Revenue Cycle Operations Manager
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Job Description
Revenue Cycle Operations Manager overseeing RCM operations and team development for behavioral health medical group. Driving operational excellence and compliance in telehealth billing processes.
Responsibilities:
- Manage and mentor a team of up to 20 RCM professionals fostering a culture of trust and accountability while building the infrastructure to support departmental scaling
- Lead talent management (recruitment, onboarding, coaching) to ensure team mastery of CoCM and telehealth billing nuances
- Drive operational excellence by overseeing high-volume claims management and ensuring precise billing reviews
- Monitor and report on core revenue cycle KPIs
- Provide strategic insight to partners RCM and payer strategy groups on opportunities to improve rate or other mechanisms
- Implement AI-driven automated feedback loops to identify common coding errors and create actionable coaching moments for the team
- Maintain audit readiness and strict compliance with all healthcare regulations
Requirements:
- Bachelor’s degree in Healthcare Finance, MHA, or equivalent
- 3+ years of direct people management experience in a revenue cycle or medical billing function
- In-depth knowledge of medical billing processing protocols, payment schemes, adjustment processing, medical terminology, CPT, and revenue codes
- Proficiency in applying standard CPT, HCPCS procedure and supply codes, and ICD diagnosis coding as per CMS guidelines
- Extensive knowledge of Medicare, Medicaid, and commercial payer billing and reimbursement
- 5+ years of Revenue Cycle Management (RCM) experience preferred
- CPBC (Certified Professional Biller) or CPC (Certified Professional Coder) certification preferred
- Strong project management skills with the ability to manage multiple priorities simultaneously
- Familiar with Excel, Word, PowerPoint, Google suite, Netsuite, and SalesForce
Benefits:
- Fully remote work environment
- Excellent benefits package
- 401K
- Paid holidays
- PTO
- Sick time
- Technology and all the tools needed to succeed
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