Revenue Cycle Manager

Revenue Cycle Manager

Lana Funkhouser with Robert Half is looking for a skilled Revenue Cycle Manager to oversee and enhance the financial health of our organization in Emmett, Idaho. This role involves leading all aspects of revenue cycle operations, ensuring compliance with regulatory standards, and implementing strategies to improve efficiency and accuracy in billing and coding. The ideal candidate will bring strong expertise in healthcare revenue management and a proven ability to drive results through collaboration and innovation.

Responsibilities :

• Develop and execute strategic plans for the Revenue Cycle team, setting clear goals and objectives.
• Provide expert oversight on CPT and ICD-10 coding, while preparing for the transition to ICD-11 standards.
• Manage the Chargemaster, ensuring timely updates and accurate coding for all services to support proper billing.
• Utilize quality improvement tools to monitor billing accuracy, identify concerns, and implement corrective actions.
• Deliver training to providers and staff on updates to coding and billing practices, particularly for Critical Access Hospitals.
• Ensure compliance with privacy standards, the No Surprises Act, Hospital Price Transparency Rule, and other federal and state regulations.
• Build and maintain strong relationships with insurance companies to address issues affecting cash flow, such as claim denials or policy changes.
• Drive revenue integrity by optimizing charge capture, reimbursement processes, patient collections, and minimizing bad debt.
• Regularly evaluate team performance, ensuring goals are met and providing feedback for continuous improvement.
• Act as the subject matter expert on revenue cycle operations, advising leadership on payer relations and regulatory changes.

Requirements :

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training.