Senior Manager – Professional Billing and Revenue Cycle

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $97.5k - $141.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Boston Medical Center (BMC)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1996

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

📋 Description

• Provide operational leadership and oversight of professional billing functions • Support physician revenue cycle performance across the organization • Direct Professional Billing Managers • Oversee third-party billing vendor performance • Ensure timely charge capture, billing, claims resolution, and reimbursement from all payers • Partner with the Director to develop and execute operational priorities, performance improvement initiatives, and revenue cycle strategies • Optimize financial outcomes, operational efficiency, and compliance with regulatory and payer requirements • Liaise among clinical operations leadership, physician practices, third-party billing vendors, and Revenue Cycle departments • Foster collaboration, monitor key performance indicators, and drive continuous process improvement • Direct staffing, performance management, employee development, coaching, succession planning, and engagement • Establish departmental goals, priorities, and metrics • Optimize billing operations, resolve reimbursement barriers, improve collections, and maximize revenue opportunities • Lead physician revenue cycle process improvement and transformation initiatives • Monitor revenue cycle performance, productivity, service levels, and financial targets • Identify and implement process improvements, technology enhancements, workflow optimization, automation, and productivity improvements

🎯 Requirements

• Bachelor’s Degree in Business, Healthcare Administration, or a related field and a minimum of 7 years of related professional experience, specifically including management of professional billing functions within an academic medical center; or an equivalent combination of education and experience • Experience in Physician Billing Organizations preferred • Technical proficiency in Epic and Epic Cubes • Advanced skills in Windows-based business applications, including Outlook, Word, PowerPoint, and Excel • Comprehensive knowledge of patient billing policies, health insurance standards, and regulatory revenue cycle guidelines • Ability to audit performance and train staff on billing and regulatory concepts • Proficiency in collecting, organizing, and analyzing complex financial and operational data • Ability to improve revenue cycle performance, customer service baselines, and cross-functional operations within a complex healthcare delivery environment • Ability to manage multi-layered operations, including data warehouse functions • Ability to supervise supervisory staff, motivate teams, establish priorities, and delegate effectively under resource constraints • Ability to establish an operational vision and lead cross-departmental and cross-functional teams through project lifecycles • Advanced written and verbal communication skills • Ability to translate complex technical billing concepts to non-technical operational and clinical audiences

🏖️ Benefits

• Medical, dental, vision, and pharmacy benefits • Discretionary annual bonuses • Merit increases • Flexible Spending Accounts • 403(b) savings matches • Paid time off • Career advancement opportunities • Resources to support employee and family well-being