Revenue Cycle Manager

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $80k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Provide leadership and management for one or more accounts or significant audit support projects • Oversee audit support revenue cycle activities to maximize valid claim identification and overpayment recoveries • Meet contractual commitments and deliver customer satisfaction consistent with operating practices and audit procedures • Hire, develop, coach, lead, and retain talent while building and improving the team and culture • Analyze revenue streams and revenue-related data to identify opportunities to maximize revenue or margins • Recommend product/service pricing changes based on availability and expected demand • Modify revenue management strategies to reach targeted markets • Monitor team or department efficiency and ensure output meets expectations • Oversee financial operations, payment processing, cash flow, and receivables health • Enhance and standardize revenue-cycle workflows and resource utilization • Prepare status reports for management to analyze trends and recommend efficiency improvements • Develop and maintain relationships with outside vendors • Direct delivery of Accounts Receivable audit services by managing assigned engagement teams • Develop policies and standard operating procedures supporting collections and cash allocation • Review audit progress against metrics and direct activities to achieve business goals and customer expectations • Coordinate with Business Optimization and support functions to achieve audit goals • Improve efficiency and productivity, reduce operational costs, and maintain contract and policy compliance • Support innovative solutions and optimize audit processes and efficiencies • Manage customer problems and conflicts, including direct customer communication • Remove barriers and lead issue resolution through closure and customer satisfaction • Ensure audit teams review all claim categories and use available software, reports, and IT resources • Collaborate with SAM to pursue growth opportunities within existing and potential clients • Ensure compliance with HIPAA regulations protecting PHI • Direct staff selection, supervision, evaluation, and development; set objectives and conduct performance reviews • Assess client and customer needs, provide assistance, resolve problems, and deliver exceptional service

🎯 Requirements

• Bachelor’s Degree in Accounting/Finance/Business required • 3-5+ years prior work experience in accounting or business operations • Preferably healthcare experience with financial systems • 2-4 years of People Management and related experience required • Computer proficiency in Microsoft Office (Word, Excel, Outlook) required • Microsoft Access experience preferred • Strong SQL querying skills • Proficient with Tableau for reporting insights • Prior experience with direct client contact required • Ability to lead, influence, manage, and motivate others • Knowledge of basic accounting practices • Excellent organizational ability to handle multiple priorities • Strong attention to detail and accuracy • Working knowledge of applicable industry-based standards • Excellent verbal and written communication skills • Ability to work well in an individual and team environment • Knowledge of revenue cycle practices • Must be able to provide a dedicated, secure work area • Must be able to provide high-speed internet access/connectivity and office setup and maintenance

🏖️ Benefits

• Discretionary bonus consideration • Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance coverage • 401(k) savings plan • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service • Dedicated, secure work area requirement supported by remote work setup • High-speed internet access/connectivity and office setup and maintenance