Manager, Revenue Cycle
Description
The Manager – Revenue Cycle will work closely with firm management to lead complex internal and external projects. The position oversees the end-to-end revenue cycle operations, including billing, coding, claims, collections and related activities, ensures compliance with legal and regulatory standards and optimizes processes for accurate and timely revenue generation.
FLSA Status | Exempt | Salary Range | $125,000- $155,000 |
Reports To | Principal & SVP | Direct Reports | Yes |
Location | Hybrid (3-4 days in office) | Travel | Up to 10% |
Work Type | Regular | Schedule | Full-Time |
Position Description:
Revenue Cycle Management
- Claims management: Oversee billing vendor to ensure accurate and timely claims submission, tracking and follow up.
- Payer relations: Work with payers to resolve payment and billing issues.
- Cross-functional collaboration: Coordinate and communicate with other departments (Finance, Operations, etc.) to ensure seamless billing operations and accomplish the goals, objectives and strategic plan for the company, continually seeking opportunities to add value and differentiate our services.
- Process improvement: Develop strategies to improve the efficiency of the revenue cycle. Support or manage internal organizational initiatives to improve or develop targeted processes, systems or resources as part of continuous quality improvement in response to strategic objectives, client and internal team member feedback.
- Compliance: Ensure compliance with billing and coding regulations and policies, all local, state and federal regulations and ethical standards.
- Reporting: Prepare and present financial reports on accounts and collections.
- People management: Manage and supervise daily operations of the revenue cycle team. Train and evaluate the performance of revenue cycle staff. Provide direction, expectations and requirements to team.
- Project management: Responsible for mapping out resource needs, critical path, identifying risks and issues and critical success factors. Manage the development of deliverables across projects or workstreams to ensure final products meet or exceed industry standards and organizational expectations
- Contribute thought leadership to engagements and organizational knowledge to continually improve work products and enhance value
- Maintain deep understanding of our firm's service lines/offerings and seek out opportunities
Qualifications:
- Master’s degree in an applicable field preferred (e.g., MBA)
- 2-5 years of health care revenue cycle, billing and/or health care finance experience
- Prior experience in the following areas preferred:
- Strong project management skills required
- Strong customer drive and dedication to quality and success
- Excellent interpersonal, oral and written communication skills
- Flexibility to work evenings and weekends as necessary
- Ability to work effectively on multiple projects with a team in a fast-paced environment
- Proficiency in Excel and analytics
Benefits:
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.
To Apply:
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.