Revenue Cycle Manager at Delaware Orthopaedic Specialists – Wilmington, Delaware

We are seeking a Revenue Cycle Manager (RCM) that will oversee the entire patient financial journey, by managing billing, coding, collections, and payer relations to maximize reimbursement and minimize denials. The RCM will be involved in staff supervision, data analysis, process improvement, ensuring compliance, and collaborating with clinical teams for accurate documentation and charge capture. Key duties will include analyzing accounts receivable, training staff, negotiating contracts, and implementing strategies for efficiency in a complex healthcare financial environment.

Key Responsibilities:
• Process Optimization: Design and implement strategies for pricing, billing, and collections to improve efficiency and reduce losses.
• Staff Leadership: Supervise billing, coding, and payment posting staff; provide training, performance feedback, and manage recruitment/discipline.
• Financial Analysis: Monitor key metrics (denial rates, turnaround times, AR), analyze financial reports, and identify trends for data-driven decisions.
• Payer & Provider Relations: Manage relationships with insurance companies and providers to secure favorable reimbursement rates and resolve denials.
• Compliance & Accuracy: Ensure adherence to federal/state laws (HIPAA) and company policies, verifying patient info, eligibility, and accurate charge entry to reduce coding errors.
• Collaboration: Work with clinical staff to improve documentation and charge capture; and with leadership on financial strategy.

Essential Skills & Qualifications:
• Education: Bachelor's degree in business, finance, or healthcare administration.
• Experience: 4+ years in medical billing, AR, or RCM, with supervisory experience.
• Technical Skills: Strong data analysis, financial reporting, RCM software proficiency.
• Soft Skills: Excellent problem-solving, communication, leadership, and organizational skills.