Revenue Cycle Operations Manager

🔥 1 minute ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

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Cardiovascular Associates of America - CVAUSA

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51 - 200 employees

Founded 2021

Headquartered in Orlando, Cardiovascular Associates of America aims to bring the best cardiovascular physicians in one network with the common mission of saving lives, reducing costs, and improving patient care through clinical innovation. Through CVAUSA’s physician-centered practice management model, physicians drive clinical care and their practice culture, while benefiting from the business expertise and shared resources available through CVAUSA.

📋 Description

• Overseeing operational performance across core revenue cycle functions • Ensuring accurate claim submission, compliant billing practices, timely reimbursement, and optimal financial performance • Providing leadership and oversight across middle-cycle and back-end revenue cycle operations including charge entry, coding coordination, claim submission, billing, payment posting, denial management, patient collections, and revenue integrity initiatives. • Collaborating with clinical, operational, and finance leadership to improve reimbursement outcomes, operational efficiency, revenue capture, and overall financial performance • Serving as the primary point of contact and relationship manager for all outsourced Accounts Receivable vendors and business partners • Establishing performance expectations, service level agreements (SLAs), and key performance indicators (KPIs) • Conducting regular vendor performance reviews focused on cash collections, aging reduction, denial resolution, productivity, quality, and turnaround times • Monitoring and analyzing AR vendor performance metrics, identifying trends, risks, and opportunities for improvement • Providing executive-level reporting and recommendations regarding vendor performance, AR trends, and revenue cycle optimization opportunities.

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field preferred. • Professional certification such as CPB, CPC, CRC or CHAM is preferred but not required • Minimum 5 years of experience in healthcare revenue cycle • Minimum 2 years of leadership or supervisory experience • Experience working in a physician practice or specialty clinic preferred. • Experience with AthenaOne, NextGen, eClinicalWorks, or similar practice management systems preferred. • Comprehensive knowledge of healthcare revenue cycle operations including patient access, charge capture, billing, payment posting, accounts receivable, and patient financial services. • Knowledge of payer reimbursement methodologies including Medicare, Medicaid, and commercial insurance plans. • Familiarity with CPT, HCPCS, and ICD-10 coding fundamentals and claim submission requirements. • Understanding of point-of-service collections, patient financial counseling, and insurance benefit structures. • Strong analytical skills with the ability to interpret revenue cycle performance metrics and operational data. • Experience utilizing healthcare EMR and practice management systems (e.g., AthenaOne, eClinicalWorks, NextGen) and payer portals. • Knowledge of healthcare compliance requirements including HIPAA, documentation standards, and billing regulations. • Strong communication, collaboration, and problem-solving skills to support cross-functional operational improvement.

🏖️ Benefits

• Full benefits package active on day one