Revenue Cycle Manager

🔥 5 minutes ago

🇬🇦 Gabon – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 12%

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Logo of Southeast Medical Group

Southeast Medical Group

501 - 1000 employees

Founded 1988

⚕️ Healthcare Insurance

🏥 Healthcare

☁️ SaaS

Healthcare Insurance • Healthcare • SaaS

Southeast Medical Group is a large independent primary care medical group based in the Southeastern United States, claiming to be the largest independent medical group in the Southeast and Georgia's most awarded primary care practice. They operate about 160 providers across 50 locations, offering patient-centered primary care services including preventive care, chronic disease management, urgent care, virtual visits, same-day and walk-in appointments, evening and weekend slots, and telehealth. The practice emphasizes convenience (easy online scheduling, patient portal, online bill pay) and community involvement, and provides resources for patients, careers, and professional partnerships.

📋 Description

• Manage and optimize the end-to-end revenue cycle process, including claims submission, payment posting, denial management, and collections • Oversee daily billing operations and reconcile payment or denial discrepancies • Monitor claims data to identify financial leakage and implement recovery strategies • Supervise hourly revenue cycle management staff, including scheduling, delegation, and performance evaluations • Provide training, mentorship, and career development opportunities • Set performance standards and ensure staff accountability • Manage and maintain RCM systems and platforms, including integration with EMR and billing software • Troubleshoot system issues and coordinate with IT or vendors • Monitor software upgrades and healthcare technology changes • Conduct billing and coding audits for compliance with contractual, payer, and regulatory requirements • Collaborate with compliance to implement corrective actions • Maintain patient clinical database integrity and quality • Assess staffing needs and coordinate recruitment, onboarding, and training with Human Resources • Facilitate educational interventions to improve coding and billing accuracy • Collaborate with finance and business office leadership to streamline processes • Provide outstanding customer service to patients, staff, and third-party representatives • Communicate with stakeholders regarding RCM goals and payer requirements

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Finance, or a related field required • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification highly desirable • Minimum of 3-5 years of experience in healthcare revenue cycle management • At least 1-2 years in a supervisory or managerial role • Demonstrated experience in managing billing systems, conducting audits, and overseeing claims analysis • Familiarity with daily billing needs, staffing coordination, and operational workflows in a healthcare setting • Strong leadership skills with the ability to manage and motivate hourly staff • Proficiency in RCM systems, EMR, and billing software, with the ability to troubleshoot and optimize platform performance • Excellent analytical and organizational skills • Knowledge of healthcare regulations, including HIPAA, CMS standards, and payer-specific requirements • Superior communication skills • Ability to lift up to 50 pounds and push or pull heavy objects using up to 50 pounds of force • Ability to sit or stand for extended periods • Ability to use fine motor skills to operate office equipment and/or machinery • Ability to receive and comprehend instructions verbally and/or in writing and use logical reasoning for problem-solving • Ability to travel to multiple locations as required

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