Revenue Cycle Manager

Essential Functions

• Partners with CHN Customer Success team to lead RCM updates to the affiliate customer success meetings. Establishes strong partnerships with CHN and affiliate teams that are built on transparency, professional knowledge and credibility, and a commitment to identifying ideas and actions that deliver the best patient experiences  

• Develops expert level technical knowledge of revenue, patient access, and financial verification business processes to understand how they impact revenue cycle  

• Prepares reports, analyzes data, and presents revenue cycle results to CHN leaders and affiliate administrative and clinical leaders on an established schedule through the Customer Success meetings 

• Collaborates with affiliates, providers if needed, and the central business office on process improvement opportunities.  Facilitates the development and implementation of solutions 

• Analyzes and interprets substantial amounts of data and identifies denial/error trends to share with CHN process owners and affiliate teams 

• Regularly report and monitor key performance indicators (KPIs) and overall performance with affiliate partners and CHN leaders.  Shares KPIs, provides in depth, root-cause analysis, action plans and timelines to adjust operations accordingly to achieve operational objective and KPIs 

• Recruit, hire, train, evaluate, and perform disciplinary actions following department guidelines. Provide support, coaching, and direction for representatives, including monitoring of productivity KPIs and position goals; lead the employee evaluation process for assigned staff 

• Provide guidance, leadership, training, and development through motivational methods to direct reports 

• Conduct weekly meetings with the RCM team to provide guidance and feedback 

• Manages staff levels and competencies, ensuring the workforce has the skills and tools needed to provide optimal service 

• Reviews standard organizational metrics and reports internal revenue cycle trends, underlying root causes, and other related issues. Applies a structured and disciplined approach to defining problems and improving performance.  Champions the effectiveness of revenue cycle functional team efforts and recommends improvement strategies to enhance overall efficiency across remote teams  

• Communicates any patient account systems concerns or system issues and solicits feedback from the Revenue Cycle team to ensure they are appropriately configured and function optimally.  

• Manage and mentor a culturally diverse team, including creating and sustaining an organizational culture that fosters inclusiveness and equity 

• Creates and promotes a culture of continuous improvement 

• Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations 

• Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community 

• Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems 

• Provides positive and development feedback and accountability related to practices including, but not limited to, equity 

The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at anytime. 

Qualifications and Experience (Required)

• Bachelor’s degree in Health Care Management or Administration, or a related field, five to seven years of medical billing office experience, of which at least four years were at the management level or equivalent combination of education and/or experience 

• 3-5 years of experience working in Epic

• HFMA Certified Revenue Cycle Representative (CRCR) or must obtain certification in the first 6-months of employment  

• Demonstrated organizational, time management, analytical, and problem-solving abilities 

• Proficiency with Microsoft Office (Word, Excel, PowerPoint, etc.) 

• Strong attention to detail and follow-up, and demonstrated ability to multi-task and maintain a customer-centric service approach in a fast-paced environment 

• Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary 

• Strong interpersonal skills and the ability to build relationships with team members 

• Demonstrated dedication to Planned Parenthood’s mission, vision, and values 

Qualifications and Experience (Preferred)

• Strong working knowledge of professional billing software applications 

• Five years of experience with building reports, interpreting data, and developing recommendations for process improvement 

• EPIC training program for Revenue Cycle 

Key Requirements

• Commitment to advancing race(+) equity in one’s work: interested in expanding knowledge about the role that racial inequity plays in our society.
• Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions.
• Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn.
• Strong sense of accountability to equitable practices.
• Understanding of the impact of identity dynamics on organizational culture.
• Commitment to CHN and Planned Parenthood’s In This Together service ethos, workplace values, and service standards.