Central Health · 5 hours ago
Revenue Cycle Program Manager
Austin, TX
Full-time
Hybrid
Senior Level
7+ years expCentral Health is seeking a Revenue Cycle Program Manager to lead the strategic development and oversight of their service lines and revenue cycle programs. This role involves collaborating with various teams to ensure compliance with regulatory requirements and optimizing system functionality.
Health CareHealth DiagnosticsMedical
Responsibilities
Collaborates with the Revenue Cycle Operations Manager or higher leadership in the development, growth, and daily operational management of Central Health’s healthcare delivery service lines and programs, ensuring alignment with internal standards and third-party payer requirements
From a Revenue Cycle perspective leads the formulation, implementation, and expansion of healthcare delivery service lines and programs in partnership with the Revenue Cycle Operations Manager or higher leadership
Assists in the development of key performance metrics and corrective action plans to drive operational excellence
Continuously evaluates and refines service lines, programs, and operational strategies to meet industry best practices within healthcare delivery systems
Oversees the adoption and integration of newly developed workflows into Central Health’s Revenue Cycle processes
Monitors, evaluates and assists with the revenue cycle work queues to ensure efficient day-to-day operations
Organizes revenue cycle meetings, manages project timelines, and supports cross-functional initiatives to achieve departmental objectives
Facilitates coordination between departments such as Finance, Compliance, Providers and Patient Access to streamline processes and promote consistency
Maintains current knowledge of regulatory requirements impacting the Revenue Cycle and ensures compliance across all activities
Ensures all revenue cycle activities comply with payer regulations, federal and state laws, and organizational compliance standards
Oversees revenue cycle operations across service lines to ensure consistent billing, reimbursement, and financial performance aligned with organizational goals
Manages third-party billing requirements and payer relationships to ensure accurate claim submission, reimbursement, and contract compliance
Identifies workflow inefficiencies and implements process improvements to enhance accuracy, reduce denials, and strengthen overall revenue performance
Serves as a Revenue Cycle Builder, responsible for Epic configuration, testing, and training to support efficient and compliant system workflows
Develops and implements effective communication strategies to provide Central Health leadership with timely operational, financial, and performance updates
Collaborates with internal and external stakeholders to optimize patient experience across Central Health service lines
Serves as a tertiary point of contact for Revenue Cycle projects and operational requests within Central Health
Designs and delivers training programs for stakeholders and providers on revenue cycle processes, coding standards, and documentation guidelines
Ensures training materials are updated to reflect regulatory changes, payer requirements, and organizational policies
Provides ongoing education to promote compliance, accuracy, and efficiency in billing and documentation practices
Qualification
Required
High School Diploma or equivalent (higher degree accepted)
7 years of progressively responsible experience in healthcare revenue cycle operations, billing, or reimbursement required
Insurance payers contracts and billing requirements
Healthcare regulations related to billing
Revenue Cycle clinic operations
Company
Central Health
Central Health is a health care company provides access to healthcare services to eligible residents of Travis County.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Jonathan Morgan
Chief Operating Officer
Alan Schalscha
Chief Medical Officer
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