Revenue Cycle Manager

Northern California

We have been engaged by a large academic medical center in northwest California to assist in the search for a Revenue Cycle Manager.

This department is responsible for the results, efficiency and quality of the professional fee revenue cycle for “affiliated” (non-faculty) providers. This important and growing department currently supports such practices as affiliated physicians. The manager will be the primary liaison between affiliate practices, Revenue Cycle, and any third-party billing support teams.

Key Responsibilities:
• Develops dashboards and processes for continuous management and analysis of revenue cycle functions. Provides analytic support, problem solving and communication on all matters pertaining to affiliate physician billing needs.
• Works closely with key partners including Strategy, New Affiliate Integration as well as revenue cycle central support organizations (IT, Contracting (Health Plan Services), credentialing, Revenue Cycle Directors (e.g. claims, EDI, revenue management, etc.) and more to support day-to-day affiliate revenue cycle operations.
• Duties may include denial analysis, coding/documentation quality, charge capture, (contracted payor) payment accuracy and more. This role impacts overall success in meeting strategic Health objectives related to physician alignment.
• Responsible for leading large projects and team members in accordance with best practices and mitigate risk and obstacles to achieve successful outcomes. This could include working with Epic and non-Epic applications and teams.
• Collaborates with affiliated practices during planning and execution phases of practice management system implementations.
• Develops dashboards and processes for continuous management and analysis of revenue cycle functions. This may also require extensive interaction with affiliated practices physicians, management, their local hospital administrators and more to ensure effective partnerships.
• Provides input and coordinates the development of educational programs for affiliate staff to increase knowledge of relationship between charge behavior, billing flow, and reimbursement.
• Other duties as assigned. Perform ad hoc analyses or process improvement projects as assigned to optimize Revenue Cycle performance.

Minimum Requirements:
• 5 – 7 years’ experience with 3 – 5 years’ revenue cycle experience in a large academic and/or complex healthcare setting, or equivalent combination of training, education, and experience
• Bachelor’s degree in related area and / or equivalent experience / training
• In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, denial management, contractual adjustments, third-party reimbursements, and cash management.
• In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle
• Advanced organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule
• Demonstrated skills in report development/design, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software
• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations to all levels of staff and management
• Advanced analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements
• Advanced interpersonal skills, with the ability to collaborate effectively on highly-complex projects in a team environment with a wide variety of business and clinical areas
• Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management
• Pro-fee billing experience preferred.

Exceptional opportunity with dynamic organization – competitive salary, relocation assistance and exceptional career growth potential

If you are personally interested in learning more about this position and wish to have a confidential conversation, please submit resume to:
Pat Holtermann or Kay Hays
360-665-2433 ~ 888-778-0098