Revenue Cycle Manager

Job Description

Job Description

We are an established Medical Management company located in New Hyde Park. We are currently seeking an experienced Revenue Cycle Manager with a strong work ethic, excellent communication skills and exceptional leadership skills.

This position will oversees all aspects of the billing department, ensuring the accurate, timely, and compliant submission of medical claims to insurance companies.

This role involves managing billing staff, optimizing billing processes, monitoring key performance indicators (KPIs), and ensuring the department adheres to industry regulations and organizational policies.

The Medical Billing Manager will collaborate with other departments, including coding, credentialing, patient services, and finance, to enhance revenue cycle performance.

In this position you will analyze billing data and ensure targets are being met. This position will also work closely with our offshore department.

Responsibilities :

Leadership and Management :

• Supervise, train, and mentor a team of medical billers
• Conduct performance evaluations and provide ongoing feedback and development opportunities for team members
• Establish departmental goals, ensure staff alignment, and foster a collaborative work environment

Billing Operations :

• Oversee the daily operations of the medical billing department, ensuring accurate and timely billing of claims.
• Ensure that all claims are submitted in compliance with federal and state regulations, payer guidelines, and organizational policies.
• Monitor billing activities to meet key performance indicators (KPIs), such as claim denial rates, days in accounts receivable (AR), and cash collections.

Claim Management :

• Investigate, resolve, and track claim denials or underpayments; collaborate with insurance carriers and providers to ensure timely resolution
• Analyze billing data and trends to identify areas for process improvement and implement corrective actions as needed
• Ensure accurate coding, proper documentation, and adherence to payer-specific rules to prevent claim rejections

Reporting & Analysis :

• Prepare regular reports on billing productivity, revenue cycle metrics, and financial performance for senior management
• Perform regular audits of claims and accounts to ensure accuracy and identify billing errors or inconsistencies
• Utilize billing software and data analytics tools to analyze trends and recommend improvements to processes or workflows
• Client Relations :
• Respond to client inquiries regarding invoices, payments, and billing discrepancies
• Collaborate with other departments including offshore department to resolve billing issues and enhance client satisfaction
• Compliance :
• Ensure compliance with financial regulations and company policies
• Support audits by providing necessary documentation and explanations

Job Requirements :

• 5+ years of experience with medical billing and claims
• 3+ years in a supervisory role
• Experience working with offshore team required
• Knowledge of insurance benefits and appeal processes
• Detail-oriented with the ability to analyze data and identify trends.
• Strong analytical and problem-solving skills
• Proficiency in billing software and Microsoft Word, Excel and Outlook required
• Great leadership and communication skills

Benefits :

• Comprehensive health benefits (medical, dental, vision)
• Aflac Insurance Plans
• 401k Plan
• Paid time off and holidays
2 days ago