Revenue Cycle Manager

Explore opportunities with Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

The Revenue Cycle Manager is responsible for the comprehensive management of the revenue cycle process, from patient registration to final payment. This role involves leading a team of revenue cycle professionals, ensuring the accuracy and efficiency of billing, collections, and revenue optimization. The Revenue Cycle Manager will develop and implement strategies to improve financial performance, maintain compliance with healthcare regulations, and enhance patient satisfaction.

Primary Responsibilities:

• Efficiency
  • Uses monthly reports and trends to identify opportunities to create efficiencies with revenue cycle processes, and works with the leadership team to enact material, meaningful process changes that support optimal cost to collect and quality of performance
  • Oversees the entire revenue cycle process, including financial intake, billing, coding, and collections
  • Manages the utilization of accounts receivable reports to monitor account balances and establish priorities for collection activities
  • Manages an established closing schedule and other guidelines/policies and procedures to facilitate billing timeliness
  • Monitor and analyze revenue cycle metrics to identify trends and areas for improvement
• Quality
  • Ensures compliance with company, departmental, and regulatory policies and procedures
  • Maintains appropriate billing records to meet legal and regulatory requirements
  • Assists in the development and/or revision of departmental job descriptions, duties, and operating procedures
  • Implement best practices and process improvements to optimize revenue cycle performance
  • Ensures timely tracking of payer challenges and keeps appropriate team notified of changes and/or updates
  • Prepares any statistical reports as requested by upper management on an as needed basis; submits timely
  • Maintains a working knowledge of all billing policies, rules and regulations, updates appropriate team of changes in the insurance industry
  • Maintains a working knowledge of all Revenue Cycle Management computer systems; acts as a liaison with the software vendor(s) and communicates updates/revisions to appropriate team
  • Prepare and present financial reports to senior management
• People
  • Ensures appropriate staffing levels; completes scheduled performance evaluations and engagement conversations
  • Acts as a liaison with assigned/select payer sources
  • Acts as a resource to assigned team for problem solving difficult accounts, information system issues, and specific training needs. Ensures that problem-solving occurs at the lowest level possible with positive outcomes
  • Facilitates training programs for assigned team members
  • Lead and develop a team, providing guidance and support
• Service
  • Represents Revenue Cycle Management and actively participates on various external and internal forums, teams, and audits as needed
  • Trains appropriate team on new software/hardware features; reviews team understanding/working knowledge of changes
  • Collaborate with clinical and administrative departments to resolve revenue cycle issues
  • Meets work schedule and attendance expectations
  • Completes special projects and other assignments, as deemed necessary
  • Performs similar, comparable, or related duties as may be required or assigned
    
    
    

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 3+ years of experience in revenue cycle operations
• Supervisory experience
• Demonstrated in-depth knowledge of healthcare billing and reimbursement processes
• Demonstrated ability to learn a variety of systems and maneuver through them daily, including electronic medical record systems, clearinghouse systems, and carrier systems
• Demonstrated solid computer skills with Microsoft Office knowledge and experience
  
  

Preferred Qualification:

• Bachelor's degree in healthcare administration, finance, or a related field
  
  

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.