GWAVA · 4 months ago
Revenue Cycle Manager
Omni Surgery Center
Full-time
Onsite
Senior Level
5+ years expGWAVA is seeking a highly skilled and experienced Revenue Cycle Manager to oversee all aspects of revenue cycle operations at their Ambulatory Surgery Center. The ideal candidate will manage the revenue cycle team and optimize financial performance through effective coding, billing, collections, and dispute resolution practices.
Cyber SecurityEnterprise SoftwareSecurity
Responsibilities
Lead and manage the revenue cycle team, ensuring efficiency and compliance across all processes
Oversee end-to-end revenue cycle operations, including patient registration, coding, billing, collections, payment posting, and denial management
Ensure accurate coding and billing practices in compliance with federal, state, and payer-specific requirements
Manage surgical physician and facility billing, including implants and accessories
Oversee both in-network and out-of-network billing processes
Navigate and manage federal and state Independent Dispute Resolution (IDR) processes to maximize reimbursement
Monitor key performance indicators (KPIs) and implement strategies to improve revenue cycle outcomes
Collaborate with physicians, clinical staff, and administration to address documentation, coding, and compliance issues
Qualification
Required
Certified Professional Coder (CPC or equivalent) required
Minimum of 5 years of progressive experience in healthcare revenue cycle management, with at least 2 years in a leadership role
Strong knowledge of surgical billing, including physician and facility services
Expertise in billing for implants, accessories, and complex surgical procedures
In-depth understanding of out-of-network billing and IDR processes
Proven track record in managing collections, denial resolution, and payer negotiations
Excellent leadership, communication, and problem-solving skills
Benefits
Competitive salary and benefits package.
Company
GWAVA
GWAVA delivers messaging security, unified archiving and retrieval, social media, and mobile management for thousands of organizations.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2016-10-04Acquired
Leadership Team
Robert Diaz
Authorized Partner
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