Revenue Cycle Manager in Coral Gables, Florida at Gastromed, LLC

-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; margin-bottom: 4px; margin-left: 0px !important; font-family: times new roman , serif; font-size: 14px;'>Provide leadership and direction to Billing, Collections, Payment Posting, Denials/Appeals, Revenue Integrity, and other assigned Revenue Cycle functions.

Establish clear productivity, accuracy, quality, and performance expectations.

Evaluate staffing levels and recommend changes based on workload, productivity, and organizational needs.

Develop and maintain standardized workflows, policies, procedures, and SOPs.

Provide ongoing training, development, and performance coaching.

Conduct regular operational meetings to review KPIs, A/R, denials, collection performance, barriers, and improvement initiatives.

Reporting & Analytics

• Develop and maintain daily, weekly, and monthly Revenue Cycle reporting.
• Provide executive leadership with accurate reporting on collections, A/R, denials, payment trends, and projected cash collections.
• Identify discrepancies between billing-system reports, bank activity, and financial reporting and ensure timely resolution.
• Analyze Revenue Cycle data to identify trends, risks, and opportunities for improvement.
• Present Revenue Cycle performance, corrective actions, risks, and strategic improvement initiatives to executive leadership.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, Accounting, or a related field preferred.
• Minimum 5–7 years of healthcare Revenue Cycle experience, including management or leadership responsibility.
• Demonstrated hands-on proficiency with eClinicalWorks (eCW) practice-management and Revenue Cycle functionality required, including claim workflows, work queues, payment activity, A/R and denial management, reporting, reconciliation, and workflow troubleshooting.
• Strong physician-practice billing experience.
• Experience with ambulatory surgery center, anesthesia, pathology, infusion, or other ancillary billing preferred.
• Strong understanding of Medicare, Medicaid, commercial insurance, managed care, and payer reimbursement.
• Knowledge of CPT, ICD-10, HCPCS, charge capture, claims processing, denials, appeals, and reimbursement methodologies.
• Demonstrated experience managing A/R, collections, payment posting, denials, and revenue reconciliation.
• Strong analytical, financial reporting, and problem-solving skills.
• Experience developing KPIs, SOPs, internal controls, and performance-management processes.
• Strong leadership, communication, organizational, and decision-making skills.

Benefits

We offer a competitive compensation and benefits package, including 100% employer-paid employee health insurance, Dental, Vision, Life Insurance, and 401(k) benefits.