Advanced Pain Care · 3 hours ago
Revenue Cycle Manager
Advanced Pain Care is seeking a Revenue Cycle Manager to oversee the operations of Appeals, Payment Posting, Collections, and Financial Counseling teams. The role involves ensuring adherence to established SOPs, monitoring KPIs, and collaborating with leadership to maintain A/R within organizational targets while providing technical oversight for billing and appeals processes.
Health CareMedical
Responsibilities
Direct submission of claims and appeals for denied claims, ensuring compliance with SOPs
Maintain performance metrics such as: Days in A/R within target range, Clean Claim Rate, Denial Rate, Appeals Resolution Turnaround
Organize daily operations to minimize backlog and optimize productivity
Interview, hire, evaluate, discipline, and coach employees
Conduct regular team meetings for communication and accountability
Stay current on payer regulations, coding updates, and appeal trends
Train staff to ensure adherence to SOPs and compliance standards
Provide monthly KPI dashboards and production reports to leadership
Identify process gaps and implement improvements to enhance efficiency and reduce risk
Qualification
Required
High school diploma or GED
Minimum 5 years of experience in revenue cycle management (RCM)
3 years in leadership or management role
CPC certified or 3 years of coding experience
Professional demeanor, customer-focused approach, and ability to foster teamwork
Commitment to ongoing education and compliance with federal, state, and local regulations
Proficiency in Athena EMR systems and Microsoft Office Suite
Preferred
Bachelor's degree in healthcare administration or related field
Strong background in pain management
Experience with Athena