Manager, Revenue Cycle Hospital Billing (1991)
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Job Location:
Monthly Salary:
Posted on:
12 hours ago
Vacancies:
1 Vacancy
Job Summary
Position Summary:
The Manager of Revenue Cycle HB is responsible for overseeing and coordinating all aspects of the healthcare organizations revenue cycle operations to ensure accurate timely and compliant billing collections and reimbursement processes. This position provides leadership to Business Services/Accounts Receivable with a focus on optimizing cash flow reducing denials and enhancing the patient financial experience.
The role combines operational management with strategic oversight to drive continuous improvement and ensure alignment with organizational goals and compliance standards.
Essential Duties and Responsibilities
HB Revenue Cycle Operations
Direct and oversee daily operations across Business Services/Accounts Receivable areas.
Ensure accurate and timely claims submission payment posting and account resolution.
Monitor key performance indicators (KPIs) such as AR days denial rates clean claim rate cash collections and bad debt.
Coordinate workflow between departments to ensure smooth handoffs and prevent revenue leakage.
Ensure adherence to payer requirements federal/state billing regulations and internal policies.
Leadership and Staff Development
Supervise coach and develop revenue cycle staff fostering a culture of accountability and excellence.
Establish clear performance expectations and conduct regular evaluations.
Provide training on system updates compliance standards and payer policy changes.
Lead by example to promote teamwork transparency and continuous improvement.
Financial and Performance Management
Analyze revenue cycle data to identify trends inefficiencies and opportunities for process improvement.
Partner with Finance to reconcile revenue forecast cash flow and ensure accuracy in reporting.
Develop and manage departmental budgets ensuring cost-effective operations.
Lead initiatives to improve reimbursement reduce denials and enhance overall revenue integrity.
Compliance and Quality
Ensure compliance with HIPAA CMS and payer regulations.
Collaborate with Compliance and Legal teams to monitor internal audits and respond to external reviews.
Implement corrective actions as needed and maintain accurate records and documentation.
Technology and Process Optimization
Work with Information Systems to optimize EMR and billing platforms (e.g. Epic).
Evaluate and implement tools that enhance automation analytics and reporting.
Lead or support system upgrades and workflow improvement initiatives.
Collaboration and Communication
Serve as the primary liaison between clinical departments Finance and external payers on revenue cycle matters.
Collaborate with department leaders to ensure accurate documentation coding and charge capture.
Communicate key revenue cycle metrics and improvement initiatives to senior leadership.
Qualifications
Education:
Bachelors degree in healthcare administration Business Accounting or related field required.
Masters degree (MHA MBA or equivalent) preferred.
Experience:
Minimum of 5 years of progressive experience in healthcare revenue cycle operations including 2-3 years in a leadership role.
Strong experience with EMR and billing systems; Epic preferred.
Knowledge Skills and Abilities:
In-depth knowledge of healthcare reimbursement payer contracts and compliance regulations.
Strong analytical and financial management skills.
Excellent leadership communication and problem-solving abilities.
Proven ability to manage change motivate staff and build cross-functional relationships.
Commitment to patient-centered service and continuous process improvement.
Performance Indicators
Reduction in AR days and denials.
Improvement in net collection rate and cash flow.
Achievement of clean claim rate and billing accuracy targets.
Positive staff engagement and retention.
Compliance with internal and external audit standards.
Enhanced patient satisfaction related to billing and financial transparency.
Work Environment
Office-based leadership position with collaboration across hospital and outpatient sites.
Occasional travel between facilities or clinics may be required.
May require extended hours during budget audit or project periods.
The Manager of Revenue Cycle HB is responsible for overseeing and coordinating all aspects of the healthcare organizations revenue cycle operations to ensure accurate timely and compliant billing collections and reimbursement processes. This position provides leadership to Business Services/Accounts Receivable with a focus on optimizing cash flow reducing denials and enhancing the patient financial experience.
The role combines operational management with strategic oversight to drive continuous improvement and ensure alignment with organizational goals and compliance standards.
Essential Duties and Responsibilities
HB Revenue Cycle Operations
Direct and oversee daily operations across Business Services/Accounts Receivable areas.
Ensure accurate and timely claims submission payment posting and account resolution.
Monitor key performance indicators (KPIs) such as AR days denial rates clean claim rate cash collections and bad debt.
Coordinate workflow between departments to ensure smooth handoffs and prevent revenue leakage.
Ensure adherence to payer requirements federal/state billing regulations and internal policies.
Leadership and Staff Development
Supervise coach and develop revenue cycle staff fostering a culture of accountability and excellence.
Establish clear performance expectations and conduct regular evaluations.
Provide training on system updates compliance standards and payer policy changes.
Lead by example to promote teamwork transparency and continuous improvement.
Financial and Performance Management
Analyze revenue cycle data to identify trends inefficiencies and opportunities for process improvement.
Partner with Finance to reconcile revenue forecast cash flow and ensure accuracy in reporting.
Develop and manage departmental budgets ensuring cost-effective operations.
Lead initiatives to improve reimbursement reduce denials and enhance overall revenue integrity.
Compliance and Quality
Ensure compliance with HIPAA CMS and payer regulations.
Collaborate with Compliance and Legal teams to monitor internal audits and respond to external reviews.
Implement corrective actions as needed and maintain accurate records and documentation.
Technology and Process Optimization
Work with Information Systems to optimize EMR and billing platforms (e.g. Epic).
Evaluate and implement tools that enhance automation analytics and reporting.
Lead or support system upgrades and workflow improvement initiatives.
Collaboration and Communication
Serve as the primary liaison between clinical departments Finance and external payers on revenue cycle matters.
Collaborate with department leaders to ensure accurate documentation coding and charge capture.
Communicate key revenue cycle metrics and improvement initiatives to senior leadership.
Qualifications
Education:
Bachelors degree in healthcare administration Business Accounting or related field required.
Masters degree (MHA MBA or equivalent) preferred.
Experience:
Minimum of 5 years of progressive experience in healthcare revenue cycle operations including 2-3 years in a leadership role.
Strong experience with EMR and billing systems; Epic preferred.
Knowledge Skills and Abilities:
In-depth knowledge of healthcare reimbursement payer contracts and compliance regulations.
Strong analytical and financial management skills.
Excellent leadership communication and problem-solving abilities.
Proven ability to manage change motivate staff and build cross-functional relationships.
Commitment to patient-centered service and continuous process improvement.
Performance Indicators
Reduction in AR days and denials.
Improvement in net collection rate and cash flow.
Achievement of clean claim rate and billing accuracy targets.
Positive staff engagement and retention.
Compliance with internal and external audit standards.
Enhanced patient satisfaction related to billing and financial transparency.
Work Environment
Office-based leadership position with collaboration across hospital and outpatient sites.
Occasional travel between facilities or clinics may be required.
May require extended hours during budget audit or project periods.
Required Experience:
Manager
Key Skills
- Business Development
- Apprentice
- Asset Management
- ABAP
- IT Strategy
- Manufacturing
About Company
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more
