Revenue Cycle Manager

About the Job
Cedar Point Health is a physician-owned company with a dedication to healthcare on the western slope of Colorado. With two urgent care sites, four primary care locations, a growing Behavioral Health Department and a PT wellness center, we have many options to support our patients. We are looking for a qualified Revenue Cycle Manager to fill an available position at our administration location in Montrose, Colorado. Come join our growing company that supports opportunities for growth, learning and career expansion.
Mission: Our mission is to serve Western Colorado communities by providing high-quality, compassionate, comprehensive health care to all ages.
Job Information
Job Title: Revenue Cycle Manager
Department: Finance
Reports To: Director of Finance
Supervises: Medical Billing Supervisor
FLSA Status: Exempt
Employment Status: Full-Time
Work Location: Administration
Pay Range: $70,000–$80,000 annually
Position Summary
The Revenue Cycle Manager is responsible for the oversight of Cedar Point Health’s revenue cycle operations, including staff management, payer relations, coding, billing, claims management, accounts receivable, collections, third-party billing services, and audits. This position works closely with the Director of Finance, finance team, providers, department leaders, payers, vendors, and the EMR vendor to support accurate billing, timely reimbursement, effective cash flow, and continuous improvement of revenue cycle processes. The Revenue Cycle Manager monitors key performance indicators and financial results and develops strategies to improve revenue cycle performance and achieve established cash-flow targets.
Key Responsibilities
The essential responsibilities of this position include:
Liaise with the third-party billing vendor and oversee performance expectations, successful process improvements, CPH billing, coding, accounts receivable, collections, and other contractual expectations.
Train, develop, support, and manage staff while promoting a collaborative and accountable team environment.
Maintain and manage applicable bonus programs and adhere to CPH and HR policies and procedures; evaluate and approve timecards and time-off requests for supervised staff.
Work in collaboration with department supervisors regarding oversight of check-in and check-out processes, education, training, dashboards, scripting, CPH software, mapping, and related revenue cycle workflows.
Work in collaboration with the Director of Finance and the Accounting Manager as it relates to revenue cycle management.
Maintain a monthly revenue cycle dashboard including KPIs, production numbers, accounts receivable activity, collection performance, and other relevant measures.
Comply with CMS, federal and state regulations, payer guidelines, and applicable coding requirements and ensure consistent and compliant coding application.
Research regulatory updates and collaborate with appropriate leaders to ensure necessary changes are incorporated into daily workflows.
Develop and maintain a double-check process for EMR postings to bookkeeping software on a monthly and/or quarterly basis.
Collaborate with the EMR vendor to improve data mining and financial reporting tools as they relate to revenue cycle operations.
Assist the Director of Finance with payment analysis for commercial payers, including fee schedules, contracts, and plan offerings under each insurance plan.
Collaborate with the Director of Finance and appropriate organizational leaders regarding key insurers and value-based revenue performance and outcomes.
Assist the Director of Finance in preparing and developing operational strategies to increase cash collections, reduce bad debt, and maintain key metric standards.
Identify trends and make recommendations for areas of improvement within the revenue cycle.
Manage CPH revenue cycle policies, objectives, and initiatives to achieve operational goals and cash-flow targets.
Collaborate and have complete oversight of all credentialing duties to ensure prompt credentialing that does not interfere with timely revenue collections.
Other Duties:
This job description is not intended to contain a comprehensive listing of all activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change based on organizational needs.
Requirements
Required Qualifications
Education: Bachelor’s degree or higher in a related field preferred; equivalent relevant experience may be considered.
Experience: Minimum 5 years of experience working in healthcare revenue cycle, medical billing, accounts receivable management, or a closely related area. Experience in audit, compliance, billing, insurance follow-up, and coding is required.
Licensure/Certification: N/A.
Technical Skills: Proficient in the use of technology, office programs, EMR and revenue cycle systems, and adaptable to proprietary systems and methods.
Other Requirements: This position is required to work in person. Commuting to other Cedar Point Health locations within a 75-mile radius may be requested.
Preferred Qualifications
Bachelor’s degree or higher in healthcare administration, business, finance, accounting, or a related field.
Experience managing healthcare revenue cycle teams and/or third-party billing vendors.
Experience with commercial and government payer requirements, payer contracts, reimbursement methodologies, and value-based reimbursement.
Experience developing and monitoring revenue cycle dashboards, KPIs, and financial performance reports.
Knowledge, Skills & Abilities
Successful candidates should demonstrate:
Ability to interact effectively with others, both verbally and in writing.
Strong influencing and leadership skills and the ability to collaborate in a team environment.
Ability to set and meet deadlines and manage multiple priorities.
Proven understanding of the commercial and government payer landscape.
Strong organizational skills with strong cycle-time management capabilities.
Exceptional problem-solving and research capabilities with a strong analytical mindset.
Forward-thinking and self-directed approach to work.
Familiarity with and adherence to HR policies and procedures.
Ability to support the development of CPH culture and overall team building and promote the mission and vision as a department leader.
Ability to maintain confidentiality, professionalism, accountability, and respectful working relationships.
What Success Looks Like
Success in this position means consistently achieving the expected outcomes of the role while demonstrating the organization's values and standards.
Key Success Measures:
Grace and Respect: Demonstrates grace and respect towards patients and staff by seeking to understand and acknowledging their needs
Positivity: Create a positive work environment and atmosphere through treatment of others and by attitude
Sincerity: Sincere and genuine approach with patients and peers