Revenue Cycle Manager – Billing Operations

🔥 12 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

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👻 Ghost score 10%

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Bon Secours Mercy Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Bon Secours Mercy Health is a leading health care organization committed to transforming health care delivery and services through strategic innovation and compassionate care. Operating hospitals and clinical sites in the U. S. and Ireland, the organization focuses on extending health care access, improving patient outcomes, and enhancing value through emerging technologies and strategic partnerships. With a commitment to service and stewardship, Bon Secours Mercy Health also prioritizes enhancing the quality of life for underserved communities while advocating for sustainability. The organization’s initiatives include digital innovation, diversified growth through investments and partnerships, and providing high-value care across its core clinical operations.

📋 Description

• Provide leadership and oversight of EMS Transportation billing and revenue cycle operations • Ensure accurate and timely claim submission, payment posting, account follow-up, denial management, correspondence, adjustments, refunds, and account resolution • Manage and develop billing staff, including performance expectations, coaching, evaluations, corrective action, and professional development • Develop and maintain billing training programs and oversee employee orientation and continuing education • Monitor revenue cycle performance using KPIs such as collections, accounts receivable, aging, denial rates, clean claim rates, payment variance, and productivity • Coordinate insurance billing, accounts receivable management, payer correspondence, reconciliation, denial and rejection resolution, and underpayment identification • Oversee daily deposits, payment posting, adjustments, refunds, balancing, audits, and discrepancy resolution • Partner with EMS operations, Revenue Cycle, Finance, payers, and other stakeholders to improve financial performance and patient financial experience • Monitor payer requirements and billing compliance for Medicare, Medicaid, commercial payers, and applicable EMS transportation requirements • Analyze denial, rejection, and underpayment trends and coordinate corrective actions • Improve billing workflows, system utilization, automation, and internal controls • Coordinate departmental staffing, schedules, coverage, and staffing levels • Prepare and present financial and operational reports to leadership • Support or lead billing system, payer, process improvement, technology implementation, and revenue cycle projects • Serve as a subject matter expert for EMS Transportation billing and revenue cycle processes • Promote service excellence and maintain appropriate financial controls and safeguards • Perform other duties and responsibilities as assigned

🎯 Requirements

• High School Diploma or GED required • Certified Ambulance Coder within 6 months of start date, or equivalent EMS billing certification as approved by the organization • 3-5 years of experience in healthcare revenue cycle, medical billing, EMS billing, or a related healthcare financial environment • Demonstrated experience with accounts receivable management, insurance billing, payer follow-up, denial management, and financial reconciliation • Experience working with billing systems and financial reporting tools • Ability to lead/direct others • High degree of analytical ability • Working knowledge of Microsoft Office • Prior experience in healthcare billing operations • Knowledge of registration, insurance, scheduling, and/or verification and hospital billing preferred • Prior experience in Air and Ground Medical Transportation billing and operations preferred • 2 or more years of supervisory or management experience preferred

🏖️ Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support