Children's Healthcare of Atlanta Cardiology · 6 hours ago
Senior Manager, Revenue Cycle Operations
Atlanta, GA
Full-time
Hybrid
Senior Level
5+ years expChildren’s Healthcare of Atlanta is seeking a Senior Manager for Revenue Cycle Operations in their Children’s Cardiology division. This role is responsible for overseeing the operational performance of the Central Business Office, focusing on cash flow maximization, regulatory compliance, and enhancing patient and provider experiences.
ChildrenHealth CareHospitalWellness
Responsibilities
Provide leadership, direction and development for revenue cycle managers and supervisors, ensuring alignment with organizational goals and performance expectations
Establish standardized workflows, escalation pathways, and accountability models across revenue cycle teams
Manage performance outcomes across key metrics including cash collections, Accounts Receivable aging, charge lab, denial rates & first-pass resolution, credit balances, and patient balance resolution
Serve as the primary escalation point for cross-departmental revenue cycle issues requiring coordination or executive-level decision making
Develop, maintain and present a comprehensive revenue cycle dashboard with actionable insights
Analyze staffing models, productivity and expense trends to ensure performance targets and budget objectives are met
Direct registration, insurance, billing, collections and data processing functions to ensure accurate billing and timely adjudication
Evaluate patient accounts to identify systemic issues and implement corrective actions
Establish and oversee credit and collection policies, ensuring consistent front-end and back-end application
Ensure timely and accurate submission of electronic claims, payment posting and reconciliation processes
Monitor daily operational activity and rebalance workloads to optimize AR performance and service quality
Enhance communication and collaboration with physicians and clinical leadership regarding revenue cycle performance, documentation and workflow impacts
Coordinate with Health Information Services, Compliance, IT and other departments to resolve documentation, billing and payer issues
Promote a patient-centered financial experience while maintaining strong collection performance
Serve as a business leader for revenue cycle systems, including Epic Professional Billing (Resolute, Cadence and Prelude)
Oversee training and competency development related to billing systems, workflows and regulatory changes
Partner with the Director, Financial Operations on strategic initiatives, special projects and operational planning
Ensure compliance with all federal, state, payer and organizational policies
Identify and lead continuous improvement initiatives to reduce rework, improve accuracy and enhance scalability
Perform other duties and projects as assigned
Qualification
Required
Bachelor's Degree in Healthcare Administration, Business, Finance or related field required
Minimum of 5-7 years progressive revenue cycle leadership experience, preferably in a large, complex physician enterprise or specialty practice
Demonstrated experience managing a professional fee revenue cycle
Demonstrated working knowledge of ICD-10, CPT, and HCPCS coding
In-depth understanding of payer requirements, including Medicare and Medicaid
Epic & Resolute Professional Billing experience required
Proficient in Microsoft Office Suite
Excellent analytical and data-driven decision-making skills
Effective interpersonal skills and leadership abilities
Demonstrated attention to detail, organizational skills and follow-through discipline
Ability to prioritize and handle multiple tasks concurrently in a fast-paced environment
Excellent customer service skills
Must possess a high level of confidentiality and integrity
Preferred
Master's degree preferred
Coding Certification (CPC or equivalent) preferred
Company
Children's Healthcare of Atlanta Cardiology
Children's Healthcare of Atlanta Cardiology is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients with acquired or congenital heart disease.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Denver Sallee, MD, MMM
Chief Financial Officer
Company data provided by crunchbase