Revenue Cycle Manager

Position Title: Hospital/ASC Revenue Cycle Manager
Reports to: Director of Facility operations
Location: Remote

MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company.

The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff credentialing as a Professional Employer Organization, (PEO.) In 2022, MedHQ formed a relationship with 424 Capital, and quickly expanded into a well-rounded, menu services driven financial management company. This robust infusion of expert service line offerings has resulted in MedHQ and MedHQ clients’ efficiencies and growth. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services. For additional detailed information please review www.medhq.com.
 

Responsibilities:

Leadership and Staff Management:

• Lead a team of billing and coding professionals, providing guidance, support, and mentorship.
• Foster a positive and inclusive work environment that encourages collaboration, teamwork, and professional growth.
• Conduct regular performance evaluations, provide feedback, and implement training programs to enhance staff skills and knowledge.

KPI Monitoring and Performance Management:

• Collaborate with leadership to implement and monitor KPIs to measure the efficiency and effectiveness of the revenue cycle processes.
• Regularly monitor and analyze performance data, identify areas for improvement, and implement corrective actions to optimize revenue cycle operations.
• Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.

Provider and Administration Interaction:

• Serve as the primary point of contact for providers and administration, addressing inquiries, resolving issues, and fostering strong relationships.
• Collaborate with stakeholders to understand their needs and develop strategies to improve revenue cycle performance.
• Conduct regular meetings with providers and administration to provide updates, gather feedback, and ensure alignment on goals and expectations.

Compliance and Regulatory Adherence:

• Stay up to date with industry regulations, coding guidelines, and payer policies to ensure compliance with billing and coding practices.
• Implement and enforce policies and procedures that comply with HIPAA and other relevant regulations.
• Conduct internal audits to identify potential compliance issues and develop action plans to address them.

Culture and Process Improvement:

• Promote a culture of continuous pursuit of Awesome, encouraging teamwork, collaboration, and efficiency.
• Identify process bottlenecks and develop strategies to streamline operations and enhance revenue cycle performance.
• Drive the adoption of best practices, technologies, and teamwork to optimize revenue cycle processes.

Day to Day Operations:

• Ensure timely and accurate submission of claims, payment posting, denial/appeal management, coding, and accounts receivable follow-up.
• Drive positive patient interaction on all touch points.
• Supervise staff productivity on a daily basis.
• Fill in staff functionality when necessary as a working team lead.

Qualifications:

• In-depth knowledge of physician billing and coding practices, reimbursement methodologies, and industry regulations.
• Proven experience in revenue cycle management, preferably in a leadership role.
• Strong understanding of key performance indicators (KPIs) and experience in monitoring and improving revenue cycle metrics.
• Excellent communication and interpersonal skills to interact effectively with providers, administration, and team members.
• Familiarity with compliance requirements, such as HIPAA, and experience in implementing and enforcing compliance programs.
• Strong leadership abilities with a supportive and effective management style.
• Analytical mindset with the ability to identify areas for improvement and drive process optimization.
• Proficiency in revenue cycle software and healthcare billing systems.
• Certification in medical coding (e.g., CPC, CCS) is a plus.

Join our dynamic team and make a significant impact on our revenue cycle operations. Apply now and help us maintain efficient billing and coding processes while driving a culture of Awesome!

 

FULL TIME BENEFITS

1. Employer sponsored Major Medical
2. Employer sponsored Dental
3. Employer sponsored Vision
4. Accidental Death and Disability insurance
5. 401K matching
6. Flexible spending account
7. Generous paid time off
8. True opportunity for advancement