Strategic Leadership: Develop and implement revenue cycle strategies to maximize efficiency, optimize reimbursements, and improve cash flow.
Billing & Collections Oversight: Ensure accurate and timely submission of claims, manage denials and appeals, and oversee collections efforts to minimize outstanding balances.
Cash Posting & Reconciliation: Supervise accurate posting of payments, adjustments, and refunds while ensuring proper reconciliation with accounting teams.
Insurance & Compliance Management: Maintain compliance with federal, state, and payer regulations, including Medicare, Medicaid, and commercial insurance policies.
Revenue Cycle Performance Monitoring: Utilize key performance indicators (KPIs) and analytics to track financial performance, identify trends, and implement process improvements.
Technology & System Optimization: Work with IT and finance teams to enhance revenue cycle management systems, automate workflows, and integrate best practices.
Team Leadership & Development: Manage, train, and mentor revenue cycle staff, ensuring high levels of performance, engagement, and accountability.
Patient Financial Services: Oversee patient billing, financial assistance programs, and customer service to improve the patient experience and payment collections.
Qualifications & Skills:
Bachelor’s degree in healthcare administration, business, finance, or a related field.
Strong knowledge of healthcare billing, coding (ICD-10, CPT, HCPCS), insurance reimbursement, and payer regulations.
Experience with revenue cycle management (RCM) systems and healthcare finance software.
Excellent leadership, communication, and analytical skills.
Ability to develop and execute strategies to improve financial performance and operational efficiency.