Job Description: Revenue Cycle Manager Location: Onsite Covington Kentucky Reports to: Vice President Revenue Operations & Market Access Gravity Diagnostics is a highgrowth clinical laboratory with a culture built around compliance and innovative approaches to improving patient care. This culture and focus on patient and provider service is fundamental to our growth and success. The Revenue Cycle Manager is a key leader reporting to the Vice President of Revenue Operations & Market Access. Their mission is to maximize reimbursement for laboratory services rendered while maintaining the highest level of ethics compliance and customer service. This subject matter expert and natural leader will need to be highly adaptable and responsible for overseeing their Gravity Diagnostics Revenue Cycle Management team and operational functions. This management position focuses on the frontend of the revenue cyclespecializing in patient account management: registration insurance verification coordination of benefits patient billing and customer service. The Revenue Cycle Manager will be responsible for the following:- Maintain the highest levels of compliance ethics and customer service and ensure all functions and activities meet the most stringent regulatory requirements.
- Responsible for building a culture of collaboration and care for patients providers payors & all Gravity employees.
- Develop implement and maintain best practices & SOPs for revenue cycle operations by coaching developing and managing a team of revenue cycle professionals.
- Establish key performance indicators for their team and functions that drive continuous improvement and development.
- Identify prioritize manage monitor and measure success of revenue cycle projects.
- Leverage key crossfunctional relationships process and workflows that can assist with the success of the revenue cycle operation especially ensuring the revenue cycle team receives complete and accurate patient demographic and insurance information.
- Oversee all frontend revenue cycle teams and functions with the goal to maximize successful first attempt claims submissions to payors by resolving clearinghouse denial claim edits missing demographic or insurance eligibility information etc.
- Identify and resolve problems impacting successful reimbursement.
- Empower and coach team members to analyze claims issues and establish compliant strategies/ techniques to work directly with crossfunctional partners and payors to resolve acute and chronic claims related issues.
- Responsible for managing and continuously improving patient billing accounting and collections activities including strategic direction compliance oversight and vendor management.
- Manage inbound and outbound patient and payor customer service call center.
- Always ensure data accuracy and integrity.
- Deliver reports and/ or design reporting dashboards for department leadership and executive team members as necessary.
- Drive strategic direction and continuous improvement across direct areas of accountability and the company as appropriate.
Education Experience Job Requirements and Certifications- A Bachelors degree is required. Preferably in healthcare/ business administration accounting or healthcare related area of study.
- Ability to be onsite 5days per week (MF) during onboarding period 6months) and 4days per week onsite thereafter.
- Minimum of seven years of healthcare related work experience.
- Minimum of three years of experience in supervisory/management role.
- Proven track record of leading teams building strong culture and morale and change management.
- Minimum five years in healthcare revenue cycle experience. Preference will be given to candidates with clinical laboratory revenue cycle experience.
- Demonstrated ability to influence and lead all types of professional relationships to meet business goals and objectives: direct reports inter and crossdepartmental leaders and individual contributors executive leaders external vendors and payors.
- Patient billing and customer service experience required. Preference given to experience running a healthcare billing call center.
- CRCE CRCR CPC and/or other related certifications preferred.
Gravity Diagnostics is an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their race color religion national origin ancestry alienage or citizenship status age sex gender gender identity gender expression sexual orientation marital status disability military service and veteran status pregnancy childbirth and related medical conditions or any other characteristic protected by applicable federal state or local laws. Gravity Diagnostics will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business.
| Required Experience:
Manager