Job Posting
Revenue Cycle Manager
Job Description
Revenue Cycle Manager
CCMH is seeking a Revenue Cycle Manager to oversee and manage all functions of the Revenue Cycle Department, including patient registration, billing, accounts receivable, insurance verification, claims management, collections, and daily cash processes. This position is responsible for ensuring efficient and accurate revenue cycle operations, optimizing reimbursement, and leading a team of billing and registration specialists.
Primary Responsibilities
• Under the direction of the CFO, manage all aspects of the revenue cycle—from patient registration through final payment—including billing, claims submission, and collections.
• Lead, supervise, and support Revenue Cycle/Business Office team members in registration, billing, collections, and all functions within a hospital revenue cycle operation.
• Monitor performance of third-party revenue cycle (Equalize RCM). Focus on analyzing key performance indicators (KPIs) ensuring RCM company’s performance aligns with financial goals. Serve as the internal liaison between the organization and the external RCM partner.
• Oversee daily departmental workflow by assigning tasks, monitoring productivity, and ensuring key performance metrics are met.
• Review accounts receivable (AR) aging reports and identify opportunities to accelerate collections and reduce outstanding balances.
• Analyze billing and claims data, both internally and with external partners, to identify trends, denial root causes, and opportunities for process improvement.
• Direct the denial management process, including claim review, appeal preparation and submission, and tracking of outcomes.
• Review and approve accounts placed with and returned from Collection Agency. Insure payments made on accounts are appropriately communicated to Agency.
• Prepare and present comprehensive financial and operational reports regarding AR performance, collection rates, denials, and other key revenue cycle indicators.
• Collaborate with the finance department to support organizational financial goals and performance metrics.
• Build and maintain effective working relationships with payer representatives to resolve billing issues and address claim disputes.
• Provide training, guidance, and ongoing support to staff to ensure competency with billing regulations, payer requirements, and EHR functionality.
• Prepare financial reports as necessary for CEO & CEO, including preparation of reports for annual financial audit & cost report preparation.
Required Education, Knowledge, Skills & Physical Requirements
• Prefer associate or bachelor’s degree in business management, Business Administration, Healthcare Administration, or related field with accounting emphasis; equivalent education, training, or hospital business-office experience will be considered.
• Minimum 3–4 years of supervisory experience, preferably within a Critical Access Hospital (CAH).
• Strong understanding of hospital revenue cycle operations and regulatory requirements.
• Excellent analytical, problem-solving, and strategic decision-making skills.
• Ability to adapt to frequently changing CAH processes and regulatory expectations.
• Strong interpersonal abilities with excellent verbal, written, and presentation communication skills.
• Demonstrated project planning, development, and implementation capabilities.
• Proficient in Microsoft Office (Word, Excel, PowerPoint) and general office equipment; competent and efficient in data entry.
• Professionalism, sound judgment, and tact required at all times.
• Dependable, self-directed, well-organized, and able to prioritize effectively.
• Physical requirements include reaching, bending, stooping, lifting, and handling objects; normal talking, hearing, and vision; ability to perform light to moderate work, including lifting and carrying up to 40 pounds.
The CCMH CEO reserves the right to modify or cancel this posting based on facility needs.
Additional Information
Shift : Day
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