What are the responsibilities and job description for the Senior Manager, Revenue Cycle Operations position at CHILDREN'S HEALTHCARE OF ATLANTA CARDIOLOGY?
Children’s Cardiology, a subsidiary of Children’s Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The Senior Manager, Revenue Cycle Operations is responsible for the end-to-end operational performance of the Children’s Cardiology Central Business Office, ensuring the maximization of cash flow, regulatory compliance, operational efficiency and exceptional patient and provider experience.
This role provides senior-level leadership and integration across all revenue cycle functions to include Charge Capture & Registration, Coding, Patient Insurance & Authorization, Billing & Collections, Patient Accounts, Accounts Receivable Management and Revenue Cycle Data Integrity & Reporting. The Senior Manager serves as the primary leader responsible for cross-functional coordination, performance management and continuous improvement across the revenue cycle.
Minimum Qualifications
- Bachelor’s Degree in Healthcare Administration, Business, Finance or related field required; Master’s degree preferred.
- Minimum of 5-7 years progressive revenue cycle leadership experience, preferably in a large, complex physician enterprise or specialty practice.
- Demonstrated experience managing a professional fee revenue cycle.
- Demonstrated working knowledge of ICD-10, CPT, and HCPCS coding.
- In-depth understanding of payer requirements, including Medicare and Medicaid.
- Epic & Resolute Professional Billing experience required.
- Proficient in Microsoft Office Suite.
- Excellent analytical and data-driven decision-making skills.
- Effective interpersonal skills and leadership abilities.
- Coding Certification (CPC or equivalent) preferred.
- Demonstrated attention to detail, organizational skills and follow-through discipline.
- Ability to prioritize and handle multiple tasks concurrently in a fast-paced environment.
- Excellent customer service skills.
- Must possess a high level of confidentiality and integrity.
Essential Duties and Responsibilities
- Provide leadership, direction and development for revenue cycle managers and supervisors, ensuring alignment with organizational goals and performance expectations.
- Establish standardized workflows, escalation pathways, and accountability models across revenue cycle teams.
- Manage performance outcomes across key metrics including cash collections, Accounts Receivable aging, charge lab, denial rates & first-pass resolution, credit balances, and patient balance resolution.
- Serve as the primary escalation point for cross-departmental revenue cycle issues requiring coordination or executive-level decision making.
- Develop, maintain and present a comprehensive revenue cycle dashboard with actionable insights.
- Analyze staffing models, productivity and expense trends to ensure performance targets and budget objectives are met.
- Direct registration, insurance, billing, collections and data processing functions to ensure accurate billing and timely adjudication.
- Evaluate patient accounts to identify systemic issues and implement corrective actions.
- Establish and oversee credit and collection policies, ensuring consistent front-end and back-end application.
- Ensure timely and accurate submission of electronic claims, payment posting and reconciliation processes.
- Monitor daily operational activity and rebalance workloads to optimize AR performance and service quality.
- Enhance communication and collaboration with physicians and clinical leadership regarding revenue cycle performance, documentation and workflow impacts.
- Coordinate with Health Information Services, Compliance, IT and other departments to resolve documentation, billing and payer issues.
- Promote a patient-centered financial experience while maintaining strong collection performance.
- Serve as a business leader for revenue cycle systems, including Epic Professional Billing (Resolute, Cadence and Prelude).
- Oversee training and competency development related to billing systems, workflows and regulatory changes.
- Partner with the Director, Financial Operations on strategic initiatives, special projects and operational planning.
- Ensure compliance with all federal, state, payer and organizational policies.
- Identify and lead continuous improvement initiatives to reduce rework, improve accuracy and enhance scalability.
- Perform other duties and projects as assigned.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or any protected category.
As a part of the recruiting and new hire process with Children’s Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company.