Revenue Cycle Manager - Healthcare

What You'll Do:

Reporting to the Vice President of Revenue Cycle Management, the Revenue Cycle Manager plays a critical role in ensuring the accuracy and efficiency of revenue cycle operations by leveraging advanced analytics to drive financial performance and compliance. This individual contributor position requires a deep understanding of healthcare revenue cycle processes, including claims generation, billing, payment processing, and claims resolution. The ideal candidate will have proven expertise in analyzing large volumes of denials and claims data, identifying revenue leakage, and developing strategies to optimize billing accuracy and minimize denials.

With strong data analysis skills and a keen eye for detail, the Revenue Cycle Manager will monitor key performance indicators (KPIs), track billing trends, and collaborate with cross-functional teams to address revenue-related issues. This role also ensures adherence to healthcare regulations and payer requirements while providing actionable insights to leadership for ongoing process improvements.

• Analyze revenue cycle data, including but not limited to denials, remittance advice, ANSI codes, accounts receivable aging, billing errors, and cash posting reports, to identify patterns, discrepancies, and areas for improvement.
• Develop and implement strategies to optimize billing accuracy, reduce claim denials, and improve cash flow through enhanced claims management and resolution processes.
• Monitor and report on key performance indicators (KPIs) related to revenue cycle performance and revenue integrity.
• Collaborate with cross-functional teams to address revenue-related issues, improve workflows, and ensure alignment with business goals.
• Ensures compliance with healthcare regulations and payer requirements, maintaining a focus on revenue integrity and adherence to regulatory standards.
• Provides actionable insights and data-driven recommendations to senior leadership for process improvement and operational efficiency.

What You'll Bring:

• Strong background in healthcare revenue cycle management, with expertise in claims generation, billing, payment processing, and resolution
• Proven ability to analyze large datasets related to denials, claims, and accounts receivable to drive process improvements
• Experience in developing and implementing strategies that enhance revenue accuracy, reduce denials, and optimize cash flow
• Knowledge of healthcare regulations, payer requirements, and revenue integrity best practices
• Strong communication, collaboration, and organizational skills, with the ability to manage multiple projects simultaneously in a fast-paced environment
• Bachelor's degree in Healthcare, Business, related field, or a combination of education and experience 
• 3 years of healthcare revenue cycle analytics experience
• Strong written and presentation communication skills will be necessary to explain complex analytics and drive necessary change to maintain or improve performance
• The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment

It would be great if you had:

• 5 years of related experience
• Experience with Tableau
• Working knowledge of Waystar Claims Management system (clearing house)

What We Offer:

Full-time only:

• Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity
• CHS pays for Basic Life, AD&D, Short and Long-Term Disability
• Voluntary Life insurance option for employees and their families
• Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan)
• Flexible Spending Accounts (health care and dependent care)
• 401k company match after 6 months (50% of deferrals up to 6% of compensation)
• Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays

All employees (Pool, Part-time and Full-time):

• Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support
• Online Subscription to Headspace, a digital mindfulness and meditation platform
• After 90 days, you are auto enrolled in the 401k Plan 

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Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.