Senior Associate Revenue Cycle Management

"Revenue Cycle Oversight: Monitor and manage the revenue cycle process, from patient registration and scheduling to claim submission, payment posting, and collections. Billing and Coding Support: Review and validate billing and coding accuracy to ensure compliance with coding guidelines and payer requirements. Claims Management: Analyze and resolve claim rejections, denials, and appeals, working closely with the billing team to maximize reimbursement rates. Financial Analysis: Conduct regular analysis of revenue cycle metrics, identify trends, and implement process improvements to optimize financial performance. Performance Reporting: Prepare and present revenue cycle performance reports to management, highlighting key metrics, areas of improvement, and actionable recommendations. Compliance and Regulations: Stay updated with industry regulations, payer policies, and coding changes to ensure compliance and minimize financial risks. Staff Training and Development: Provide training and guidance to revenue cycle staff on best practices, policies, and procedures. Vendor Management: Collaborate with external vendors, such as clearinghouses and collection agencies, to optimize revenue cycle processes and resolve issues. Technology Utilization: Leverage revenue cycle management systems and technology tools to streamline processes, improve efficiency, and enhance data accuracy. Collaboration: Foster strong cross-functional relationships with clinical teams, finance, IT, and other stakeholders to drive revenue cycle optimization initiatives. Qualifications and Skills: Bachelor's degree in healthcare administration, business, finance, or a related field (or equivalent experience). At least 5 years of progressive experience in revenue cycle management within a healthcare organization. Strong understanding of healthcare reimbursement methodologies, including coding systems (e.g., CPT, ICD-10), billing regulations, and payer requirements. Proficiency in revenue cycle management systems and healthcare software applications (e.g., electronic health records, billing systems). Excellent analytical and problem-solving skills, with the ability to interpret and analyze revenue cycle data. Knowledge of compliance and regulatory guidelines, such as HIPAA and Medicare/Medicaid. Strong interpersonal and communication skills, with the ability to collaborate effectively with cross-functional teams. Leadership abilities and experience in training and mentoring staff. Detail-oriented, organized, and able to prioritize tasks in a fast-paced environment. Professional certification in revenue cycle management (e.g., Certified Revenue Cycle Representative, Certified Professional Coder) is a plus."