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Revenue Cycle Manager
Job Description
Schedule:
Monday to Thursday, 8AM-5PM; Friday, 8AM-1
PM Pay:
TBD Why Join IDL Medical Center? At IDL Medical Center , you will step into an impactful leadership role supporting the financial and operational success of a growing, physician-led outpatient primary care practice. We deeply value accountability, teamwork, and continuous improvement. As our Revenue Cycle Manager, you won't just manage numbers, you will build efficient processes that help our clinical team deliver sustainable, quality patient care. Position Overview We are seeking an experienced, proactive, and data-driven Revenue Cycle Manager to take full ownership of our financial operations. You will lead day-to-day revenue cycle functions—including billing, coding accuracy, collections, and denial management—while mentoring a dedicated team and driving workflow automation.
Key Responsibilities Team Leadership:
Lead, train, coach, and monitor revenue cycle staff to ensure productivity, accuracy, and high accountability.
End-to-End Management:
Oversee patient registration, insurance verification, charge capture, claims submission, payment posting, and accounts receivable.
Tech & Transmission Setup:
Supervise and optimize the setup and execution of electronic data transmissions (EDI) for seamless claim delivery.
Payer Relations:
Collaborate directly with major payers to resolve complex reimbursement issues and optimize collection performance.
Denial Strategy:
Review rejected or underpaid claims, identify recurring leakage gaps, and execute immediate corrective actions or appeals.
Performance Metrics:
Prepare, analyze, and present regular revenue cycle reports, utilizing Excel data to drive strategic improvements.
Compliance:
Maintain total alignment with applicable healthcare regulations, payer policies, and strict HIPAA standards.
Role Requirements Experience:
3+ years of proven success in healthcare revenue cycle management or medical billing, ideally within an outpatient or primary care setting.
Leadership:
Demonstrated experience managing, supervising, or leading a medical billing team.
Clearinghouse Expertise:
Deep familiarity with TriZetto Provider Solutions (or equivalent major healthcare clearinghouses).
Technical Skillset:
Hands-on experience setting up and troubleshooting electronic transmission workflows (EDI) and clearinghouse configurations.
Payer Knowledge:
Specialized expertise navigating major insurance provider portals.
Education:
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field is preferred.
Technical Tools:
Advanced proficiency in EHR/Practice Management systems and Microsoft Excel (analyzing reports, trend spotting).
The Ideal Candidate Is:
Accountable:
Takes absolute ownership of results and follows complex billing problems to total resolution.
Analytical:
Loves diving into data to identify revenue leakages and process gaps.
Proactive:
Anticipates potential workflow or payer policy shifts before they impact the practice's bottom line.
Benefits & Perks:
Health insurance, holidays, and Paid Time Off How to
Apply:
Fill out this form https://forms.cloud.microsoft/r/p0zBf6Tvg9 (copy and paste the link into your browser).
•Completion of the application form is required. Applications submitted without a completed form will not be considered.
•
Pay:
$24.00 - $30.00 per hour Expected hours: 40.0 per week
Benefits:
Health insurance Paid time off
Work Location:
In person
Benefits
- Paid Time Off (PTO)
- Health Insurance
- Dental Insurance