Revenue Cycle Manager Three Crosses Regional Hospital - 2.7 Las Cruces, NM Job Details Full-time $60,000 - $90,000 a year 20 hours ago Benefits Relocation assistance Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance Life insurance Qualifications Coding for hospital billing Payment processing in medical billing systems Full Job Description Job Description If you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for a Full Time Revenue Cycle Manager that is committed to clinical excellence and building a patient-centered culture. Three Crosses Regional Hospital is an advanced independent healthcare organization led by a local team of professionals dedicated to high quality patient care and being the first choice of patients and providers in the communities we serve. Job Summary Under the general direction of the Chief Financial Officer, the Revenue Cycle Manager provides leadership, oversight, and strategic direction for all aspects of the revenue cycle to include but not limited to reimbursement optimization, denial management, and accounts receivable performance. Develop and maintain efficient workflows, monitoring key revenue cycle metrics, planning, developing, and implementing strategies to maximize revenue and, optimizing revenue cycle processes and systems, managing third-party payer relationships, overseeing Medicare cost reports and claims, and pursuing denied claims and delinquent accounts. The Revenue Cycle Manager will oversee managed care contracting, regulatory reporting, graduate medical education (GME) reimbursement, and the effective management of fiscal resources in accordance with organizational policies and procedures. Primary Responsibilities Coordinates the day-to-day operations of the Revenue Cycle Department while driving process improvement initiatives that support financial performance, regulatory compliance, and exceptional customer service Provide strategic and operational leadership for claims management, reimbursement, denial management, and accounts receivable Monitor and improve revenue cycle performance through analysis of key performance indicators (KPIs), reimbursement trends, cash collections, and accounts receivable metrics. Ensure accurate and timely billing and reimbursement for Medicare, Medicaid, Commercial Insurance, Managed Care, and Private Pay accounts. Analyze revenue cycle data to identify trends, root causes, risks and opportunities. Identify, investigate, and resolve billing discrepancies, denials, underpayments, and reimbursement issues to optimize cash flow and reduce A/R days. Develop, implement, and maintain department policies, procedures, workflows, and process improvement initiatives to enhance operational efficiency and compliance. Collaborate with clinical, operational, business office and financial leadership to improve revenue integrity, documentation accuracy, and reimbursement outcomes. Ensure compliance with HIPAA, CMS, payer regulations, coding requirements, and organizational policies and procedures. Assist with audits, financial reviews, budget management, and regulatory reporting as required.

Education and Experience:

Required:

Bachelors degree in Finance or related field, will consider equivalent combination of education and experience

Required :

3+

Years Revenue Cycle Management and Healthcare Reimbursement Experience Required:

Working knowledge of all billing, payments, and credit and collection functions

Required :

Working knowledge of regulations governing healthcare revenue cycle, including the Charge master (aka Fee Book) and Coding (CPT/HCPCS).

Preferred :

High level knowledge of healthcare patient accounting applications, MS office suite and ability to comfortably learn new computer programs

Required :

Meet all Employee Health Requirement License/Certification(s)

Preferred:

Certified Professional Coder (CPC) Three Crosses Regional Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, age, national origin, disability, veteran status, genetic information, or any other protected status under applicable law.ent financial practices.

Pay:

$60,000.00 - $90,000.00 per year

Benefits:

401(k) Dental insurance Employee assistance program Health insurance Life insurance Paid time off Relocation assistance Vision insurance Ability to

Relocate:

Las Cruces, NM 88001: Relocate with an employer provided relocation package (Preferred)

Work Location:

In person