Job Description The Revenue Cycle Management Department Manager is responsible for overseeing and optimizing the revenue cycle management processes for physicians within the organization. This includes ensuring accurate billing, efficient claims processing, and effective communication with payers and patients.
Develop and implement strategies to improve the efficiency and effectiveness of the revenue cycle management process. Oversee the billing and coding functions, ensuring accurate and timely submission of claims. Manage relationships with payers and resolve billing disputes and denials. Monitor and analyze key performance indicators (KPIs) related to revenue cycle management. Identify areas for improvement and implement corrective actions. Train and develop staff members within the department. Collaborate with other departments to ensure smooth communication and coordination. Answer all client's inquiries and requests in an efficient and timely manner Job Requirements In-depth knowledge of CPT, ICD-10, and other relevant coding systems. Expertise in the entire revenue cycle process, including claims submission, payment posting, and denials management. Understanding of US payer regulations, policies, and contracts. Familiarity with medical billing software, electronic health records (EHRs), and other relevant technology tools. Ability to analyze data to identify trends, patterns, and areas for improvement. Ability to lead and manage a team of revenue cycle professionals. Strong problem-solving skills to address challenges and resolve issues. Excellent communication skills, both verbal and written, to interact effectively with stakeholders. Attention to detail to ensure accuracy and compliance. Ability to manage multiple tasks and prioritize effectively. Strong customer service skills to address patient and payer inquiries. Commitment to staying up-to-date on industry trends and best practices.
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