Putting the “Health” in Healthcare IT
Senior Revenue Cycle Management Project Manager – Systems, Reporting, SLA Experience
Location
United States
Posted
13 hours ago
Salary
$110K - $120K / year
Seniority
Senior
Job Description
Senior Revenue Cycle Management Project Manager – Systems, Reporting, SLA Experience
MicroHealth
• Oversee complex, multi-faceted revenue cycle programs from end to end • Apply formal project management methodologies (Agile, Waterfall, Hybrid) to manage scope, timelines, budgets, and risks across complex front-, middle-, and back-end revenue cycle programs • Lead cross-functional teams including clinical staff, billing specialists, IT professionals, and executive stakeholders • Develop comprehensive project charters, work breakdown structures, and communication plans • Monitor project milestones and deliverables, ensuring alignment with organizational strategic goals • Manage and report on Service Level Agreements (SLAs), ensuring compliance with contractual obligations and performance metrics • Identify operational bottlenecks and inefficiencies across the revenue cycle continuum • Design and implement standardized workflows to increase efficiency and reduce errors • Deploy automation solutions to streamline repetitive tasks and improve accuracy • Conduct process mapping and gap analysis to identify improvement opportunities • Champion change management initiatives to ensure successful adoption of new processes • Analyze claim rejection and denial trends to identify root causes and systemic issues • Direct targeted strategies to improve clean claim rates and accelerate reimbursement cycles • Collaborate with coding and billing teams to address documentation deficiencies • Implement denial prevention programs and appeal processes • Monitor payer-specific requirements and adjust workflows accordingly • Track and report on core Key Performance Indicators (KPIs) including: Days in Accounts Receivable (A/R), Net collection rates, Clean claim rates, Denial rates and appeal success rates, Point-of-service collections, Cost-to-collect ratios • Generate routine executive reports and dashboards for senior leadership • Develop comprehensive reporting frameworks to support data-driven decision-making • Conduct variance analysis and recommend corrective actions • Present findings and recommendations to C-suite executives and board members • Act as a strategic liaison between clinical, financial, and IT departments • Facilitate regular meetings with stakeholders to ensure alignment on revenue goals • Translate complex financial and technical concepts for diverse audiences • Build consensus among competing priorities and resource constraints • Maintain transparent communication channels with all project participants • Ensure all billing and coding practices adhere to federal, state, and payer regulations • Stay current on regulatory changes including CMS guidelines, HIPAA requirements, and payer policies • Oversee internal and external auditing processes to ensure compliance and accuracy • Coordinate with compliance officers to address audit findings and implement corrective action plans • Develop and maintain compliance documentation and standard operating procedures • Apply certification knowledge in coding, billing, and auditing to ensure best practices • Demonstrate proficiency with Careview and InnovAlone platforms • Optimize Electronic Health Record (EHR) system configurations to support revenue cycle workflows • Collaborate with IT teams on system implementations, upgrades, and integrations • Exhibit strong system savvy to quickly learn and adapt to new technologies and platforms • Evaluate and recommend revenue cycle management software and tools • Ensure data integrity across multiple systems and platforms
Job Requirements
- Bachelor’s degree in healthcare administration, Business, Finance, Health Information Management, or a related field required
- Minimum 10+ years of extensive hands-on management experience in healthcare revenue cycle management with demonstrated success leading large-scale projects or transformations
- Proven track record of managing enterprise-level revenue cycle initiatives from conception through implementation
- Experience with Careview and InnovAlone systems required
- Demonstrated expertise in reporting and managing Service Level Agreements (SLAs)
- Experience working in remote/distributed team environments
- Background in healthcare operations, finance, or health information management
- Certified Revenue Cycle Professional (CRCP), Certified Revenue Cycle Representative (CRCR), or similar revenue cycle certification required
- Certification in coding (CPC, CCS, or equivalent), billing, and/or auditing required
- Advanced proficiency with Careview and InnovAlone platforms (required)
- Exceptional system experience with ability to quickly master new technologies and software applications
- Proficiency in major Electronic Health Record (EHR) systems such as Epic, Cerner, Meditech, or Allscripts
- Advanced skills in data analytics tools including Tableau, Power BI, Microsoft Excel, or SQL
- Strong understanding of medical coding (ICD-10, CPT, HCPCS) and billing regulations
- Familiarity with claims processing systems and clearing houses
- Expertise in developing and managing reporting frameworks and dashboards
- Demonstrated ability to manage and monitor Service Level Agreements (SLAs)
- Change management expertise with proven ability to drive adoption of new processes and technologies
- Attention to detail and accuracy particularly in financial and compliance matters.
Benefits
- access to comprehensive and competitive benefits package
- retirement planning assistance
- opportunities for personal growth through spiritual or academic avenues
- time off to recharge and celebrate life's meaningful moments
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