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Tempus AI · 3 days ago

Revenue Cycle Manager

Chicago, IL

Full-time

Onsite

Mid, Senior Level

$85K/yr - $115K/yr

Tempus AI is a company focused on precision medicine and advancing the healthcare industry through AI technology. They are seeking a Revenue Cycle Manager to lead a team focused on post-payment appeals, refunds, and payer audits, ensuring compliance and optimizing processes.

Artificial Intelligence (AI)BiotechnologyHealth CareMachine LearningMedicalPrecision Medicine

Responsibilities

Manage the Tempus refunds and post-payment appeals team with a focus on continuous improvement and excellence

Develop and implement robust policies and procedures to ensure timely and accurate issuance of refunds where appropriate

Establish and monitor Key Performance Indicators (KPIs) to track and improve the efficiency and effectiveness of the post-payment appeals process

Create and maintain Standard Operating Procedures (SOPs) for the post-payment appeals team, ensuring compliance with all regulatory guidelines and payer requirements

Provide comprehensive feedback to management on trends, findings, and strategies for resolving issues with both in-network and out-of-network payers

Lead initiatives to identify root causes of overpayments and implement proactive measures to reduce the occurrence of future refunds

Oversee the collection and organization of all necessary documentation in response to payer audits, ensuring meticulous documentation management

Conduct thorough research to support audit responses and appeals

Serve as the primary point of contact for all audit-related inquiries and correspondence, including writing clear, concise, and persuasive appeal response letters

Collaborate with external auditors and payer representatives, providing timely responses and addressing any queries or concerns effectively

Communicate effectively with clients and stakeholders regarding audit processes and outcomes

Work closely with relevant departments to address audit findings and implement corrective actions

Qualification

Revenue cycle managementPayer relationsParalegal skillsHealthcare reimbursementRegulatory complianceDocumentation managementLegal researchClient communicationKPI monitoringSOP developmentWritten communicationAttention to detailProblem solvingRelationship building

Required

Bachelor's degree in healthcare administration, business, or a related field (or equivalent experience)

Familiarity with healthcare reimbursement, payer policies, and regulatory compliance in the revenue cycle

Strong paralegal skills, including documentation management, legal research, and client communication, are highly desirable

Excellent written communication skills, with the ability to produce clear, concise, and persuasive documents

Strong attention to detail and the ability to prioritize multiple competing tasks across projects, Third Party Billing Vendor, and internal Tempus teams

Proven track record of establishing and monitoring KPIs and SOPs within a revenue cycle context

Creative mindset in order to problem solve, comfort with ambiguity, and confidence to ask key questions

Ability to develop and maintain strong relationships across departments (Market Access, Finance, Legal, Product, Medical Affairs, Lab Ops, etc.)

Benefits

Incentive compensation

Restricted stock units

Medical and other benefits depending on the position

Company

Tempus AI

Glassdoor3.0

Tempus is making precision medicine a reality by applying AI in healthcare, deriving insights from our expansive library of clinical data and molecular data.

Founded in 2015