for the successful delivery of projects including the creation and maintenance of all required project documentation, budget adherence, and on-time delivery. Identify gaps in workflow, training, or systems and create sustainable process improvement plans using Lean, Six Sigma, or similar methodologies. Partners with Application and Support to create and present performance dashboards, executive reports, and business cases for optimization projects to senior leadership. Establish and track benchmarks to monitor the impact of implemented changes and ensure sustained process optimization. Ensure that all process improvements and operational changes comply with relevant regulations and industry standards. Stay current with industry trends, payer changes, and regulatory requirements to proactively adapt reimbursement strategies. Required Experience and Competencies Bachelor’s degree in healthcare administration, Business, Finance, or related field required required. Minimum 5 years of experience in revenue cycle management, with at least 2 years focused on process improvement required. Proven experience working with IDX (GE Centricity Business) in a healthcare setting required. Established track record of success in optimizing complex processes required. Certified Associate in Project Management (CAPM), Project Management Professional (PMP), or Lean Six Sigma certification required. Master’s degree preferred. Experience with data visualization tools (e.g., Tableau, Power BI) preferred. Familiarity with other EHR/PM systems and healthcare IT platforms preferred. Change management experience in a healthcare environment preferred. Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations. Deep understanding of healthcare revenue cycle management. Advanced proficiency in IDX system. Proficiency in data analysis tools and revenue cycle software. Excellent analytical, leadership, problem-solving, and project management skills. Strong communication and interpersonal skills with the ability to influence stakeholders at all levels. Knowledge of organizational change management techniques and methodologies. Ability to dissect existing workflows, identify bottlenecks, and understand how different parts of a process interact. Ability to define problems, gather and validate data, perform root cause analysis, and help develop a solution. Ability to identify project issues, risk, weaknesses and/or critical problems, and to implement timely corrective action to forestall or remedy. Ability to plan, organize, and manage process improvement projects from start to finish. Ability to use project management software to define, plan, size, resource, manage, and report on assigned projects. Ability to track, monitor and evaluate budgetary compliance, and to manage project budget details and reporting. Ability to manage multiple projects from inception to successful implementation, and to demonstrate persistence in issues tracking, follow-up and resolution. Ability to explain project concepts/requirements to technical and non-technical audiences, and to convey information effectively in verbal and written communication, and group meetings/presentations. Proficiency in Microsoft Office suite (Outlook, Word, Excel, PowerPoint). The Community Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars. Monthly wellness events and programs such as yoga, HIIT classes, and more Trainings to help support and advance your professional growth Team building activities such as virtual scavenger hunts and holiday celebrations Flexible work hours Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. Superior health plan options Dental, Vision, HSA/FSA, Life and AD&D coverage, and more Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical Student Loan Refinancing Discounts Professional and Career Development Program EAP, travel assistance, and identify theft included Wellness program Purpose-driven culture focused on improving the lives of our patients, communities, and employees We are excited to share the base salary range for this position is $109,440 – $139,535, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants only. No agencies please.

Responsibilities

Lead the analysis and optimization of revenue cycle workflows and processes, identifying inefficiencies and implementing improvements. Collaborate with cross-functional teams to enhance automation, data accuracy, and reporting capabilities.