Revenue Cycle Manager

Job description

Description Job Purpose: Responsible for managing the operations of Appeals, Payment Posting, Collections, and Financial Counseling teams. Ensures adherence to established Standard Operating Procedures (SOPs) and achievement of Key Performance Indicators (KPIs) to maintain revenue cycle efficiency. Works collaboratively with leadership to keep Accounts Receivable (A/R) within organizational targets and provides technical oversight for billing and appeals processes across all payers and identifies variances to goals and RCM trends. PRIMARY DUTIES INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING · Revenue Cycle Oversight: Direct submission of claims and appeals for denied claims, ensuring compliance with SOPs.· KPI Monitoring: Maintain performance metrics such as:o Days in A/R within target range.o Clean Claim Rateo Denial Rateo Appeals Resolution Turnaround· Workflow Management: Organize daily operations to minimize backlog and optimize productivity.· Staff Leadership: Interview, hire, evaluate, discipline, and coach employees. Conduct regular team meetings for communication and accountability.· Compliance & Education: Stay current on payer regulations, coding updates, and appeal trend...