Overview • Lead revenue cycle operations for a healthcare organization, ensuring financial accuracy and operational efficiency across departments. • Collaborate with clinical and administrative teams to optimize workflows and enhance patient satisfaction through streamlined processes. • Develop and implement strategic initiatives to maximize collections and minimize denials, driving robust financial performance. • Provide mentorship and leadership to revenue cycle teams, fostering professional growth and a collaborative work environment. • Oversee credentialing and payer enrollment processes with precision and adherence to compliance standards. • Ensure compliance with federal, state, and industry-specific regulations in all revenue cycle operations. • Leverage advanced technology solutions to enhance revenue cycle performance and reporting capabilities. • Prepare and present detailed performance analyses to senior leadership to support informed strategic decision-making. Key Responsibilities & Duties • Manage billing, collections, authorizations, and credentialing processes efficiently across multiple healthcare locations. • Monitor claim submissions, payment postings, and denial management workflows to ensure operational accuracy. • Ensure timely insurance verification and prior authorization procedures to support seamless patient care. • Collaborate with technology vendors to optimize electronic medical records and billing systems for enhanced functionality. • Develop and implement training programs for revenue cycle staff to enhance skills and knowledge. • Support recruitment, onboarding, and professional development of team members to build a high-performing team. • Prepare audit reports and compliance documentation for internal and external stakeholders. • Coordinate payer communications and resolve disputes effectively to maintain positive relationships. Job Requirements • Bachelor’s Degree in Healthcare Administration, Business, or a related field; Master’s preferred. • Certified Professional Coder (CPC) certification or equivalent is preferred. • Minimum of 2 years of healthcare revenue cycle management experience; 5 years preferred. • Proficiency in revenue cycle processes, compliance regulations, and payer requirements. • Experience with Medicare, Medicaid, and commercial insurance systems is essential. • Strong leadership, communication, and analytical skills to drive team and organizational success. • Knowledge of surgical or specialty care settings is advantageous. • Ability to manage onsite teams effectively in a fast-paced healthcare environment.