The RCM Operations Manager is responsible for managing and overseeing the revenue cycle operations within our healthcare organization. This role focuses on optimizing processes,improving financial performance, ensuring compliance, and enhancing the overall efficiency of
the revenue cycle. The ideal candidate will possess strong leadership skills, a deep understanding of healthcare revenue cycle management, and a proactive approach to problem-solving.
Key Responsibilities
● Leadership & Management
○ Lead and manage the revenue cycle team, including billing, coding, collections, and
accounts receivable staff.
○ Foster a collaborative and high-performance culture, providing guidance, training,
and development opportunities for team members.
○ Set performance goals and monitor team progress to ensure operational excellence.
● Process Optimization
○ Develop and implement strategies to improve revenue cycle processes, reduce
denials, and increase collections.
○ Analyze current workflows and identify areas for improvement and efficiency gains.
○ Implement best practices and standard operating procedures to streamline
operations.
● Financial Performance
○ Monitor key performance indicators (KPIs) and prepare regular reports on revenue
cycle metrics.
○ Conduct financial analysis to identify trends, variances, and opportunities for revenue
enhancement.
○ Collaborate with the finance department to ensure accurate financial reporting and
forecasting.
● Compliance & Quality Assurance
○ Ensure compliance with all federal, state, and local regulations related to healthcare
billing and coding.
○ Maintain up-to-date knowledge of industry standards, coding guidelines, and
regulatory changes.
○ Implement quality assurance programs to ensure accuracy and integrity of billing and
coding processes
● Minimum of 5 years of experience in revenue cycle management operations.
● Proven track record of improving revenue cycle efficiency and cash flow.
● Strong understanding of healthcare coding and billing practices (especially relevant in
healthcare settings).
● Excellent analytical and problem-solving skills.
● Effective communication and interpersonal skills.
● Proficiency in relevant revenue cycle management software
