Internal Job Posting: Revenue Cycle Manager
Department: Account Services
Reports to: Chief Financial Officer (CFO)
Direct reports: Billing and Coding Managers
Position status: Exempt
Schedule: Monday-Friday, approximately 45 hours per week
Travel: IPHCA, IPCA, and local travel between clinics as required
Position overview
Under the supervision of the CFO, the Revenue Cycle Manager coordinates all aspects of the Account Services Department to increase cash flow and reduce accounts receivable (A/R) days.
Key responsibilities
- Lead and oversee the Billing and Coding Managers, holding each function accountable for revenue cycle performance goals, quality standards, and compliance requirements.
- Support staff onboarding, competency development, performance evaluations, coaching, and other people-management activities in partnership with Human Resources and organizational standards.
- Establish annual and 90-day departmental goals and foster performance, engagement, communication, and employee recognition.
- Oversee coding, billing, encounter processing, electronic claims, collections, and related revenue cycle activities; support accuracy and established daily, month-end, and timely-filing requirements.
- Monitor denial trends, payer reimbursement patterns, revenue leakage, and payer requirements; coordinate corrective actions and resolve complex billing, coding, denial, and reimbursement issues.
- Develop and report key performance indicators, including Days in A/R, aging, denial and clean-claim rates, collections, charge lag, payer performance, and staff productivity.
- Use EPIC and other revenue cycle technologies to analyze trends, identify root causes, and improve financial performance.
- Partner with Operations, Clinical Leadership, Information Technology, and Finance to improve workflows and support new services, grants, payer programs, and care models.
- Monitor changes in payer requirements and support compliant revenue cycle policies, workflows, controls, and required organizational reporting.
- Protect patient confidentiality and model CHC's mission, Standards of Behavior, and commitment to a positive patient experience.
Qualifications
- Bachelor's degree or equivalent experience is preferred.
- Two years of management experience in a medical office or hospital setting.
- Professional coding or revenue cycle certification, such as CPC, CPB, CPPM, CRCR, or CHFP.