Job Description

Revenue Cycle Manager Opportunity

Are you a revenue cycle expert looking for an organization to put your knowledge and skills to work? Are you a problem-solver at heart with a strong focus on details and the ability to manage direct reports? If so, Albany ENT has the opportunity for you!

We are seeking a Revenue Cycle Manager who will lead and optimize the revenue cycle management function across ENT, allergy, and audiology operations. This individual will guide payer strategy, resolve systemic denial issues, and ensure monthly key performance indicators are being tracked and acted upon. The Revenue Cycle Manager will operate at a strategic level in managing payer relationships, developing appeal strategies, overseeing clearinghouse performance, and producing regular performance reporting tied to specific metrics. The RCM will collaborate with management and senior leadership to streamline processes and improve financial performance. They will also directly oversee the Billing Supervisor and Patient Accounts Manager.

Duties & Responsibilities:

• Responsible for full ownership of the revenue cycle management function, providing strategic direction while ensuring financial strength and alignment with organizational goals.
• Analyze otolaryngology billing procedures and contracts and provide recommendations to maximize services and resolve issues.
• Lead the identification and resolution of recurring claim denials or underpayments, including collaboration with payers and providers to streamline documentation and coding practices.
• Monitor revenue cycle KPIs, identify trends, and make data-backed recommendations to executive leadership.
• Partner with finance team to provide insight into KPIs published by the team for internal reporting purposes.
• Establish standard operating procedures for billing, collections, and patient communication workflows across ENT, audiology, and allergy departments.
• Develop payer relationships.
• Develop and lead complex appeal strategies.
• Directly supervise Billing Supervisor and Patient Accounts Manager, which will include leadership, performance management, employee relations, time keeping, recruitment, and terminations.
• Coach and train these supervisors on management of direct reports to maximize efficiency and services.
• Utilize your expertise in ICD-10-CM and CPT codes to train and guide our team, ensuring accurate billing and claims submissions and appeal of denials.
• Collaborate with cross-functional teams on matters involving revenue cycle.
• Read and interpret medical contracts, addressing carve-outs and proposing effective solutions.
• Analyzes superbills and related documentation and make appropriate recommendations to ensure revenues are maximized and legality is maintained.
• Provide recommendations for policies relating to management/oversight of adjustments, payment plans, and bad debt adjustments. Using dashboards and detailed receivables (by payor, analyst, and age) to provide guidance to team on priorities and next steps.
• Prepares and communicates recommendations individually and through trainings on best practices in billing, coding, and compliance in otolaryngology and audiology and related ancillary services.
• Primary oversight of the clearinghouse and other key software and vendor relationships that support the revenue cycle process.
• Build and maintain strong relationships with internal and external contacts, fostering effective communication and collaboration.
• Work collaboratively and respectfully with peers and management to positively affect outcomes at the team, organization, and patient level.

Requirements:

• Minimum 7 years of experience in Revenue Cycle Management, Billing, Coding, and Contracts compliance, and/or combination of these areas, within an Ear, Nose and Throat/Otolaryngology and Allergy and Audiology practice required.
• Thorough knowledge of CMS procedures, DME and medical contracts, and codes in ENT and Audiology settings.
• Bachelor's degree preferred but not required.
• Exposure to supervising multi-level RCM teams.
• Certificate from American Health Information Management Association or Associate's degree in health information technology, a plus.
• Demonstrated ability to proactively identify problems, as well as recommend and implement effective solutions.
• Strong leadership and team management skills.
• Thorough understanding of HIPAA requirements.
• Experience with EMR, EHR, and appointment scheduling software.
• Proven success in training staff at all levels and a passion for facilitating continuous improvement.
• Extremely strong attention to detail and organizational skills and superior communication abilities.
• Strong analytical skill set with the ability to work comfortably with Excel-based systems.
• Excellent project management skills and the ability to work under tight deadlines.
• Affiliation with AAPC and ASCENT expected.

Compensation: The compensation range for this position is $90,000 to $100,000 annually. Actual compensation within that range will be dependent upon the individual's skills, education, experience, and qualifications.

Albany ENT & Allergy Services is proud to have been named a Best Place to Work in the Capital Region for 2023 and 2024. Albany ENT offers a consistent schedule with no weekend hours, a competitive salary, and a comprehensive benefits package, which includes health insurance, generous paid time off, and paid holidays.

If you are looking for a new opportunity with a practice that values its employees, believes in work/life balance, and prides itself on delivering compassionate, patient-centered care, we encourage you to apply today!

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