JOB TITLE: Revenue Cycle Manager
DEPARTMENT: Business Office
REPORTS TO: Director of Revenue Cycle
FLSA STATUS: Exempt
JOB SUMMARY: The Revenue Cycle Manager, under the direction of the Director of Revenue Cycle
is responsible for managing the day-to-day operations of the Revenue Cycle and Health Information
Management (HIM) departments for a multi-specialty, multi-site group practice.
JOB DUTIES & RESPONSIBILITIES:
? Manages assigned staff to ensure the performance of tasks are completed in an efficient and
professional manner.
? Serves as a resource to staff by answering questions and assisting with problems related to the
revenue cycle and HIM processes.
? Monitors weekly ROI, indexing, separating, and transcription numbers to assure staff quotas are
being met.
? Continuously updates, in conjunction with related clinical data collection, appropriate procedures
for all revenue cycle and HIM activities.
? Facilitates and assists in the training and development of existing and new team members.
? Responsible for Quality and Assurance of claims review, utilizing the one touch methodology.
? Serves as liaison between Office Coordinators, Medical Secretaries, and Insurance Verification
Specialists to resolve issues regarding accuracy in completeness of patient records.
? Is responsive to payer billing and claims appeal requirements, and maintains strong
relationships with payer provider representatives.
? Audits team members’ work for accuracy and efficiency based on performance standards.
? Assists Director of Revenue Cycle and COO with preparing and presenting reports as needed.
? Actively participates in A/R management, patient collections, and other business office
functions.
? Supports and maintains a work environment that embodies professional excellence, teamwork,
integrity, and confidentiality.
? Assists with analyzing department needs and suggesting ways to improve overall revenue and
process efficiency.
? Demonstrate a strong knowledge of insurance carrier administrative policies including Medicare,
Medicaid and Commercial insurances.
? Responsible for management of staff including recruitment, training, coaching, discipline and
performance appraisals.
? Performs other duties and tasks as assigned.
PERFORMANCE REQUIREMENTS
? Excellent oral, written and telephone communication skills, along with tact, diplomacy, and
strong customer service orientation.
? Reports to work regularly without undue tardiness.
? Works independently, without direct supervision.
? Prioritizes work activities for team and self to achieve department goals.
? Completes work accurately and in a timely manner.
? Maintains effective working relationships with physicians, administration, patients and other staff
members.
? Strong analytical and problem solving skills
? Proven ability to manage multiple projects concurrently.
? Maintains strict confidentiality regarding patient and practice information.
TYPICAL PHYSICAL DEMANDS:
? Prolonged sitting, standing, some bending, stooping and stretching and/or walking.
? Eye-hand coordination and manual dexterity sufficient to operate a computer keyboard,
photocopier, fax machine, telephone, calculator, and other office equipment.
? Normal range of hearing and vision to record, prepare, and communicate appropriate reports.
TYPICAL WORKING CONDITIONS:
? Work is performed in an office environment, with contact with patients, office staff, physicians,
etc.
EDUCATION & EXPERIENCE
? CPC Preferred
? High School Diploma or G.E.D. required. Bachelor’s Degree preferred
? Five+ years of full cycle medical billing experience required
? Previous surgical specialty experience required, preferably neurosurgery.
? Minimum of three years in a manager/supervisory role required.
? Two years coding (CPT, ICD-10, Modifiers) knowledge and experience preferred.
? Experience with EMR systems required, Centricity (Athena Practice) a plus.
? Knowledge of HIPAA required
? Knowledge of medical records and transcription practices, standards and practices preferred