Revenue Cycle Manager - Healthcare

Overview

Job: Revenue Cycle Manager

Hours: Monday - Friday, 8:00 – 4:30 p.m.

Job Summary: Shenandoah Oncology is looking for a Revenue Cycle Manager that will oversee all business and front office operations, including billing, reimbursement, collections, and computer systems. This role ensures accurate and timely charge capture, claim submission, and reporting to maximize reimbursement and reduce accounts receivable. The Revenue Cycle Manager directly supervises accounts receivable, Front Office Supervisor, produces accurate monthly reports, and drives process improvements to enhance efficiency, financial performance, and patient experience.

Pay Range: $100,000.00 - $125,000.00. The actual hiring rate may vary based on several factors, including your previous work experience, educational background, the responsibilities of the position, and demonstrated performance. These elements help us ensure a fair and competitive offer aligned with your qualifications and the role's requirements.

Benefits: We offer a competitive benefits package that includes medical, dental, vision, life insurance, short-term and long-term disability coverage, generous PTO, an employer match 401K plan, a wellness program, tuition reimbursement, an employee assistance program (EAP), and retail discounts.

Responsibilities

• Directs the daily operation of the business office to ensure accuracy and timeliness in all areas of responsibility including the handling of monies.
• Recruits, hires and supervises business office staff and the Front Office Supervisor in addition to developing and attaining performance goals and objectives.
• Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
• Oversees the pick up and preparation of daily charge tickets; works with physicians on charge procedures, including consistent use of procedure codes; coordinates revisions as needed to obtain correct reimbursement; identifies and resolves discrepancies.
• Ensures that daily, weekly, and monthly billing functions are performed and accurate.
• Demonstrates thorough understanding of and oversees all aspects of coding functions, to include monitoring and interpreting insurance reimbursements and implementing procedures that ensure optimum reimbursement and compliance with regulations.
• Negotiates managed care, PPO, and indemnity plan contracts.
• Schedules month-end cutoffs; ensures that all areas meet cutoff and generates monthly management reports from medical accounts and receivable system.
• Monitors aged balances of all accounts and ensures that delinquent accounts are followed up.
• Provides follow-up on contract accounts and acts as liaison with managed care plans and insurers.
• Prepares monthly financial analysis on accounts receivable, collection percentages, billing statistics, etc.
• Acts as liaison between physicians, administration and business departments.
• Implements Reimbursement Policies and Procedures to maximize efficiency.
• Ensures compliance with appropriate industry regulations.
• Maintains computer master parameters including CPT-4 and ICD-10 code files.
• Assists with budgetary activities under direction of Executive Director and Controller.
• Maintains and monitors departmental budget.
• Maintains working knowledge of applicable laws and regulations as they relate to assigned responsibilities.
• Maintains confidentially of all information related to patients, medical staff, finances and cost effective health care delivery issues.
• Directly supervises business office personnel.
• Provides strategic leadership, coordination, and execution of revenue cycle initiatives and optimization strategies, ensuring alignment with organizational structure, mission, values, culture, workforce, operational processes, and the overall patient experience.
• Collaborates with executive leadership to define revenue cycle management strategies that align with the company's objectives and support business growth.
• Oversees the management and execution of revenue cycle improvement projects and initiatives within the business by forming a collaborative team and establishing professional working relationships to support revenue cycle management.
• Provides strategic guidance and support for the effective use of the practice management system and other revenue cycle technologies applied to revenue cycle operational needs.
  
  

Qualifications

• High school diploma or equivalent required; bachelor’s degree preferred.
• Minimum five years of medical office management experience.
  
  

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including manual and finger dexterity and eye-hand coordination. Requires standing/sitting for extensive periods of time. Occasionally lift and carry items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.