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Revenue Cycle Manager CLS Health

PLLC - 4.4

Webster, TX Job Details 1 day ago Benefits Disability insurance Health insurance Paid time off Vision insurance 401(k) matching Life insurance Qualifications Staff supervision Regulatory compliance in claims processing HIPAA Team development Bachelor's degree Health information regulatory compliance Computer skills Medicaid regulations Team motivation (leadership skill) Cross-functional communication

Full Job Description Description:

About CLS Health CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!

Job Summary:

The Revenue Cycle Manager oversees and optimizes the revenue management processes within the company. The Revenue Cycle Manager must have a deep understanding of healthcare billing, coding, reimbursement, and compliance regulations, coupled with strong leadership and analytical abilities.

Supervisory Responsibilities:

Directs and oversees Revenue Cycle Team. Conducts performance evaluations that are timely and constructive.

Duties/Responsibilities:

Revenue Cycle Optimization:

Develop and implement strategies to streamline revenue cycle processes, including billing, coding, claims management, and collections, to maximize revenue and minimize delays.

Billing and Coding Compliance:

Ensure accurate and compliant coding practices according to industry standards (e.g., ICD-10, CPT), payer guidelines, and regulatory requirements (e.g., HIPAA, CMS).

Claims Management:

Oversee the timely submission, tracking, and resolution of claims to minimize denials and optimize reimbursement. Implement effective denial management strategies to address claim rejections and appeals.

Revenue Analysis and Reporting:

Analyze revenue cycle performance metrics, identify trends, and generate insightful reports to monitor key performance indicators (KPIs) and inform decision-making processes.

Required Skills/Abilities:

Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech). Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid). Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights. Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams. Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders.

Benefits:

401(k) 401(k) matching Dental Insurance Disability insurance Health insurance Life insurance Paid time off Vision insurance

Requirements:

Required Skills/Abilities:

Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech). Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid). Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights. Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams. Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders.

Education and Experience:

Bachelor's degree in healthcare administration, finance, business, or related field. Master's degree preferred. Minimum of 5 years of experience in revenue cycle management, preferably in a healthcare setting. Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) certification preferred.

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer. Must be able to lift to 15 pounds at times. .