Henderson - Revenue Cycle Manager

Job Description

Job Description

Revenue Cycle Management (RCM) Manager

Location : Henderson, NV (In-Office, Full-Time)

We are seeking an experienced RCM Manager to oversee and optimize billing, collections, provider credentialing, and revenue cycle processes for our healthcare services. This role is essential to ensuring patients are billed accurately and accounts are maintained efficiently and will involve leadership, strategic planning and the management of the team to ensure the efficiency of our revenue cycle operations The RCM Manager will work closely with the accounting and credentialing teams, assist in resolving billing issues, and lead the development and training of department staff.

Responsibilities

• Lead and manage all aspects of the revenue cycle, including billing, coding, provider credentialing, and assistance with claims processing and collections. Manage the day-to-day operations of the billing and credentialing departments, ensuring compliance with company policies and procedures and revenue cycle best practices
• Ensure compliance with federal, state, and local regulations, including HIPAA, Medicare / Medicaid, and private payer guidelines.
• Analyze and Identify opportunities to optimize billing processes and lead implementation efforts.
• Implement controls to mitigate risks related to coding errors, and billing discrepancies.
• Develop and implement policies, procedures, and workflows to enhance revenue cycle performance. Develop and deliver monthly reports with key billing metrics and performance insights.
• Ensure accurate and timely submission of claims to payers and manage the resolution of claim denials and underpayments.
• Oversee hiring, training, and professional development of billing and credentialing team members.
• Collaborate with the Executive team to align billing operations with organizational goals.
• Serve as a key liaison between the revenue cycle division and other divisions across the enterprise, such as finance, operations, and external vendors.
• Ensure effective billing solutions are in place to support a multi-regional and growing client base.

Requirements

Benefits