Revenue Cycle Manager

🔥 1 minute ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

B2B • SaaS

Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.

📋 Description

• Manages the day-to-day operations of the billing department to maximize net revenues and cash flow by managing all aspects of the revenue cycle while ensuring adherence to policies and procedures. • Monitor accounts receivable activity and initiates appropriate corrective measures as needed. • Communicates performance data and associated action plans to Senior Leadership. • Identifies and implements processes to achieve key revenue cycle metrics including but not limited to A/R days, unbilled a/r, denial percentage, and cash collections. • Analyze large volumes of data and provide financial analysis and regularly presents trends, movements, and status to Senior Leadership. • Review billing work queues regularly to ensure that workloads are distributed evenly and that the department metrics are being met. • Resolve complex patient, physician, and other issues when necessary. • Manages self-pay receivables including vendor relationships to help resolve AR. • Develop and implement policies and procedures for designated areas; evaluate new systems and methods and recommend changes as necessary. • Communicate with payers and know when and how to escalate payer issues. • Oversee the hiring, training, and supervision of department personnel. • Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles. • Conducts regular meetings with staff to discuss third-party reimbursement methodologies. • Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and/or third party payers. • Research and resolve discrepancies in a timely manner. • Works with sensitive and confidential materials and must be able to exercise discretion. • Verifies and updates patient registration information in the practice management system.

🎯 Requirements

• High School diploma or equivalent working knowledge preferred. • BA/BS in Business Administration, Accounting, Finance, or equivalent is preferred. • A minimum of office 5 year of experience in a leadership role within a billing department in healthcare revenue cycle operations. • Prefer experience working with multiple physician specialties. • Previous supervisory experience and strong leadership skills with an ability to motivate with a positive attitude that positively impacts others. • Demonstrated successful healthcare revenue cycle leadership experience. • Experience analyzing and trending financial data. • Excellent written and verbal communication and presentation skills. • Excellent critical thinking, troubleshooting, and analytical skills. • Excellent interpersonal skills including conflict management. • Experience working in Excel (advanced formulas, pivot table). • Well organized and able to meet deadlines. • Excellent attention to detail. • Knowledge of claims processing and editing systems. • Strong knowledge of Medicare and Medicaid payer guidelines across multiple states. • Knowledge of CPT, HCPCS, and diagnosis coding.

🏖️ Benefits

• Health insurance • Flexible work arrangements