Manager, Revenue Cycle Management

The Opportunity

The Manager, Revenue Cycle Management will lead and manage the company’s healthcare cash posting process within the Revenue Cycle Management team on EMR, including leading payor EDI enrollments and lockbox communications. This is a role that will support the company in meeting its financial and strategic goals but must also be comfortable operating in the day-to-day details. Additional responsibilities include recruiting, training, developing, and managing in-house on-shore, off-shore teams.

Responsibilities:

• Lead and manage the company’s healthcare cash posting and lockbox activities, including Medicaid, Medicare, Managed Care, and third-party payors transactions on multiple EMRs and other applications
• Ensure all revenue cycle activities comply with federal, state, and payer regulations, including HIPAA and other applicable standards in cash transactions.
• Lead payment review processes, oversee compliance with insurance payment regulations, and payer requirements.
• Support organizational audits and financial reviews while upholding the highest standards of ethical practices.
• Lead in terms of setting up EMR systems, as well as a strong capacity to implement Payor & Billing, cash posting “set-up” rules and logic within an EMR system.
• Trouble shoot large 835 transaction-related issues.
• Experience in working on any of the EMRs like Brightree, Xifin, Epic/ Cerner, and others
• General ledger maintenance, financial analysis, reporting, and compliant cash posting management consistently
• Strong understanding of healthcare revenue cycle processes, payer regulations, and compliance requirements. NY CDPAP experience or FMS/self-direction experience in revenue cycle with another vendor or MCO/State Medicaid Agency
• Provide regular updates to executive leadership on revenue cycle performance, financial health, and KPI’s of Revenue Cycle management
• Lead, direct, evaluate, and develop a team of cash posting professionals to ensure accounting activities are completed accurately and on time.

Required Qualifications:

• Associate’s Degree in Health Care administration, Finance/Accounting, or related field. Or equivalent years of experience.
• Minimum 7 years of relevant experience
• Revenue cycle experience
• Cash posting and reconciliation experience

Preferred Qualifications:

• Preferred HFMA or other Revenue Cycle license or certificate
• Masters Degree (± 18 years) MBA, CPA, CMA
• Knowledge of Accounting & Finance